Is the examination for otolithiasis painful?

Written by Li Rui
Otolaryngology
Updated on February 18, 2025
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Patients with vestibular disorders may experience some discomfort during examination, primarily manifesting as recurrent dizziness. Some patients may also experience nausea and vomiting. However, examination can determine the specific location of the affected semicircular canal. Once the location is identified, targeted manual repositioning treatment can be administered. The preferred treatment currently is manual repositioning, which generally has an ideal therapeutic effect. Most patients show significant improvement after manual repositioning treatment, but there might be recurrent episodes of the condition. In case of recurrence, it is necessary to seek medical advice again and undergo repositioning treatment.

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Written by Li Rui
Otolaryngology
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Benign paroxysmal positional vertigo (BPPV) is a condition related to dizziness.

Benign paroxysmal positional vertigo (BPPV) is a relatively common otolaryngological condition, clinically referred to as benign, paroxysmal, positional vertigo. It primarily occurs when tiny particles enter the semicircular canals, and with changes in body position, it can easily trigger episodes of vertigo. Generally, the duration of vertigo is quite brief, lasting about several seconds, and the symptoms of vertigo quickly disappear after the body or head is stabilized. However, it tends to be recurrent and generally does not accompany symptoms like tinnitus, headache, or hearing loss. Currently, a common treatment is manual repositioning, which helps most patients recover and alleviate their condition after being performed.

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Written by Li Rui
Otolaryngology
45sec home-news-image

Is the examination for otolithiasis painful?

Patients with vestibular disorders may experience some discomfort during examination, primarily manifesting as recurrent dizziness. Some patients may also experience nausea and vomiting. However, examination can determine the specific location of the affected semicircular canal. Once the location is identified, targeted manual repositioning treatment can be administered. The preferred treatment currently is manual repositioning, which generally has an ideal therapeutic effect. Most patients show significant improvement after manual repositioning treatment, but there might be recurrent episodes of the condition. In case of recurrence, it is necessary to seek medical advice again and undergo repositioning treatment.

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Written by Li Rui
Otolaryngology
49sec home-news-image

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.

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Written by Li Rui
Otolaryngology
47sec home-news-image

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 Zhang Jun
Otolaryngology
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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.