About dizziness and tinnitus

  1.Disease Introduction
       Disease definition.
  Dizziness and tinnitus are the more common symptoms of many diseases. Usually tinnitus occurs along with many other conditions, and dizziness, also known as vertigo, is a subjective sensory abnormality. It can be divided into two categories.
  One is rotational vertigo, mostly caused by the dysfunction of the vestibular nervous system and cerebellum, with the feeling of tilting mainly, feeling oneself swaying or the scene rotating.
  The second is general dizziness, which is mostly caused by some systemic diseases, with the feeling of dizziness as the main cause, feeling light-headed. Classification and common diseases Dizziness is a common symptom rather than an independent disease.
       Disease classification.
       1. Rotational vertigo
       According to its etiology, it can be divided into two categories: peripheral vertigo and central vertigo.
  (1) Peripheral vertigo: It refers to vertigo caused by lesions of the vagus or vestibular nerve in the inner ear. (Commonly seen in Meniere’s disease), vaginitis, drug-related vertigo (caused by drugs such as streptomycin or gentamicin) and vestibular neuritis.
  (2) Central vertigo: vertigo caused by lesions of brainstem, cerebellum, brain and spinal cord. It is commonly caused by insufficient blood supply of vertebrobasilar artery, intracranial tumor, intracranial infection, multiple sclerosis, vertigo epilepsy and traumatic vertigo, etc.
  2.General vertigo
       (1) Cardiogenic vertigo: Commonly caused by cardiac arrhythmia, cardiac insufficiency, etc.
  (2) Pulmonary vertigo: It can be caused by various causes of pulmonary insufficiency.
  (3) Ophthalmogenic vertigo: It is commonly caused by refractive error, fundus arteriosclerosis, hemorrhage and ocular muscle paralysis.
  (4) Blood pressure vertigo: High or low blood pressure can cause vertigo.
  (5) Others: anemia, cervical spondylosis, acute fever, gastroenteritis, endocrine disorders and neurosis can cause dizziness.
  The cause of dizziness is due to the dilation of blood vessels in the skin, which increases blood flow and reduces blood flow to the brain. This phenomenon may be caused by prolonged exposure to the hot sun, prolonged hot baths, or stress or anger. In addition to the above causes, vitamin deficiency, hormonal abnormalities, menopause or dysautonomia are also factors that can cause dizziness.
  There are 2 major causes of tinnitus, one is caused by otogenic diseases and the other is caused by systemic diseases.
  1. Otogenic tinnitus.
  (1) Lesions of the sound-transmitting part (outer ear, middle ear): cerumen embolism of the outer ear canal, eczema of the outer ear canal, tympanitis, otitis media, and Eustachian tube malfunction. Tinnitus caused by these diseases is usually not serious, and it can mostly disappear after the cause is removed.
  (2) Sensory part (inner ear) lesions: Meniere’s disease, noise deafness, ototoxic tau poisoning, sudden deafness, etc. Tinnitus caused by this type of disease is more serious.
  (3) Postcochlear lesions (auditory nerve): Hunter syndrome, auditory neuritis, auditory neuropathy, and auditory neuroma.
  (4) Central auditory lesions (from the cochlear nucleus to the auditory conduction pathway of the cerebral auditory cortex): efferent nerve dysfunction, cerebral hemorrhage, and dorsolateral cerebral syndrome. Tinnitus caused by this type of lesion is very persistent.
  2. Tinnitus caused by systemic diseases.
  (1) Cardiovascular diseases: hypertension, hypotension, anemia, coronary heart disease, arteriosclerosis, cerebral thrombosis, hemangioma, and arteriovenous tumor. These diseases often cause ergogenic tinnitus, which is consistent with the pulse rate.
  (2) Cervical spondylosis: cervical spine osteophytes or herniated discs compressing vertebral A.
  (3) Traumatic brain injury or neurological disease: head trauma, concussion, encephalitis, meningitis. These diseases often cause tinnitus and high frequency hearing loss in sensorineural deafness.
