Benign paroxysmal positional vertigo

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Written by Li Rui
Otolaryngology
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Is medication effective for treating otolithiasis?

Otolithiasis is a relatively common ENT disorder. For treatment, some patients may choose oral medication. After treatment with oral medications, symptoms can gradually be controlled and alleviated for most patients, although individual results may vary. If symptoms of otolithiasis are more pronounced, oral medication alone may not be effective, and manual repositioning treatment should be considered. After manual repositioning treatment, many patients can significantly control symptoms of vertigo, and should then undergo regular follow-up examinations, as some patients may experience recurrent episodes. (Medication should be taken under the guidance of a physician.)

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Written by Li Rui
Otolaryngology
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Does vertigo cause vomiting?

Ear stone disease is a relatively common otolaryngological condition, with dizziness being the most common clinical symptom, and some patients may experience vomiting. This is mainly due to severe dizziness symptoms leading to nausea and vomiting. Generally, symptoms will gradually improve after the acute onset, but symptoms can be triggered again when the body or head position is changed to a certain posture. After the onset of the disease, it is necessary to visit the otolaryngology department as soon as possible. Manual repositioning treatment can be considered, and regular follow-up is required during the treatment process, as some patients may experience a recurrence of the condition.

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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.

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Written by Li Rui
Otolaryngology
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Does otolithiasis cause tinnitus?

Benign paroxysmal positional vertigo (BPPV) is a relatively common otolaryngological condition characterized by vertigo that does not involve tinnitus and is associated with changes in body position. The duration of the vertigo is typically very short, usually around 10 seconds, and the symptoms disappear once the head or body position is stabilized. There are no accompanying symptoms such as tinnitus or hearing loss. In terms of treatment, the first choice is usually manual repositioning, which is effective for most patients. If manual repositioning does not yield satisfactory results, treatment may involve using a rotary chair in conjunction with medication. If these methods are ineffective, surgical treatment might be considered.

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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.

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Written by Li Rui
Otolaryngology
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Is Ménière's disease the same as ear stone disease?

Meniere's disease is not the same as benign paroxysmal positional vertigo (BPPV); they are two different types of disorders. Meniere's disease is primarily caused by fluid accumulation in the labyrinth, leading to episodic vertigo that typically lasts from 20 minutes to half a day. Most patients may also experience tinnitus and hearing loss, and in severe cases, nausea and vomiting. Overall, it is a common disease that tends to recur. Most patients can control and alleviate their symptoms through medication, but a small proportion may not respond well to medication and might need to consider surgical treatment. (Please use medications under the guidance of a doctor.)

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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.

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Written by Li Rui
Otolaryngology
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Is otolithiasis prone to recurrence?

Ear stone disease, also known as benign paroxysmal positional vertigo, is a relatively common otolaryngological condition that tends to recur. According to the current treatment protocols, the first consideration is manual repositioning treatment. After standardized manual repositioning treatment, most patients can gradually recover and alleviate their symptoms. Some patients respond very well and can recover immediately after manual repositioning, but there is a possibility of recurrence. Therefore, regular otolaryngological check-ups are necessary, and the head must not be subjected to external impacts. In the short term, avoid vigorous exercise and monitor the recovery of the condition.

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Written by Deng Bang Yu
Otolaryngology
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Can otolithiasis be treated with surgery?

Ear stone disease is referred to as benign paroxysmal positional vertigo (BPPV), a common otolaryngological condition of the inner ear, primarily presenting as vertigo. The treatment mainly involves manual or mechanical repositioning of the otoliths. After repositioning, self-functional exercises are conducted along with pharmacological treatments to alleviate or mitigate residual symptoms. For cases of ear stone disease with severe symptoms or complex conditions where manual repositioning is insufficient, or if the BPPV is a secondary condition accompanying other inner ear diseases, surgical interventions may be considered, such as inner ear drug injections or semicircular canal occlusion. These surgical methods are considered last-resort options, not first-line treatments.

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Written by Li Rui
Otolaryngology
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Is otolithiasis serious?

Otolithiasis, also known as Benign Paroxysmal Positional Vertigo (BPPV), is generally not very serious. Most patients can control and alleviate the condition through timely manual repositioning treatments, but the condition may recur. A small number of patients have severe conditions where manual repositioning treatments are not effective. For these cases, machine chair repositioning combined with drug treatment can be considered, and most patients can recover. Only a small number of patients with severe conditions, where repositioning treatments are ineffective and recurring episodes significantly impact daily life, might consider undergoing surgical treatment. Currently, the commonly used technique is semicircular canal occlusion, which generally has good therapeutic effects.