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.

Other Voices

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How to reposition otoliths in benign paroxysmal positional vertigo?

Otolithiasis is a common ENT disorder that causes vertigo in patients and is also known as benign paroxysmal positional vertigo. The condition occurs when otoliths detach from the utricular macula and enter the horizontal and anterior semicircular canals, leading to symptoms of irritation in the semicircular canals, causing nausea, vomiting, spinning vision, and cold sweats among other related symptoms. The primary treatment for otolithiasis involves manual repositioning. This method requires the patient to lie flat on a bed, where the position of the Eustachian tube and the fallen otoliths are assessed to facilitate movement and allow the otoliths to return to the normal utricular macula position, thereby improving the patient's symptoms.

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Written by Zhang Jun
Otolaryngology
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Ear stone disease lacks which vitamin

Otolithiasis and lack of vitamins are not related. Otolithiasis is mainly caused by the movement of otoliths in the semicircular canals, and it is also known clinically as benign paroxysmal positional vertigo. Generally, patients are prone to attacks when turning over, twisting, or turning their heads, which can cause sudden dizziness. The dizziness is described as the sensation of the world spinning and does not last more than one minute, with most cases resolving on their own. During an episode, patients may experience significant nausea and vomiting, but there is no decrease in hearing or tinnitus. It has no relation to vitamin deficiency. It is necessary to go to the hospital for a detailed examination with an electronystagmography, videonystagmography, electrocochleography, caloric tests, and glycerol tests for a definitive diagnosis. In terms of treatment, recurrent otolithiasis needs otolith stimulation and repositioning treatments which have good effects. Additionally, after treatment, it is necessary to adjust sleep and rest, and avoid excessive physical activity to prevent recurrent episodes.

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Written by Li Rui
Otolaryngology
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Is the examination for otolithiasis painful?

Patients with vestibular disorders may experience some discomfort during examination, primarily manifesting as recurrent dizziness. Some patients may also experience nausea and vomiting. However, examination can determine the specific location of the affected semicircular canal. Once the location is identified, targeted manual repositioning treatment can be administered. The preferred treatment currently is manual repositioning, which generally has an ideal therapeutic effect. Most patients show significant improvement after manual repositioning treatment, but there might be recurrent episodes of the condition. In case of recurrence, it is necessary to seek medical advice again and undergo repositioning treatment.

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Clinical Manifestations of Otolithiasis

Benign paroxysmal positional vertigo (BPPV) is a relatively common ENT disorder, clinically characterized by recurrent episodes of vertigo associated with changes in body or head position. Typically, vertigo can be induced when the head is tilted toward a certain direction, but the duration of vertigo is brief, usually disappearing within a few seconds once the head position is stabilized. However, it tends to recur and does not accompany tinnitus, hearing loss, or headaches. Therefore, it is necessary to consult an ENT or neurology department, allowing experienced doctors to make a targeted assessment.

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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.