Understanding Inner Ear Imbalance: Causes and Symptoms of Dizziness
Poor vestibular function in the inner ear? Hello Dr. Hsu: At the end of December last year, one morning I woke up feeling extremely dizzy, accompanied by nausea. I experienced dizziness whenever I lay down to rest or changed positions, which lasted for a few seconds before stoppi...
Dr. Xu Jiazhen Reply:
Hello, if you have undergone a complete evaluation for vertigo and it has been confirmed as benign paroxysmal positional vertigo (BPPV), it can generally be managed effectively. Therefore, it is not accurate to suggest that there are other underlying conditions, so there is no ne...[Read More] Understanding Inner Ear Imbalance: Causes and Symptoms of Dizziness
Understanding Inner Ear Lymphatic Leakage: Causes, Diagnosis, and Treatment Options
Inner ear lymphatic fluid leakage? Hello, Dr. Yeh. During the previous surgery, it was discovered that there was a leak of lymphatic fluid in the inner ear, which caused dizziness. A membrane has been used to seal it, and the doctor mentioned that if the symptoms do not improve, ...
Dr. Ye Dawei Reply:
Dear Sir/Madam: A1: This can be used as a reference before surgery, but some cases still require surgery for proper evaluation. A2: Less common. A3: None. Dr. Yeh Da-Wei, Director of the Department of Otolaryngology, Hsinchu Hospital.[Read More] Understanding Inner Ear Lymphatic Leakage: Causes, Diagnosis, and Treatment Options
Understanding Sudden Dizziness: Symptoms and Possible Causes
Hello, doctor. I have a question regarding dizziness? Hello, Dr. Hsu. This morning, my father suddenly experienced dizziness. He feels very uncomfortable with even slight head movements, and when he opens his eyes to look at things, everything seems to be spinning. He feels a bit...
Dr. Xu Jiazhen Reply:
Hello, Ms. Li. Dizziness not only causes discomfort for patients but is also an important clinical manifestation associated with many diseases. Typically, a physical examination is conducted first to rule out other significant acute conditions, such as a stroke. Further investiga...[Read More] Understanding Sudden Dizziness: Symptoms and Possible Causes
Understanding Dizziness and Tinnitus: A Guide for Patients
Hello, Dr. Hsu? Hello, Dr. Hsu! My uncle is 45 years old, and I am worried about a symptom he has. Sometimes he experiences unexplained dizziness, a heavy sensation in his legs, and instability while standing. His blood pressure is 160. He eats regular meals, does not stay up lat...
Dr. Xu Jiazhen Reply:
There are many causes of dizziness, and there are various classifications in medical theory. However, from the perspective of patients and their families, the most pressing questions are often, "What is the condition? Will it get better?" Having worked with patients suf...[Read More] Understanding Dizziness and Tinnitus: A Guide for Patients
Understanding Dizziness and Balance Issues Related to Ear Infections
Dizziness and Balance Hello doctor, I have been experiencing ear inflammation for a long time. Recently, I have taken anti-inflammatory medication for a week, which has improved my dizziness symptoms, but I still feel heavy-headed, unsteady on my feet, and have visual disturbance...
Dr. Ye Dawei Reply:
Dear Sir/Madam: It is recommended to visit the Otolaryngology outpatient department for further consultation and, if necessary, arrange for examinations. Dr. Yeh Da-Wei, Head of Otolaryngology, Hsinchu Hospital.[Read More] Understanding Dizziness and Balance Issues Related to Ear Infections
Understanding and Managing Recurring Dizziness: Insights on Meniere's Disease
Recurrent dizziness Approximately 3-4 months ago, the patient experienced sudden severe dizziness and vomiting, leading to a visit to a teaching hospital where a brain CT scan was performed and deemed normal by the physician. Due to recurrent episodes, the patient continued to se...
Dr. Xu Jiazhen Reply:
Patients with vertigo have various underlying causes, and a neurological examination is generally required for a definitive diagnosis. If we consider Meniere's disease, symptoms often improve with medication. However, as you mentioned in your letter, if you are experiencing ...[Read More] Understanding and Managing Recurring Dizziness: Insights on Meniere's Disease
Understanding Meniere's Disease: Symptoms, Diagnosis, and Treatment Options
Meniere's disease? What is Meniere's disease? Is dizziness and anemia related to it? How can it be diagnosed and treated? Can supplementing with vitamin B1 improve the condition? Thank you!
