Can you ignore otolith displacement/ectopic otoliths?
I have been experiencing dizziness for the past few days.
This has happened before, and although I didn't see a doctor, I suspect it might be due to benign paroxysmal positional vertigo (BPPV) because the symptoms match what I found on Google.
I have tried the Epley maneuver by lying on my side and turning my head 45 degrees, alternating sides, but I really can't stand the dizziness.
It's so severe that I feel nauseous and sometimes even vomit.
It's extremely uncomfortable.
However, I can sleep without any issues while lying down, and I can engage in normal activities without any problems.
I can even go out for a jog at night, as long as I don't turn my head too quickly or at a sharp angle while sleeping.
My question is, will the ear crystals naturally resolve on their own if I leave them alone? (The repositioning maneuver is just too uncomfortable and painful...
sorry.) Thank you, doctor.
Xiao Nu Zi Tou Yun, 20~29 year old female. Ask Date: 2019/09/24
Dr. Xiao Yongxun reply Family Medicine
I am experiencing dizziness: Indeed, some physicians perform canalith repositioning procedures; however, I apologize for not having expertise in this area.
On the other hand, I am not sure if the otoliths will reposition on their own.
I recommend consulting an otolaryngologist to avoid being misled by my comments.
Thank you.
Reply Date: 2019/09/24
More Info
Dislodged ear stones, or otoliths, can lead to a condition known as Benign Paroxysmal Positional Vertigo (BPPV). This condition is characterized by episodes of dizziness that occur with changes in head position. It is caused by the displacement of tiny calcium carbonate crystals within the inner ear, which disrupts the normal functioning of the vestibular system responsible for balance.
Ignoring dislodged ear stones is generally not advisable. While some individuals may experience a spontaneous resolution of symptoms, many do not, and the dizziness can persist or worsen over time. The symptoms you describe—severe dizziness, nausea, and vomiting—indicate that the condition is significantly affecting your quality of life. Although you may find temporary relief by avoiding certain head movements, the underlying issue remains unresolved.
The Epley maneuver is a common treatment for BPPV, designed to reposition the dislodged crystals back to their original location within the inner ear. While you mentioned that performing the maneuver was difficult and painful, it is important to note that it is often effective in alleviating symptoms. If you find the self-treatment challenging, consider seeking assistance from a healthcare professional who can perform the maneuver for you. Physical therapists or audiologists specializing in vestibular rehabilitation can provide guidance and support.
In some cases, if BPPV is left untreated, it can lead to chronic dizziness and a decreased quality of life. Additionally, recurrent episodes may occur, which can be distressing. Therefore, it is crucial to address the issue rather than ignore it. If the symptoms persist despite attempts at self-treatment, or if they worsen, it is essential to consult a healthcare provider for further evaluation and management.
In terms of your question about whether the condition will resolve on its own, it is possible for some individuals to experience spontaneous remission. However, this is not guaranteed, and many people benefit from targeted interventions. If you are experiencing significant discomfort and disruption to your daily activities, it is advisable to seek medical attention sooner rather than later.
Regarding your ability to engage in physical activities like jogging, it is important to listen to your body. If you feel stable enough to exercise without exacerbating your symptoms, it may be acceptable to continue. However, be cautious with sudden movements or changes in head position, as these can trigger dizziness.
In summary, while some individuals may experience spontaneous resolution of dislodged ear stones, it is generally not advisable to ignore the condition, especially if it is causing severe symptoms. Seeking professional help for proper diagnosis and treatment can lead to significant improvements in your quality of life. If you are struggling with self-treatment, consider reaching out to a healthcare provider who can assist you with effective maneuvers and rehabilitation strategies.
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