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

Written by Li Rui
Otolaryngology
Updated on April 23, 2025
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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 Hui
Neurology
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Difference between Vertigo and Otolithiasis

Vertigo encompasses a broader concept, including conditions like benign paroxysmal positional vertigo (BPPV). Any disease that can cause patients to experience symptoms such as dizziness, spinning sensations, nausea, and vomiting, can be referred to as vertigo. BPPV is simply one common cause of vertigo. It primarily results from otoconia forming in the vestibule's semicircular canals or the utricle and saccule. These otoconia shift with head movements, disrupting the inner ear's lymph fluid, leading to transient episodes of vertigo closely related to body position changes. These episodes, lasting several seconds, can be completely alleviated and are considered a type of vertigo. Additionally, vertigo includes diseases like vestibular neuronitis and Ménière's disease. Therefore, the concept of vertigo is quite broad, and it is crucial to accurately diagnose the cause of vertigo in clinical practice to provide targeted treatment.

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Written by Li Rui
Otolaryngology
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What should I do about otolithiasis?

Ear stone disease, also known as benign paroxysmal positional vertigo, is a common otolaryngologic condition. The main clinical manifestation is positional vertigo related to changes in body position, which generally lasts for a short duration, about a few seconds. The vertigo symptoms quickly disappear after the head is stabilized, and there are no accompanying symptoms such as tinnitus, headaches, dizziness, or hearing loss. In terms of treatment, manual repositioning is the first choice, and most patients can recover directly after undergoing manual repositioning treatment. A small number of patients may need to consider machine repositioning or oral medication treatment.

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Written by Li Rui
Otolaryngology
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What medicine should be taken for otolithiasis?

Ear stone syndrome is a relatively common otolaryngological condition, clinically referred to as benign paroxysmal positional vertigo. The main symptom is brief vertigo that occurs during changes in body position, usually lasting about ten seconds. The vertigo quickly subsides once the body position is stabilized, and there are generally no symptoms of tinnitus or hearing loss. In terms of treatment, medication is not recommended as the first option. Most patients can recover after manual repositioning treatment. If manual repositioning is ineffective, mechanical chair repositioning may be considered. If the condition still does not improve, oral anti-vertigo medications, which inhibit vestibular function and control vertigo, may be considered. (The use of medications should be carried out under the guidance of a professional doctor.)

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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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Can otolithiasis heal itself?

Otolithiasis is a relatively common otolaryngological disease, clinically referred to as benign paroxysmal positional vertigo. This condition is mainly caused by lesions in the inner ear, vestibule, or semicircular canals. Some patients may recover on their own, but regular follow-ups are needed during the recovery period to monitor changes in the condition. If clinical symptoms are severe and recur frequently, it is recommended to actively seek timely treatment. Currently, manual repositioning therapy is commonly used. However, if manual repositioning therapy is not effective for some patients, mechanical chair repositioning may be an option. Additionally, some patients may need to combine treatment with medications. However, a very small number of patients who do not respond to conservative treatment may need to consider surgery.