Dr. Ye Dawei Reply:
Subject: Q1: What is Meniere's disease? A1: In simple terms, if a patient experiences vertigo, tinnitus, and hearing impairment, a physician will consider this condition. The renowned Japanese physician Ichiro Chiba even described it as "7 points disease" due to th...[Read More] Understanding Meniere's Disease: Symptoms, Diagnosis, and Treatment Options
Understanding Dizziness: Causes and Solutions for Teens
Dizziness Dear Director Yeh, I have been experiencing dizziness for the past two days. It comes and goes; it's not very severe, but it recurs every few minutes. Sometimes I feel dizzy while sitting or lying down. When I stare at someone for too long, I feel like their face...
Dr. Ye Dawei Reply:
Dear Sir/Madam: This is a case of vertigo syndrome. It is recommended to visit the otolaryngology outpatient clinic for a detailed examination and consultation. Dr. Yeh Da-Wei, Head of the Otolaryngology Department, Hsinchu Hospital.[Read More] Understanding Dizziness: Causes and Solutions for Teens
How Long Does Tinnitus Last After Ossicular Reconstruction Surgery?
Will tinnitus persist for a long time after ossicular reconstruction? Hello Doctor: I noticed tinnitus at the beginning of January this year, and despite undergoing tympanostomy and laser treatment, there has been no improvement. In early August, I had surgery for further examina...
Dr. Xu Jiazhen Reply:
Many patients clinically experience tinnitus after surgery, which can be a persistent source of distress. In fact, most cases of postoperative tinnitus are related to damage in the inner ear, and these injuries are often associated with the underlying disease itself. In other wor...[Read More] How Long Does Tinnitus Last After Ossicular Reconstruction Surgery?
Feeling Dizzy and Heavy-Headed: When to See a Specialist?
Lightheadedness with a sensation of heaviness in the head? Recently, I've been feeling heavy-headed and light-footed, accompanied by dizziness. I feel dizzy even when sitting, and sometimes when lying down, it feels like I'm spinning. My neck always feels tight, and the...
Dr. Ye Dawei Reply:
Symptoms resemble peripheral vertigo syndrome; it is recommended to visit an otolaryngology outpatient clinic for examination.[Read More] Feeling Dizzy and Heavy-Headed: When to See a Specialist?
Understanding Dizziness: Causes, Symptoms, and When to Seek Help
Regarding the issue of dizziness? Two weeks ago, I woke up in the middle of the night due to severe dizziness. That day, whenever I slightly reclined or lay on my left side, the entire room would spin to the right, and it wouldn't stop for over a minute unless I changed my p...
Dr. Ye Dawei Reply:
Dear Sir/Madam: Q1: Will otolith displacement cause vomiting? A1: Some patients may experience it. Q2: Should I seek a second opinion from another physician? A2: Yes, you may. Q3: Should I refrain from swimming? A3: It is advisable to pause. Q4: Could this be a side...[Read More] Understanding Dizziness: Causes, Symptoms, and When to Seek Help
Managing Meniere's Disease: Seeking Relief from Severe Dizziness and Vomiting
Meniere's disease Dear Vice President, I would like to consult you regarding my husband, who has been diagnosed with Meniere's disease. He underwent steroid treatment a year ago and even received hyperbaric oxygen therapy during his hospitalization. His symptoms improv...
Dr. Xu Jiazhen Reply:
The diagnosis of Meniere's disease requires substantial evidence, and several clinical features must be present. Typically, there is fluctuating hearing loss accompanied by vertigo and tinnitus. Patients may also experience vomiting during episodes. Generally, medication can...[Read More] Managing Meniere's Disease: Seeking Relief from Severe Dizziness and Vomiting
Understanding Ear Pain: Possible Causes and Symptoms Explained
Ear pain Hello: I have been experiencing external ear pain for 3 to 4 days, specifically in the upper area of the outer ear. For the first two days, the pain was mild, and I could relieve it by gently pressing on it, but the pain keeps recurring. Today, in addition to the pain, I...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, based on your literal question, there are a few issues that need clarification: 1. Are you referring specifically to the outer ear or does it include the temporal region? 2. Is the sensation of dizziness a spinning vertigo or just a feeling of lightheadednes...[Read More] Understanding Ear Pain: Possible Causes and Symptoms Explained
Understanding Eustachian Tube Dysfunction: Symptoms and Treatments
Eustachian tube aging Hello: My wife (42 years old, has been suffering from dizziness and tinnitus for 4 years) experienced the worst episode yesterday when she got up to go outside to collect the laundry. After just two steps, she became so dizzy that she fell back onto the bed ...
