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False Diagnosis? Menieres at 21 - Only one incident of vertigo

Discussion in 'Your Living Room' started by John1189, Apr 21, 2021.

Did your MD start with a week long Vertigo attack?

  1. Yes and I didn't experience a second attack for some time

    3 vote(s)
    30.0%
  2. No

    6 vote(s)
    60.0%
  3. Yes and I experienced a second attack within a few months of the first.

    1 vote(s)
    10.0%
  1. John1189

    John1189 New Member

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    Apr 21, 2021
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    Hello folks,

    You may call me John. I'm a 21 YO who was as of January 1st diagnosed with MD. My history is as follows. I was in California for college - drinking lots of beer, BANG energy drinks, smoking lots of cigarillos and eating bus loads of ramen (the rice noodles I like had 4000mg off sodium in them alone, I'd often have two). The regular things that keep a college student balancing the demands of military and college life afloat. I have a history of near chronic ear infections and of course the eustachian tube drainage problems that come with it. In addition I have horrible seasonal allergies and have had to take a few steroid inflammatory packs within the past year just to keep it within manageable levels. You can add to that frequent blockages due to dead skin (TMI?) and you begin to get the picture.

    So I normally didn't smoke however the way that nicotine kicked in to the sound of Frank Morgan or one of the greats as the LA skyline light up was the best de-stressor I could ask for and I became a little reliant on it. However a few weeks after I started I experienced some strong ear pain. I fell asleep studying at my desk and when I jerked my head up in surprise the whole world started spinning like I fell off one of those flying saucer rides at the fair. I barely made it to Taco Bell without crashing for dinner, after a few hours off sitting in my bed watching the ceiling spin I somehow drove myself to the local urgent care. There I was diagnosed with BPPV of my right ear and after an epley maneuver or two I felt significantly better however there was still allot of spin. I had gone from a saucer ride to a playgrounds "roundabout". I managed to drive home and after waking up the next morning I preformed my own epley, it felt worse however I was determined to give it time.

    Two days later I went to the same urgent care facility, they preformed it again but this time it had little noticeable effect. I was told it was leftover vertigo and that after a successful epley it might take a few days to wear off. A few days later I was still noticing a little spin so I decided to see a specialist. The specialist after an audio examination (which yielded perfect hearing) determined that I had some "spin" going on still based on my eyes. They preformed another epley but this time it had zero effect. The PHD looked at my case and determined I had a severe virus in my inner ear, one that was normally treated with strong steroids to prevent permanent hearing loss. he said I was in the green now however given the lack of treatment I got lucky.

    The following week the vertigo went away, I was able to return to military physical training. I quit cigarillos and toned down caffeine consumption. However I was experiencing some pain and pressure in my right ear (pressure in my right ear has been a thing for YEARS. Doc said it was due to infections and inflammation, fluid build up due to bad tubes, exedra). All of a sudden it was like some monk rung a big GONG in my right ear. Super low pitched ringing, it was followed by high pitched that increased almost daily. Gong then an increase in the high pitch. I went to urgent care and they said it was probably inflammation or an infection however they were not certain.

    It was still bad when I went home to visit the family in Florida. I saw an ENT there who isn't my regular but is sort of a local folk hero (for walking his patients dogs after surgeries that leave them bed bound). Most of his patients are probably retirees IMO. When I told him what the audiologist determined he wanted his own audio test as he was skeptical about the virus explanation after I told him my story. The audio test revealed (contrary to my exam at MEPS <- (military medical screening) and the audio exam in LA) that I had low frequency hearing loss that is (in combination with the above story and following cases of ringing) consistant with MD. He said I had MD but didn't make the diagnoses a matter of record to preserve my military career (dude is a saint). When I asked him if it was possible he is mistaken since I am so young he said he knows for a fact that he isn't. When I lamented about being made a monk with his recommended dietary restrictions he bragged about how he has maintained a similar diet for ages and that I'd be fine. He told me MD is random, we have no idea what causes it and it appears in ages across the board. He said I would be fine though and I took his word for it.

    It has been four months since then. I have had ZERO vertigo attacks. I have however had ear pressure, one ear infection, ear fluid behind the drum and lots of inflammation. I was put on another steroid anti-inflammatory to some success in the pain department. Some days the pressure is worse, some days better. Some days I got a little "sway" to how I walk. However I'm not sure if thats anything new. More recently I've noticed a fluctuation in hearing (I think?) however its mostly just a (little) bit of a vertigo like spin. Like I am on the deck of a boat in a real calm lake, nothing like before. I've maintained dietary restrictions, when I've strayed from them I think the pressure is worse but I really don't know for certain. I also am taking flight lessons locally and I have no issue going from high altitudes down to low altitudes rapidly. I've only ever had those kind of issues in commercial planes if I don't take a strong nose spray.

