How to deal with tinnitus caused by otolithiasis?

Written by Li Rui

Otolaryngology

Updated on January 28, 2025

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Otolithiasis is a relatively common otolaryngological disease, with clinical symptoms mainly manifested as vertigo. Some patients may experience nausea and vomiting, but it generally does not lead to tinnitus. There are many causes of tinnitus, with neurological causes being common, and it may also be due to inflammatory responses. Therefore, after the occurrence of otolithiasis accompanied by tinnitus, it is necessary to visit an otolaryngologist. Tests such as positional experiments, audiometric testing, and endoscopic examination of the ear can help determine the specific cause of the disease and the extent of the condition, after which targeted treatment can be administered. Regular follow-ups are needed during the treatment process to monitor the effects.

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Written by Deng Bang Yu

Otolaryngology

49sec

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Does otolithiasis cause headaches?

Ear stone disease, also known as benign paroxysmal positional vertigo, has two types: primary ear stone disease and secondary ear stone disease. Clinically, ear stone disease mainly manifests as vertigo, as well as symptoms of the vestibular system or autonomic nervous system caused by vertigo, such as nausea and vomiting. Patients with ear stone disease rarely or almost never experience headaches. If headache symptoms are present, they are often accompanied by other diseases, such as hypertension, intracranial lesions, etc. These conditions can also cause ear stone disease, which are referred to as secondary ear stone disease as mentioned above. Therefore, if a patient with ear stone disease develops headache symptoms, active examination should be undertaken to avoid missing other lesions.

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Written by Zhang Jun

Otolaryngology

1min 1sec

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How to treat mild ear stone disease?

Mild ear stone disease can be cured with hospital treatment for ear stone repositioning. Ear stone disease is relatively common clinically. Generally, the symptoms are caused by the movement of ear stones in the semicircular canals, leading to recurrent dizziness in patients. This typically occurs when getting out of bed or turning the head, and the dizziness lasts about one minute. Patients may also experience severe nausea and vomiting, but there is no hearing loss or tinnitus. If dizziness occurs repeatedly, it is necessary to go to the hospital for a detailed examination including electronic otoscopy, electrophysiological hearing test, acoustic impedance testing, calorics test, glycerol test, and nystagmography to confirm the diagnosis. In terms of treatment, ear stone disease requires stimulation treatment and repositioning treatment for cure. After repositioning, patients also need to adjust their diet and mindset, and avoid vigorous exercise to prevent recurrence.

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Written by Li Rui

Otolaryngology

50sec

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How is otolithiasis treated?

Ear stone disease is a relatively common otolaryngological disorder, clinically known as benign paroxysmal positional vertigo. It is primarily characterized by short episodes of dizziness, nausea, and vomiting that occur with changes in body position, typically lasting about 10 seconds. The symptoms of vertigo quickly disappear once the body position is stabilized. In terms of treatment, manual repositioning therapy is initially considered and is generally effective for most patients. If manual therapy alone does not yield satisfactory results, treatment using a mechanical rotating chair may be considered. Additionally, some patients may consider oral medication. If conservative treatments fail to provide relief, surgical intervention might be necessary.

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Written by Li Rui

Otolaryngology

39sec

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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 Deng Bang Yu

Otolaryngology

50sec

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What should be paid attention to with otolithiasis?

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.