Which department should I see?
Hello doctor, recently I have been experiencing dizziness and nausea halfway through eating.
I also have tinnitus, ear pain, and headaches.
Which specialty should I see for this? Thank you.
Xiao Bai, 20~29 year old female. Ask Date: 2018/06/26
Dr. Liao Yaopan reply Family Medicine
Hello, it is recommended to first visit an otolaryngologist for evaluation.
Please note that online consultations are not equivalent to in-person medical visits and cannot provide diagnoses or treatment recommendations.
Changhua Hospital cares about you.
Reply Date: 2018/06/26
More Info
When experiencing dizziness, ear pain, tinnitus (ear ringing), and headaches, it is essential to consider the potential underlying causes, which can be multifactorial. Given your symptoms, the most appropriate medical specialty to consult would be an Ear, Nose, and Throat (ENT) specialist, also known as an otolaryngologist. This specialist is trained to diagnose and treat conditions related to the ear, nose, throat, and related structures of the head and neck.
Dizziness can arise from various issues, particularly those affecting the inner ear, which plays a crucial role in balance. Conditions such as vestibular neuritis, Meniere's disease, or even benign paroxysmal positional vertigo (BPPV) could be contributing to your symptoms. These conditions often present with dizziness, tinnitus, and sometimes ear pain. An ENT specialist can perform specific tests, such as a hearing test or balance assessment, to determine if the inner ear is involved.
Additionally, the ear pain you are experiencing could be related to several factors. It might be due to an ear infection (otitis media or otitis externa), Eustachian tube dysfunction, or even referred pain from dental issues, especially if you have any dental problems or wisdom teeth issues. The ENT specialist can evaluate your ear for any signs of infection or other abnormalities.
Furthermore, the combination of dizziness and headaches could suggest a more systemic issue, such as migraines or even tension headaches, which can sometimes be exacerbated by ear-related problems. If the ENT specialist rules out ear-related causes, they may refer you to a neurologist for further evaluation of your headaches and dizziness.
In the meantime, it is crucial to monitor your symptoms. If you experience severe dizziness that affects your ability to stand or walk, or if you have additional symptoms such as vision changes, severe headache, or neurological symptoms (like weakness or numbness), you should seek immediate medical attention.
In summary, start with an ENT specialist for a thorough evaluation of your ear pain, dizziness, and tinnitus. They will be able to assess your symptoms in the context of ear health and balance function. Depending on their findings, they may refer you to other specialists if necessary. Remember to provide them with a complete history of your symptoms, including when they started, their frequency, and any triggers you have noticed, as this information will be crucial for an accurate diagnosis and effective treatment plan.
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