    If you've read this far, thank you. As you can probably tell, I am a little skeptical of my "diagnosis" (knock on wood). I am going to see my regular ENT soon about fixing the ear infection/eustachian tube issue with tubes or something (depending on what my job allows). I'm hoping that if I get that mess resolved I'll find that I don't have MD after all. What also makes me skeptical is the fact that my first episode of vertigo and ringing lasted for a whole week rather than 20 minutes to 24 hours which I am told is normal for MD. There was also no sickness, vomiting or anything like that. The eply also had a noticeable effect however it wasn't resolved by the eply, time did the finishing blow. (First and only case of vertigo aside from one I had when I was like 15... Felt out of my chair, lasted about 20 seconds but thats it... No vestigial, ended after like 20 seconds. Oh and it was also after taking a magnesium supplement for the first time back then, was also having allergy issues, however I don't think that means anything). My ear Pressure also feels better after I do some eustachian tube opening exercises and take allergy medication, however it doesn't go away altogether and as I said its only in my right ear.

    In conclusion, I just don't feel like MD is the best explanation. Given my age and how non linear this has all been. That said, I am treating it as if it is for the time being with dietary restrictions (aside form the occasional beer or two or tea) just to play it safe. IF anyone has any input as to how I might better ascertain whether this is MD or not please let me know. Is my doc right in saying the low freq hearing loss and the fact that the vertigo came after an increase in sodium, caffeine and nicotine makes it a definitive diagnosis? I've done a fair amount of research, this MD thing is really grim. I feel for ya'll. If your comfortable sharing your experience and offering advice its all appreciated. Thank you for reading and have an excellent day.
     
  2. Rubygirl

    Rubygirl Member

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    Oct 4, 2020
    Hi John. Welcome to the forums. Though I am sorry for the circumstances that bring you here.

    There are definitely other things this could be and getting a second or even third opinion is well worth the effort. You are right, you don't fit the the profile of a typical MD patient... though it is one possibility. If the doctor pretty much diagnosed you with MD because of the vertigo and low frequency hearing loss, yes, this is often the case with MD but it can be related to fluid in the inner ear (called serous otitis media, see this link for more: Overview of Low-Frequency Hearing Loss.)

    So I feel there is a good chance this could also have been related to an infection of some type of the inner or middle ear which you say you have a long history of. The infection theory would also be more supported by the week-long vertigo.

    Now if it does turn out you have MD, the good news is that you are brand new to this game and like any disease, early diagnosis is the greatest factor in a successful outcome. It is very grim for a lot of people, yes. But then there are other people who go into remission and never have another vertigo attack again (or not for 20 years!)! Aim to be one of the latter.

    The thing with MD is that nobody knows what causes it really. So whatever this is for you, I think you should adopt the mindset of seeking optimal health. For example, it's a good idea for everyone to watch their salt intake (by the way, it doesn't need to be zero - aim for about 1500-2000mg/day and make sure if you are having something that has more salt than you would like, to eat a banana with it or potato so you get lots of potassium to offset the sodium as they compete in your body). Or to ditch the unhealthy habits you mentioned.

    But for the sake of reducing your allergies and ear infections as well as the symptoms MD if it is that, I strongly recommend you look into:
    • Candida overgrowth in the gut (almost guaranteed with your history)
    • Leaky gut syndrome (goes hand in hand with Candida overgrowth)

    And if you can, get an ELISA or RAST food sensitivity test done to see what foods might be buggering up your immune system.

    If it turns out you do have MD, come back on these forums and read about the John of Ohio regimen.

    Many of us feel there is a link to MD and viruses (esp. the Herpes virus so if you get lots of cold sores this might be something!).

    Anyway, all this to say that there is plenty of hope for you but it will take some effort to change your lifestyle and to address any underlying issues. But do that and your body will thank you! You're at an age where it can really bounce back!

    Best of luck!
     
  3. California Sun

    California Sun Active Member

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    May 23, 2019
    Welcome, and sorry for the circumstances that brought you here. Don't settle for the Meniere's dx just yet--get a second and maybe a third opinion--because it may be something else. Unfortunately, it is possible to have Meniere's at a very young age--I started having symptoms at 17 and was finally dx'd at 20.
     
