Viral Infections in the Left Ear: Dizziness and Treatment Options - Otolaryngology

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Left ear invasive virus - vertigo syndrome?


Hello doctor, I recently went to Mackay Memorial Hospital's emergency department due to dizziness.
My blood test results came back normal, and I was referred to an otolaryngologist.
Upon examining my left ear, the doctor immediately diagnosed me with a viral infection in my left ear.
He mentioned that this could cause significant dizziness and feelings of nausea.
He prescribed two types of medication and advised me to adjust the dosage based on my condition, stating that I could stop the medication if I felt better.
I have been taking the medication for three days now, and while the dizziness has become less severe when I don't take the medication, I experience increased dizziness and nausea when I do take it.
Should I consider stopping the medication?

Zuo Er Bingdu, 20~29 year old female. Ask Date: 2016/04/22

Dr. Zheng Jueyi reply Otolaryngology


Hello: If symptoms improve, you may stop the medication and observe.
However, if symptoms continue to worsen, you will need to seek medical attention again.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/22

More Info


When dealing with viral infections of the ear, particularly those that may cause dizziness and nausea, it is essential to understand the underlying mechanisms and treatment options available. Based on your description, it seems that you have been diagnosed with a viral infection affecting your left ear, which can indeed lead to symptoms such as dizziness, nausea, and a general feeling of unwellness.

Viral infections of the ear, particularly those affecting the inner ear, can lead to a condition known as vestibular neuritis or labyrinthitis. These conditions occur when the vestibular nerve, which helps control balance, becomes inflamed due to a viral infection. Symptoms often include dizziness, vertigo (a spinning sensation), nausea, and sometimes tinnitus (ringing in the ears). The fact that your blood tests returned normal is a good sign, as it suggests that there may not be a more systemic infection or other underlying issues.

Regarding your current treatment, it is not uncommon for medications prescribed for dizziness and nausea to have side effects that may include increased feelings of dizziness or nausea, especially when starting the medication or adjusting dosages. Common medications for these symptoms include antihistamines (like meclizine) or antiemetics (like ondansetron), which can help manage nausea but may also cause drowsiness or exacerbate dizziness in some individuals.

Given that you have been on the medication for three days and are experiencing increased dizziness and nausea, it is crucial to communicate these side effects to your healthcare provider. While it may be tempting to stop the medication on your own, it is advisable to consult with your doctor first. They can assess whether the benefits of continuing the medication outweigh the side effects you are experiencing. Sometimes, a dosage adjustment or a switch to a different medication may be necessary to alleviate your symptoms without causing additional discomfort.

In the meantime, there are several self-care strategies you can employ to help manage your symptoms. Staying hydrated is essential, as dehydration can worsen dizziness. Resting in a comfortable position, preferably lying down in a quiet, dark room, can also help alleviate feelings of nausea and dizziness. Avoiding sudden movements and changes in position can minimize vertigo episodes.

If your symptoms persist or worsen, or if you experience additional concerning symptoms such as severe headache, vision changes, or hearing loss, it is crucial to seek immediate medical attention. These could indicate a more serious condition that requires prompt evaluation.

In summary, while it is essential to follow your doctor's advice regarding medication, it is equally important to report any adverse effects you experience. Your healthcare provider can guide you on the best course of action, whether that involves adjusting your medication or exploring alternative treatments. Remember, managing a viral ear infection can take time, and patience is key as your body heals.

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