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.

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Written by Li Rui
Otolaryngology
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How is otolithiasis diagnosed?

Otolith disease is a relatively common otolaryngological disorder, clinically known as benign paroxysmal positional vertigo. In terms of diagnosis, the first step is to observe clinical symptoms. Otolith disease typically manifests as brief episodes of dizziness, lasting about a few seconds, and is clearly related to changes in body or head position. If the head position is stabilized, the symptoms of dizziness usually disappear quickly, and there is no tinnitus or hearing loss. Additional diagnostic tests can also be conducted, such as positional testing or vestibular function tests. During positional testing, a certain position might trigger a brief episode of dizziness, which helps in identifying the specific semicircular canal involved. In terms of treatment, manual repositioning can be considered, and it is generally quite effective for most patients.

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Written by Li Rui
Otolaryngology
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What are the symptoms of otolithiasis?

Benign Paroxysmal Positional Vertigo (BPPV), also known as otolithiasis, is most commonly characterized by recurrent episodes of vertigo. Typically, these episodes of vertigo are short-lived, lasting just a few seconds, and are closely related to changes in body or head position. Vertigo can be triggered by changes in head position and quickly disappears once the head is stabilized. Furthermore, there are no accompanying symptoms of tinnitus, headache, dizziness, or loss of consciousness. Diagnosis can be confirmed through clinical symptoms and positional testing. After diagnosis, manual repositioning treatments can be considered, and most patients respond well to this 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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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.