Which Specialist Should I See for My Ear and Dizziness Issues?

Q: Which Specialist Should I See for My Ear and Dizziness Issues?

Dear Miss Anonymous： 1. Please briefly describe your symptoms and the records of consultations with various specialists in writing. 2. If you have a primary care physician, it is advisable to discuss your concerns with them first. 3. Symptoms such

Which specialty should I see?

Hello Doctor, since last year I have been experiencing symptoms such as blocked Eustachian tubes, dizziness, tinnitus, ear pain, headaches, and hearing a thunder-like sound when moving my eyes.
I was referred from a small clinic's ENT department to a hospital's ENT department, but after inconclusive tests, I returned to a general clinic where I was given a referral to a neurology department at a medical center.
The neurologist then referred me back to ENT.
After the ENT examination, the doctor mentioned something about "brain imbalance," but when I asked for clarification, he completely ignored me.
I had to switch to another neurologist, who found my autonomic nervous system to be normal and suggested I see a psychiatrist.
After two weeks in psychiatry, the doctor again recommended that I return to ENT or neurology.
I am at a loss as to which specialist I should see.
Could you please provide some advice? Thank you.

Niming, 20~29 year old female. Ask Date: 2018/10/02

Dr. Xiao Yongxun reply Family Medicine

Dear Miss Anonymous:
1.
Please briefly describe your symptoms and the records of consultations with various specialists in writing.

2.
If you have a primary care physician, it is advisable to discuss your concerns with them first.

3.
Symptoms such as dizziness, tinnitus, ear pain, headache, and hearing thunder-like sounds after eye movement fall within the domain of otolaryngology.
Therefore, I personally recommend that you consider visiting an otolaryngology clinic for follow-up.

4.
While illness can cause significant anxiety, it is important to remember that physicians may sometimes face challenges in diagnosis and have limitations in their capabilities.
Therefore, please try to avoid emotional language or expressions.
I hope you can focus on discussing and exploring how to address this issue with your otolaryngologist.

5.
Additionally, if applicable, please avoid consuming cold or irritating foods.
Also, refrain from direct exposure to fans or air conditioning.
When you feel comfortable, try to walk or exercise more, as this may lead to improvement.
Wishing you good luck.

Reply Date: 2018/10/02

More Info

It sounds like you've been through quite a journey with your ear and dizziness issues, and I can understand how frustrating it must be to feel like you're being shuffled between different specialists without getting clear answers. Based on the symptoms you've described—eustachian tube dysfunction, dizziness, tinnitus (ear ringing), ear pain, and headaches—there are a few key points to consider in determining which specialist might be best suited to help you.

1. Ear, Nose, and Throat (ENT) Specialist: Since your symptoms are primarily related to your ears and the eustachian tube, an ENT specialist is often the first point of contact. They can assess for conditions such as eustachian tube dysfunction, middle ear infections, or other structural issues that could be causing your symptoms. If you haven't had a thorough evaluation that includes audiometric testing (hearing tests) and possibly imaging studies (like a CT scan), it may be worth returning to an ENT for a comprehensive assessment.

2. Neurologist: Given your symptoms of dizziness and headaches, a neurologist can evaluate for central causes of dizziness, such as vestibular migraines or other neurological conditions. If you have already seen a neurologist and they have ruled out significant neurological issues, it may be less likely that your symptoms are primarily neurological.

3. Vestibular Rehabilitation Therapist: If your dizziness is related to balance issues, a vestibular rehabilitation therapist can provide exercises and strategies to help manage and improve your symptoms. They often work in conjunction with ENT specialists and neurologists.

4. Psychiatrist or Psychologist: Sometimes, chronic physical symptoms can be exacerbated by anxiety or stress. If your symptoms persist despite medical evaluations, it may be beneficial to consult with a mental health professional who can help address any underlying psychological factors that may be contributing to your experience.

5. Allergist or Immunologist: If you suspect that allergies may be contributing to your eustachian tube dysfunction or ear symptoms, seeing an allergist could provide insights and treatment options.

In your case, since you've already been referred back and forth between specialists, it might be helpful to compile all your medical records and test results and seek a second opinion from a different ENT specialist or a multidisciplinary clinic that specializes in dizziness and balance disorders. This way, you can ensure that all aspects of your symptoms are being considered, and you can receive a more coordinated approach to your care.

In summary, while an ENT specialist is likely the most appropriate starting point for your ear-related symptoms, don't hesitate to seek a second opinion or explore other specialists if you feel your concerns are not being adequately addressed. It's important to advocate for your health and ensure that you receive the comprehensive care you deserve.

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