Managing Dizziness from Inner Ear Imbalance: Concerns During Breastfeeding - Otolaryngology

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Dizziness (inner ear imbalance)


Hello Doctor: I visited the hospital on January 8th due to dizziness, which worsened when I looked up.
I went to the ENT department, and the doctor diagnosed me with inner ear imbalance.
I had a similar episode 10 years ago at Mackay Memorial Hospital, where they also discovered inner ear imbalance.
This time, I caught a draft and developed a bit of nasal congestion.
When I woke up in the morning, I noticed I was dizzy, but it wasn't a spinning sensation.
The doctor prescribed anxiety medication, including Yu Li Shu Pian, Chang Li Tang, Mei Li Kang tablets, and some additional medication for dizziness that I was already taking.
However, I don't understand why I need to take anxiety medication since I am currently breastfeeding.
I would like to ask the doctor if I can skip the anxiety medication and just take the other two, as I am concerned that taking it might lead to anxious thoughts.
A friend mentioned that this is related to depression, which he experienced when he felt very unwell.
I am worried about the potential effects on my baby, and I haven't taken the prescribed medication for dinner yet.
I would appreciate your guidance on this matter.
Thank you very much.

Cindy, 40~49 year old female. Ask Date: 2019/01/08

Dr. Zheng Jueyi reply Otolaryngology


Hello, this medication also has an effect on improving dizziness.
If you feel that your symptoms are not severe, you may choose not to use it initially.
If the symptoms persist without improvement, please return for a follow-up appointment and inform your physician that you are breastfeeding, so they can consider adjusting your medication treatment.
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: 2019/01/08

More Info


Managing dizziness due to inner ear imbalance can be particularly challenging, especially for breastfeeding mothers. It's understandable to have concerns about the medications prescribed and their potential effects on both you and your baby. Let's break down your situation and provide some insights based on medical knowledge.

Firstly, dizziness caused by inner ear imbalance, often referred to as vestibular dysfunction, can manifest in various ways, including lightheadedness, a sensation of spinning (vertigo), or a feeling of unsteadiness. This condition can be exacerbated by factors such as allergies, sinus congestion, or even stress. Given your history of similar episodes, it seems that your inner ear may be particularly sensitive to changes in your environment or health status.

The medications prescribed by your doctor, including anxiety medication, are likely intended to help manage the symptoms associated with dizziness and any underlying anxiety that may arise from the experience of feeling unwell. Anxiety can often amplify the perception of dizziness, creating a cycle that can be difficult to break. However, it is crucial to consider the implications of taking these medications while breastfeeding.

When it comes to medications during breastfeeding, it is essential to evaluate their safety for both you and your baby. Some anxiety medications can pass into breast milk, potentially affecting the infant. Therefore, it is advisable to consult with your healthcare provider about the specific medication prescribed. They can provide guidance on whether it is safe to take while breastfeeding or if there are alternative treatments available that may be more suitable for your situation.

If you feel uncomfortable taking the anxiety medication, it is essential to communicate this with your doctor. They may be able to adjust your treatment plan, suggesting non-pharmacological approaches to manage anxiety and dizziness. Techniques such as cognitive-behavioral therapy (CBT), mindfulness, and relaxation exercises can be effective in managing anxiety without the need for medication. Additionally, ensuring you stay hydrated, getting adequate rest, and practicing gentle neck and head movements can help alleviate dizziness.

It's also worth noting that if your dizziness persists or worsens, further evaluation may be necessary. This could include additional tests to assess your vestibular function or to rule out other potential causes of your symptoms. Keeping a symptom diary can be helpful in tracking what triggers your dizziness and any associated factors, such as diet, stress levels, or sleep patterns.

In summary, while managing dizziness from inner ear imbalance during breastfeeding, it is crucial to weigh the benefits and risks of any prescribed medications. Open communication with your healthcare provider is key to finding a treatment plan that prioritizes both your health and the well-being of your baby. If you are hesitant about taking the anxiety medication, discuss alternative options with your doctor, and consider incorporating lifestyle changes and non-pharmacological strategies to manage your symptoms effectively. Your health and peace of mind are paramount, and there are often multiple pathways to achieving both.

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