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Labyrinthitis and Vertigo (BPPV): Hazel's Story | NHS

Labyrinthitis and Vertigo (BPPV): Hazel's Story

Introduction

Labyrinthitis and benign paroxysmal positional vertigo (BPPV) are two common causes of vertigo, a sensation of spinning or dizziness. Hazel, a 45-year-old woman from Manchester, shares her journey of diagnosis and treatment, providing valuable insights for others in the UK facing similar challenges.

What is Labyrinthitis?

Labyrinthitis is an inner ear infection that causes inflammation of the labyrinth, a structure in the inner ear that helps control balance. Symptoms include dizziness, hearing loss, and a feeling of vertigo, especially when moving the head.

Understanding BPPV

Benign paroxysmal positional vertigo (BPPV) is a disorder arising from a problem within the inner ear. It causes brief episodes of mild to intense dizziness, often triggered by changes in head position. BPPV occurs when tiny calcium particles clump up in the canals of the inner ear.

Hazel's Initial Symptoms

Hazel first noticed symptoms when she experienced sudden dizziness and a spinning sensation while getting out of bed one morning. This was accompanied by nausea and a ringing in her ears. Concerned, she visited her GP, suspecting an ear infection or a more serious condition.

Medical Consultation and Diagnosis

Hazel's GP referred her to an ENT specialist, who conducted various tests including a hearing test and a balance assessment. The results confirmed that Hazel was indeed suffering from labyrinthitis, coupled with episodes of BPPV.

Hazel's Treatment Journey

Hazel's treatment involved a combination of anti-inflammatory medications, vestibular rehabilitation exercises, and the Epley manoeuvre, a series of head movements designed to reposition the calcium particles in the inner ear. These treatments, provided by NHS healthcare professionals, greatly improved her symptoms over time.

Recovery and Management

Over a few months, Hazel's symptoms gradually diminished. She continues to do vestibular exercises and takes care to avoid sudden head movements. Hazel's story highlights the importance of early diagnosis, appropriate treatment, and ongoing management in dealing with labyrinthitis and BPPV.

Conclusion

Hazel's experience with labyrinthitis and BPPV underscores the importance of seeking medical advice if you experience symptoms of vertigo. The NHS offers comprehensive care and treatment options tailored to each individual's needs, ensuring patients like Hazel can regain their quality of life.

Frequently Asked Questions

What is labyrinthitis?

Labyrinthitis is an inner ear infection that affects your balance and hearing. It usually results from a viral infection and can cause dizziness, hearing loss, and vertigo.

What are the common symptoms of labyrinthitis?

Common symptoms of labyrinthitis include dizziness, vertigo, hearing loss, and a feeling of pressure or fullness in the ear. Some may also experience nausea and vomiting.

How is labyrinthitis diagnosed?

Labyrinthitis is diagnosed based on your symptoms, a physical examination, and sometimes hearing tests or imaging studies like an MRI may be ordered to rule out other conditions.

What is vertigo?

Vertigo is a sensation that you or the environment around you is moving or spinning. It's often a symptom of an inner ear problem like labyrinthitis or Benign Paroxysmal Positional Vertigo (BPPV).

What is Benign Paroxysmal Positional Vertigo (BPPV)?

BPPV is a disorder arising in the inner ear, causing short episodes of vertigo triggered by changes in head position. It's one of the most common causes of vertigo.

How long does labyrinthitis last?

The acute symptoms of labyrinthitis typically last for a few days to a few weeks, but some symptoms like dizziness and unsteadiness can persist for months in some cases.

Can labyrinthitis be treated?

Yes, treatment for labyrinthitis often includes medications to relieve symptoms such as dizziness and nausea. In some cases, antibiotics may be prescribed if a bacterial infection is suspected.

Is BPPV curable?

Yes, BPPV can often be effectively treated with a series of head movements known as the Epley maneuver or other repositioning techniques performed by a healthcare professional.

Can labyrinthitis cause permanent hearing loss?

In most cases, any hearing loss associated with labyrinthitis is temporary. However, in rare instances, it may result in permanent hearing damage.

What lifestyle changes can help manage labyrinthitis?

Rest, avoiding sudden movements, staying hydrated, and avoiding alcohol or caffeine can help manage symptoms. Vestibular rehabilitation exercises may also be recommended.

What triggers BPPV?

BPPV is often triggered by changes in head position, such as rolling over in bed, looking up or down, or getting up quickly. It can be exacerbated by head injury or prolonged bed rest.

How can I prevent labyrinthitis?

While it's difficult to prevent labyrinthitis entirely, maintaining good general health, managing infections promptly, and avoiding smoking can reduce risk factors.

What should I do if I experience severe vertigo?

If you experience severe vertigo, you should lie down in a quiet, dark room until the symptoms pass. Seek medical advice if the symptoms are prolonged or accompanied by severe headache, fever, or vision changes.

Can physical therapy help with labyrinthitis or BPPV?

Yes, vestibular rehabilitation therapy, performed by a physiotherapist, can help improve balance and reduce symptoms of dizziness from labyrinthitis or BPPV.

Should I avoid driving if I have labyrinthitis or BPPV?

Yes, you should avoid driving or operating heavy machinery if you are experiencing symptoms of vertigo or dizziness, as these can impair your ability to drive safely.

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