Could Dizziness During Bending Be Related to Ear Stones? - Otolaryngology

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Dizziness issues?


During bathing, I have been bending down and lowering my head, and for the past two days, whenever I bend over for more than five minutes, I experience severe dizziness and a loss of balance.
After standing still for a minute, I feel normal again, but bending down low causes dizziness again.
There are no other discomforting symptoms.
Could this be related to benign paroxysmal positional vertigo (BPPV)? Also, I have been sleeping without a pillow, just stacking two towels to sleep.
Is this related?

Niming, 30~39 year old female. Ask Date: 2024/04/23

Dr. Zheng Jueyi reply Otolaryngology


Hello, it is possible that you are experiencing orthostatic hypotension, benign paroxysmal positional vertigo (BPPV), or other inner ear issues.
If the symptoms persist or recur, it is advisable to consult an otolaryngologist or a neurologist for further evaluation.

Reply Date: 2024/04/23

More Info


Dizziness during bending or certain head movements can indeed be related to issues with the inner ear, particularly with the otolith organs, which are responsible for balance. The condition you're describing sounds like it could be related to Benign Paroxysmal Positional Vertigo (BPPV), a common vestibular disorder caused by the displacement of tiny calcium carbonate crystals (otoconia) within the inner ear. When these crystals become dislodged from their usual position, they can interfere with the normal functioning of the inner ear, leading to episodes of dizziness, especially when the head is moved in specific ways, such as bending over or tilting.

In your case, the dizziness occurring after bending for more than five minutes suggests that the position of your head may be triggering these symptoms. The fact that your dizziness resolves quickly upon standing indicates that it is likely positional in nature, which is characteristic of BPPV. This condition can often be diagnosed through a physical examination and specific maneuvers performed by a healthcare provider.

As for your sleeping position, while sleeping without a pillow or using towels may not directly cause ear stones to dislodge, it can affect your neck and head alignment. Poor alignment during sleep could potentially exacerbate any existing vestibular issues, especially if it leads to awkward positions that might trigger dizziness when you wake up or move suddenly.

To address your symptoms, it is advisable to consult with an Ear, Nose, and Throat (ENT) specialist or a healthcare provider who can perform a thorough examination. They may conduct tests such as the Dix-Hallpike maneuver to assess for BPPV and determine if the dizziness is indeed related to ear stones. If BPPV is confirmed, treatment options such as the Epley maneuver can help reposition the dislodged crystals back to their proper location in the inner ear, often providing significant relief from symptoms.

In the meantime, it may be beneficial to avoid movements that trigger your dizziness, such as bending over for extended periods. Additionally, maintaining a stable and supportive sleeping position could help minimize any potential exacerbation of your symptoms.

If your dizziness persists or worsens, or if you experience additional symptoms such as hearing loss, tinnitus (ringing in the ears), or severe headaches, it is crucial to seek medical attention promptly. These could indicate other underlying conditions that may require different management strategies.

In summary, your symptoms of dizziness during bending could very well be related to ear stones, particularly if they are positional in nature. Consulting with a healthcare professional for a proper diagnosis and treatment plan is essential to address your concerns effectively.

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