While there are many conditions which may cause vertigo, and the symptoms of dizziness may be complex, obstruction of the Eustachian tube is one of the most obvious causes, and also the most easily corrected. The Eustachian tube allows for the equalization of pressure on each side of the eardrum. It is a narrow passage that leads from the pharynx to the cavity of the middle ear.
Eustachian tube obstruction (ETO) is one of the principal causes of hearing loss, ear fullness, dizziness (vertigo), tinnitus, and/or headache (migraine, including ear pain). In order to thoroughly investigate the cause, I suggest that when a patient comes to my office with symptoms of dizziness, nausea, vomiting, and heavy perspiration, to have a test that inflates the Eustachian tubes. The procedure is called, ‘Eustachian tube catheterization’ and will allow the doctor to see whether the Eustachian tube is obstructed.
Generally speaking, two other possible causes of dizziness could be laryngopharyngeal reflux, or Gastroesophageal reflux disease.
My own experience over twenty years of medical treatment has shown that while dizziness can be a very complex thing to explain, most cases of dizziness have both
Laryngopharyngeal reflux (LPR) and Eustachian tube obstruction (ETO).
Thank you, Dr. Kim
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