  4. Biffer

    Biffer Member

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    Aug 6, 2020
    MD is kind of a catch all phrase for what we all have as far as I'm concerned... but that is what it is. From all you have said I would be surprised if you don't have MD. I would stick with the low salt and continuously monitor the ear problem. If it starts getting bad go to diuretics and anything else that helps with ear congestion and dizziness.
     
  5. Bobby Smith

    Bobby Smith New Member

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    Apr 1, 2021
     
  6. Bobby Smith

    Bobby Smith New Member

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    Apr 1, 2021
    I agree with all the comments above. I'm not good at the commenting. I usually just read what people say about this disease. I made comments years ago but never could find where they were later. Since I've had this disease I have trouble concentrating and multi-tasking. I was diagnosed with MD in 1998. An ER doctor suggested it back then first. I was in ER because of spinning and vomiting till I dehydrated. I had been telling my primary care doctor of having dizzy spells and ears ringing and he didn't think it was anything to worry about. But after my ER visit he referred me to a doctor in Little Rock AR that dealt with MD. And that's when I was diagnosed with it. He put me on diuretics and told me I was in the early stage of MD in my right ear. The diuretic worked for years with no more dizziness. I still had the ringing 24/7. Finally around 2012 me and my wife and a couple went to a pool party one night and I had drank a few beers. I was doing flips off the diving board and would get lost under water not knowing which way was up. I thought dang I didn't think I had drank that much. Well on the way home I was dizzy and vomiting and thought what is going on. I woke up the next morning still dizzy. I was dizzy for two months. In the meantime I went back to Little Rock, had to see a different doctor that worked with the original doctor that I had seen. He was too full with patients. I went deaf in my right ear and they said MD was in my left ear also. I would have vertigo spells off and on throughout the years. I had the steroid injections different times which didn't seem to help. I wound up having the Lymphatic Decompression Shunt surgery, I think it was called, in 2014. I went 5 years with no vertigo spells. Then in 2019 it all started again. I missed a lot of work off and on. My wife or daughter would have to come pick me up from either work or from the side of the road. I wound up in the ER a couple more times dehydrated from the vomiting. Now my doctor has taken me off work for now. It's been about 3 months having spells nearly every day. The longest I've went is two days without one. I had a brain MRI April 16 and now waiting on appointment with a Neoroligist because of the MRI results. Sorry for the long comment. Maybe someone has had similar results.
     
  7. Biffer

    Biffer Member

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    Aug 6, 2020
    Flips off a diving board!!! Yea, that will do it. That's kind of scary about being lost under water. I can totally see how it could happen. Out of curiosity, does your ear have to be full (you know what I mean) to get the vertigo attacks? All my attacks were preceded by my ear getting full and going deaf. I'm dizzy most of the time but only have the full blown attacks when my ear is screwed up. I've been very fortunate for quite a while now with no attacks but fearing the summer as that is when my ear gets worse. (My ear doc had me see an allergist today as he believes (as do I) that one of my triggers could be allergies. )
     
  8. Bobby Smith

    Bobby Smith New Member

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    Apr 1, 2021
    Hey Biffer! I never was exactly sure what people mean by ear filling full. Mine have felt like they need unstopped or blown out like when flying in a plane or driving in the mountains. I used to hold my nose and try to blow through my nose to unstop them. And I could hear better then. Now I have the tubes in my ears from trying the Meniett device. I feel like allergies has something to do with this mess to but not sure. My head usually feels weird when a spell is coming on. But sometimes it just hits all of a sudden without warning. I have found that if I take a Larazepam and quickly get laid down on my side with head on a pillow and be perfectly still, I usually make it without vomiting. I usually fall asleep and wake up with it gone. Knock on wood, but that's how it's been for the last few months. If I go fishing I don't get too far from my truck which I keep a pillow in. Lol
     
  9. Bobby Smith

    Bobby Smith New Member

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    Apr 1, 2021
    I forgot to say since the tubes are there,my ears don't stop up. Sorry
     
  10. Biffer

    Biffer Member

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    Aug 6, 2020
    That stopped up feeling is what I'm talking about. Before my attacks, it gets worse. I've often thought my Eustachian tube was clogged. Holding my nose and blowing (it's called the Valsalva Maneuver and we do it when scuba diving) can help get some of my hearing back for a short time but it doesn't last long. It's all part of the the result of an abnormal amount of fluid (endolymph) in the inner ear. Many believe that when that fluid builds up too much the walls of the sac that hold this fluid can tear letting the fluid run into the ajoining sac, causing vertigo. The inner ear is our gyro and when it gets screwed up like that, the world starts spinning.
     

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