What should be paid attention to with otolithiasis?

Written by Deng Bang Yu
Otolaryngology
Updated on September 09, 2024
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Clinically, ear stone syndrome is referred to as benign paroxysmal positional vertigo. Concerning this condition, the following points should be noted:

Firstly, active treatment is essential, primarily involving manual or mechanical repositioning, as well as functional exercises after repositioning; this is mandatory.

Secondly, safety precautions must be taken. Patients with ear stone syndrome should not be near the edges of high buildings or ponds to prevent unforeseen accidents that could be triggered by sudden bouts of vertigo.

Thirdly, dietary habits are important. The diet should be light, and stimulating substances such as tobacco, alcohol, spicy foods, and coffee should be avoided.

Lastly, it is important to avoid excessive exercise, particularly activities involving too much spinning.

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Written by Li Rui
Otolaryngology
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Can otolithiasis heal by itself?

Otolithiasis is a relatively common ENT disease, clinically known as benign paroxysmal positional vertigo. The main clinical manifestation is vertigo related to changes in body position, but the duration of vertigo is relatively short. Generally, once the head position is stabilized, the vertigo symptoms quickly disappear, and there is no tinnitus or hearing loss. In terms of treatment, a small portion of patients can recover on their own, especially when the symptoms are not particularly noticeable and the condition is not particularly severe, allowing for possible self-recovery. However, if self-recovery is not possible or if clinical symptoms are more severe, timely manual repositioning treatment is recommended. After manual repositioning treatment, most patients can quickly recover and relieve their vertigo symptoms.

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Written by Li Rui
Otolaryngology
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Can you exercise with otolithiasis?

Patients with otolithiasis should avoid strenuous exercise during their episodes, as such activities may trigger an acute attack, leading to symptoms like dizziness, nausea, and vomiting, which can be severe in some cases. Therefore, it is crucial to rest after the onset of symptoms and then visit an otolaryngologist as soon as possible to determine the specific condition. In terms of treatment, most patients may consider manual repositioning therapies, which can gradually improve symptoms. However, there is also a possibility of recurrent attacks, so regular long-term follow-ups are essential to monitor recovery.

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Written by Li Rui
Otolaryngology
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How is otolithiasis diagnosed?

Otolith disease is a relatively common otolaryngological disorder, clinically known as benign paroxysmal positional vertigo. In terms of diagnosis, the first step is to observe clinical symptoms. Otolith disease typically manifests as brief episodes of dizziness, lasting about a few seconds, and is clearly related to changes in body or head position. If the head position is stabilized, the symptoms of dizziness usually disappear quickly, and there is no tinnitus or hearing loss. Additional diagnostic tests can also be conducted, such as positional testing or vestibular function tests. During positional testing, a certain position might trigger a brief episode of dizziness, which helps in identifying the specific semicircular canal involved. In terms of treatment, manual repositioning can be considered, and it is generally quite effective for most patients.

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Written by Li Rui
Otolaryngology
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What should I do if otolithiasis frequently recurs?

Ear stone disease, also known as benign paroxysmal positional vertigo, primarily manifests as brief episodes of dizziness that can occur with changes in body position. The dizzy spells usually last about ten seconds and tend to quickly subside once the head or body position is stabilized, although recurring episodes are possible. In cases of recurrent attacks, timely treatment is necessary. Currently, the more common treatment method is manual repositioning. Most patients gradually recover after undergoing manual repositioning treatment. If the results of manual repositioning are unsatisfactory, treatment may also include medication and rotary chair repositioning devices. However, a very small portion of patients, who do not respond to standardized conservative treatments, may need to consider surgical options. (The use of medication should be under the guidance of a professional doctor.)

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Written by Li Rui
Otolaryngology
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Can vestibular neuritis cause high blood pressure?

Otolithiasis is a relatively common otolaryngologic disease, clinically known as benign paroxysmal positional vertigo. Clinically, it mainly manifests as transient dizziness, but the duration is generally short, and most patients do not experience an increase in blood pressure. If the symptoms of dizziness are particularly severe and the patient is quite anxious, it may cause a temporary increase in blood pressure. However, if the symptoms of dizziness subside, the blood pressure will also decrease. This situation is relatively more pronounced in patients with hypertension. The treatment for otolithiasis primarily involves manual repositioning therapy, which is quite effective for most patients, although a small number of patients may need to combine it with oral medication.