Dizziness: Causes and ENT Specialist Recommendations - Otolaryngology

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Dizziness can be a perplexing symptom, especially when it occurs in specific positions, such as lying down. In your mother's case, the fact that she experiences dizziness primarily when lying on her left side and attempting to turn or get up suggests a possible vestibular issue, which is often related to the inner ear.
The inner ear plays a crucial role in maintaining balance and spatial orientation. Conditions such as Benign Paroxysmal Positional Vertigo (BPPV) are common causes of dizziness that can be triggered by changes in head position. BPPV occurs when tiny calcium crystals in the inner ear become dislodged and move into the semicircular canals, leading to episodes of vertigo when the head is moved in certain ways. This could explain why your mother feels dizzy specifically when lying down or turning.

The statement from the ENT specialist about "ear degeneration" could refer to age-related changes in the inner ear structures, which can affect balance. However, it is essential to clarify what the doctor meant by this term. Age-related vestibular dysfunction can indeed contribute to dizziness, but it is also important to rule out other potential causes.

Given your mother's symptoms, it would be prudent to seek further evaluation. A detailed examination by an ENT specialist or a neurologist who specializes in vestibular disorders would be beneficial. They may perform tests such as a Dix-Hallpike maneuver to diagnose BPPV or other vestibular function tests to assess the inner ear's health.

In terms of finding specialists, both Pingtung and Kaohsiung have reputable medical facilities with ENT departments. You may want to consider hospitals like Kaohsiung Medical University Hospital or Pingtung Christian Hospital, where you can find experienced ENT specialists. It’s advisable to call ahead and inquire about their expertise in vestibular disorders to ensure your mother receives the appropriate care.

In summary, dizziness, especially when position-dependent, warrants a thorough investigation. While age-related changes can contribute to balance issues, specific conditions like BPPV should be considered and ruled out. Consulting with a specialist who can perform the necessary diagnostic tests will help in determining the exact cause of your mother's symptoms and guide appropriate treatment options.