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Labyrinthitis

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About the Disease

Labyrinthitis results from an infection of the inner ear, causing inflammation that damages the vestibulocochlear nerve. This nerve is crucial for transmitting signals related to hearing and balance from the inner ear to the brain. The inner ear, or labyrinth, comprises fluid-filled sacs and canals responsible for these functions. The cochlea, a snail-shaped, fluid-filled structure, is essential for hearing, while the vestibular part, which includes three semicircular canals and two sac-like structures (utricle and saccule), manages balance by providing information about head movements. Labyrinthitis disrupts both the cochlear and vestibular components, leading to hearing loss and imbalance.

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Symptoms

  1.  Vertigo: Intense bouts of spinning lasting hours to days.
  2.  Hearing Loss: Reduced hearing ability in the affected ear.
  3.  Tinnitus: Persistent ringing or buzzing in one ear.
  4.  Giddiness or Unsteadiness: Difficulty maintaining balance.
  5.  Nausea and Vomiting: Often accompanying vertigo.
  6.  Difficulty Focusing Eyes: Especially during head movements.
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Diagnosis

Accurate diagnosis involves several vestibular tests, including:

  •  Videonystagmography (VNG): Detects abnormal eye movements.
  •  Craniocorpography (CCG): Assesses body movements and balance.
  •  Subjective Visual Vertical (SVV): Measures perception of vertical orientation.
  •  Dynamic Visual Acuity (DVA): Evaluates visual stability during movement.
  •  Audiometry: Tests hearing function to determine the extent of hearing loss.
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Treatment

Managing Symptoms

  •  Medication: Short-term use of drugs to reduce dizziness, nausea, and anxiety. These medications should not be taken for more than three days to avoid hindering recovery.
  •  Vestibular Suppressants: Help control vertigo and dizziness but should be limited to short-term use

Vestibular Rehabilitation

Vestibular rehabilitation should begin as soon as acute symptoms subside. This therapy helps the brain adapt to changes in balance function, known as central compensation. The exercises aim to: 

  • Vestibulospinal System: Improve balance during standing and walking.
  •  Vestibular Ocular System: Enhance vision stability at rest and during head movements.
  • Control the Posture and Center of Gravity.

Customized balance exercises are recommended based on the patient’s condition and progress. These exercises should be performed 2-3 times a day under clinical guidance, with specific instructions to ensure safety and effectiveness.

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Frequently Asked Questions

Can labyrinthitis go away on its own?

Yes, labyrinthitis can go away on its own in many cases, especially when it is caused by a viral infection. Symptoms such as dizziness, vertigo, and balance problems often improve within a few weeks as the inner ear heals. However, some people may experience lingering balance issues. If symptoms are severe, long-lasting, or worsening, medical evaluation is important.

When you have labyrinthitis, rest is essential, especially during the early phase when dizziness is intense. Avoid sudden head movements and activities that require strong balance. Staying hydrated and managing nausea can also help. In some cases, doctors may recommend medications or vestibular rehabilitation therapy. Specialized balance centers like Neuroequillibrium help assess recovery and guide balance-focused treatment.

An inner ear infection often causes symptoms such as sudden vertigo, balance problems, nausea, vomiting, hearing changes, or ringing in the ears. These symptoms may appear after a cold or flu. Unlike middle ear infections, pain may be minimal. A healthcare professional can confirm the diagnosis through clinical examination and hearing or balance tests.

There is no instant natural cure, but symptoms of labyrinthitis can improve with supportive care. Adequate rest, hydration, stress reduction, and gentle balance exercises can support the body’s natural healing process. Avoiding caffeine, alcohol, and smoking may also help reduce dizziness. If symptoms persist, professional guidance is recommended to prevent long-term balance problems.

Labyrinthitis typically progresses through four stages. The acute stage involves sudden, intense vertigo and nausea. The subacute stage sees gradual symptom reduction but ongoing imbalance. The recovery stage focuses on balance adaptation and healing. The final stage is compensation, where the brain adjusts fully. Clinics such as Neuroequillibrium support patients during recovery with structured balance assessments.

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Hearing loss with vertigo could mean labyrinthitis. Schedule your appointment today for clarity.