Does otolithiasis require hospitalization?

Written by Li Rui
Otolaryngology
Updated on February 14, 2025
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Most patients with vestibular neuritis do not need hospitalization. Only in cases where the condition is particularly severe and has significantly impacted normal life, is hospitalization considered. The symptoms of vestibular neuritis are generally short-lived, with most patients experiencing transient vertigo related to changes in body position. When the body position is stabilized, the vertigo symptoms quickly alleviate. Therefore, outpatient treatment is generally considered, where a repositioning test can be conducted during the outpatient visit to identify the specific affected semicircular canal. Once identified, targeted manual repositioning treatment can be administered, with regular follow-ups needed to monitor the treatment effects.

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Written by Li Rui
Otolaryngology
43sec home-news-image

What should be paid attention to in daily life with otolithiasis?

Patients with ear stone disease should pay attention to the following aspects in daily life: The first is to avoid staying up late and excessive fatigue; The second is not to look down at the phone or computer for long periods to avoid cervical spine disease; The third is to avoid external impacts to the head or substantial external pressure, as these could potentially cause a recurrence of ear stone disease; The fourth, even after treatment has ended, regular follow-ups are essential to monitor any changes in the condition; The fifth suggestion is to undergo an MRI of the head to check for any intracranial abnormalities. Overall, most patients with ear stone disease respond well to timely treatment.

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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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What should I do if I have vomiting due to vestibular neuritis?

Otolithiasis is a relatively common otolaryngological disease. Clinically, symptoms such as nausea and vomiting may occur. When vomiting occurs, it is essential to ensure rest, avoid external stimuli, and refrain from vigorous exercise. Many patients find their symptoms gradually alleviating after rest. Additionally, a positional test can be conducted to determine the specific location of the lesion in the semicircular canals, followed by targeted manual repositioning treatment. If the condition is severe, with prominent symptoms of dizziness, nausea, and vomiting, oral anti-vertigo medications may be considered to help control the condition and alleviate symptoms. (The use of medications should be under the guidance of a professional doctor.)

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Written by Li Rui
Otolaryngology
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symptoms of post-vestibular neuritis

The symptoms of the sequelae of vestibular lithiasis are quite varied, with common symptoms including dizziness, a sensation of heaviness in the head and lightness in the feet, and a floating feeling when walking. Some patients may also experience nausea and vomiting, with substantial individual variation in symptoms. Generally, recovery can gradually occur about one to two weeks after the onset of the condition. For patients with more pronounced symptoms, oral medication treatment may need to be considered, requiring regular follow-up during the treatment process to monitor the effects. Overall, with timely medical treatment, the condition should gradually improve, although fluctuations may occur. (Specific medications should be taken under the guidance of a physician.)

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Written by Li Rui
Otolaryngology
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Is hyperbaric oxygen effective for otolithiasis?

Ear stone disease, also known as benign paroxysmal positional vertigo, does not recommend the use of hyperbaric oxygen for treatment, as the treatment effect of hyperbaric oxygen is not good for ear stone disease and is not clinically recommended. Patients with ear stone disease may consider manual repositioning treatment, which generally has a good treatment effect, and most patients are able to recover. If the manual repositioning treatment is not effective, oral medication may be considered in combination with machine chair repositioning. Through this comprehensive treatment, vertigo symptoms can generally be gradually controlled and alleviated. However, there are a small number of patients with severe conditions for whom conservative treatment is ineffective, and surgery may need to be considered.