Dr. Chen Jianzhi Reply:
Dear Inquirer, Based solely on the literal description in your message, particularly the statement "she experiences severe dizziness when lying on her right side, but has no issues when lying on her left side," it raises the possibility of benign paroxysmal positional ...[Read More] Understanding Eustachian Tube Dysfunction: Symptoms and Treatments
Understanding Eustachian Tube Dysfunction: Symptoms and Treatment Options
Eustachian tube dysfunction Hello, over two years ago, I started experiencing a sensation of ear fullness in both ears, as if I could hear my own breathing and speaking. Gradually, this began to affect my daily life, and I occasionally felt dizzy. I consulted an otolaryngologist ...
Dr. Xu Jiazhen Reply:
Eustachian tube issues can indeed be very distressing for patients; they are not visible or tangible, yet they can significantly diminish quality of life. Generally, for Eustachian tube problems, the initial step should be to rule out other issues, which I believe previous specia...[Read More] Understanding Eustachian Tube Dysfunction: Symptoms and Treatment Options
Post-Surgery Dizziness After Cholesteatoma Surgery: Causes and Concerns
After undergoing cholesteatoma surgery, I have been experiencing persistent dizziness? Hello, Dr. Hsu! My grandmother underwent surgery for a cholesteatoma in May. She is 75 years old, and since the surgery over a month ago, she has been experiencing dizziness. Last week, due to ...
Dr. Xu Jiazhen Reply:
Although a cholesteatoma is a benign tumor, it poses significant risks to the body as it can continuously expand and destroy surrounding tissues. Therefore, it is generally advisable to remove it as soon as it is detected, regardless of the stage. Regarding the dizziness you ment...[Read More] Post-Surgery Dizziness After Cholesteatoma Surgery: Causes and Concerns
Understanding the Mechanism of 7% Sodium Bicarbonate IV for Acute Dizziness
Intravenous injection The mechanism of action of a 60cc intravenous injection of 7% sodium bicarbonate for acute dizziness involves the correction of metabolic acidosis and the restoration of acid-base balance in the body. Sodium bicarbonate acts as a buffer, helping to neutraliz...
Dr. Ye Dawei Reply:
Dear Sir/Madam: It is said that this can cause vasodilation, although some attribute the reason to be unknown. Dr. Yeh Da-Wei, Director of the Department of Otolaryngology at Hsinchu Hospital.[Read More] Understanding the Mechanism of 7% Sodium Bicarbonate IV for Acute Dizziness
Understanding Inner Ear Imbalance: Causes, Symptoms, and Recovery Tips
Inner ear imbalance I have been experiencing dizziness every time I get up or lie down, sometimes accompanied by headaches. I consulted an ENT specialist who diagnosed it as a viral infection caused by a cold, leading to inner ear imbalance. Is this related? How long might this c...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, your condition is quite common in clinical practice and is likely caused by inner ear imbalance. It should resolve on its own after about 1 to 2 weeks of medication, so please rest assured. Sincerely, Dr. Chien-Chih Chen, Physician at Taoyuan Hospital, Depar...[Read More] Understanding Inner Ear Imbalance: Causes, Symptoms, and Recovery Tips
Understanding Tinnitus: Causes, Diagnosis, and Treatment Options
Tinnitus? Degeneration and necrosis of the auditory nerve? I would like to consult a physician first? Hello Dr. Hu, Thank you for this platform to ask you about medical knowledge. I am 34 years old and live in Hsinchu City. Last year, I visited a clinic for medication due to diz...
Dr. Hu Kexin Reply:
Hello: In response to your question, as you mentioned, tinnitus can be caused by many factors. Your doctor indicated that the high-frequency sensorineural hearing loss identified in your hearing test is a result, not a cause. As you noted, tumors can also cause tinnitus, although...[Read More] Understanding Tinnitus: Causes, Diagnosis, and Treatment Options
Understanding Tinnitus: Insights from ENT Specialists in Taiwan
Reply to the doctor's question - Thank you for your assistance? Your question: Since elementary school, I have experienced a crackling sound in my left ear when exposed to loud noises (similar to the sound of a radio without a signal), but I didn't think much of it. Rec...
Dr. Chen Jianzhi Reply:
Dear Inquirer, Tinnitus is indeed a challenging issue to address. Most patients worry about the possibility of an undetected serious underlying condition, and the diagnosis and treatment often test the physician's capabilities. Here, we must honestly and humbly inform you t...[Read More] Understanding Tinnitus: Insights from ENT Specialists in Taiwan