Ear problems
Is it normal to feel a bit dizzy after seeing a doctor who confirmed that there is nothing in the ear, even though it felt like something had entered?
Fang Ru, 20~29 year old female. Ask Date: 2016/10/17
Dr. Ji Zhaoyun reply Otolaryngology
Hello Fang-Ru,
Regarding the causes of dizziness that you mentioned, there are many possibilities:
1) If there is a subtle pain in the back of the head, it may suggest poor blood circulation in the head and neck.
2) If accompanied by ear fullness, ear pressure, or hearing loss, it could indicate sudden sensorineural hearing loss, Meniere's disease, or acute labyrinthitis.
3) If turning the head exacerbates the symptoms, it may suggest benign paroxysmal positional vertigo (BPPV).
Other potential diagnoses include vestibular neuritis, migraine-associated vertigo, orthostatic hypotension, hyperlipidemia, and brain lesions, among others.
The relationship with foreign bodies in the ear is relatively low.
If symptoms persist, it is advisable to seek medical evaluation and treatment.
Wishing you safety and good health.
Sincerely,
Dr.
Chi Chao-Yun,
Director, Department of Otolaryngology, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2016/10/17
More Info
Experiencing dizziness after an ear examination, particularly when you initially felt like there was something in your ear, can be concerning. However, it is not uncommon for patients to report dizziness or a sensation of imbalance following an ear examination, even if no foreign objects are found. This can be attributed to several factors related to the examination process and the anatomy of the ear.
Firstly, the ear is intricately connected to the vestibular system, which is responsible for maintaining balance. The inner ear contains structures that help detect motion and changes in position. During an examination, especially if there is any manipulation of the ear canal or if the doctor uses instruments that may cause vibrations or pressure changes, it can temporarily affect the vestibular system. This can lead to sensations of dizziness or lightheadedness.
Secondly, anxiety or stress about the examination itself can also contribute to feelings of dizziness. Many patients feel anxious when they believe there is something wrong with their health, which can lead to hyperventilation or other physiological responses that may cause dizziness.
Additionally, if you had been experiencing symptoms like a sensation of fullness or pressure in the ear prior to the examination, these could also be related to conditions such as Eustachian tube dysfunction or middle ear issues, which can cause dizziness. In some cases, the sensation of something being in the ear may be due to fluid buildup or inflammation rather than a physical object.
If the dizziness is mild and resolves quickly, it may not be a cause for concern. However, if you experience persistent dizziness, it is advisable to follow up with a healthcare professional. They may recommend further evaluation to rule out any underlying conditions that could be contributing to your symptoms, such as inner ear disorders, vestibular dysfunction, or even issues related to the cervical spine.
In summary, while mild dizziness after an ear examination can be normal, especially if there was a prior sensation of blockage, it is essential to monitor your symptoms. If dizziness persists or worsens, seeking further medical advice is prudent to ensure there are no underlying issues that require attention. Always trust your instincts about your health and communicate any ongoing concerns with your healthcare provider.
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