  (4) Psychiatric disorders: anxiety disorders, depression, schizophrenia, etc.
  (5) Metabolic diseases: hyperthyroidism, hypothyroidism, diabetes mellitus, hyperlipidemia, fiber bundle or micronutrient deficiency.
  (6) Other: such as kidney disease [1], gynecological disease, and gastrointestinal disease can also cause tinnitus.
  There are many causes of dizziness and tinnitus symptoms. First, one should identify whether the vertigo is central or peripheral in nature. For example, otogenic vertigo is often accompanied by tinnitus and hearing loss, and is commonly associated with Meniere’s disease and inner ear damage. And in case of Meniere’s syndrome, hearing will gradually decrease with the onset of the disease. It is recommended to go to a regular hospital for hearing function check and vestibular function check. If otogenic problems are ruled out, the patient is advised to go to neurology and have a brain examination.
  2.Disease treatment
       Dizziness and tinnitus are the most common of the disease symptoms, and many diseases have these two symptoms, so they provide a lot of trouble in the treatment, because the examination of the cause of the disease are an uncomplicated process. It is possible that the patient may have to spend more time doing various tests to determine the cause of his or her illness.
  It is true that there is no cure for dizziness and tinnitus caused by injury to the inner ear, but it can be improved with “desensitization therapy” similar to that used to combat allergies; with patient treatment, 80% to 90% of patients can stop suffering from tinnitus. Once the inner ear is injured and the periosteum is completely broken, it is incurable. In general, if a patient has dizziness, nausea, spinning in the sky, and mainly tinnitus in one ear, the patient has Meniere’s syndrome, which is a more serious condition and must be treated in time.
  Some patients always feel the “buzzing-buzzing-buzzing” sound in their ears like cicadas, which affects their work during the day and often causes insomnia at night because of the lingering sound. There are many reasons for tinnitus. If it is caused by problems in the outer ear or middle ear, such as otitis media or fluid in the middle ear, it can be solved by medication or surgery; however, if it is caused by injury in the inner ear, it is difficult to be cured.
  In fact, everyone can get dizzy and tinnitus treatment. In an absolutely quiet environment or late at night, many people can hear the sound of “hmmm~~” in their ears. Most people who suffer from tinnitus are injured in the inner ear and believe that tinnitus is a threat to their health, so they feel the presence of tinnitus. “Tinnitus desensitization therapy is a way to desensitize the patient to tinnitus, so that the patient can ignore the existence of tinnitus and no longer be bothered by it. Director Hsu said that tinnitus patients often feel painful because the lingering sound makes them feel panicked, irritable, nervous, and worried about whether they are going deaf.
  Therefore, the first step in the treatment of dizziness and tinnitus desensitization therapy is psychotherapy, informing patients that tinnitus is a warning signal of injury to the inner ear, however, it will not pose a threat to the body, and they can ignore the sound as if it has nothing to do with them and do not feel its presence.
  If it is still ineffective after psychological construction by the physician, physical therapy can also be used, which can be done by using the physical therapy of Enocharm herbal pillow. Contrary to the general desire to be in a quiet state, physical therapy for tinnitus requires the patient to avoid being in a quiet environment. For those with severe hearing impairment, hearing aids should be considered.
  Chinese medicine treatment Chinese medicine tonics discriminatory treatment.
  Precautions Patients who experience dizziness and tinnitus must be treated correctly. Do not ignore it and do not panic. There are many reasons for dizziness and tinnitus, and patients should go to the hospital for a detailed examination to check out the cause before actively cooperating with the treatment. You should not think that this is a minor problem and you will get better after sleeping, nor should you think that it is a big disease coming and you are afraid to face it. It is a disease that will have a treatment, and everyone should take care of their own body.
  People who have dizziness and tinnitus should pay attention to the following points.
  1, maintain good habits of work and rest, try to avoid staying up late.
  2.Eat less spicy or stimulating food.
  3, actively participate in outdoor sports and relax.
  4, do not give yourself too much pressure, learn to reasonably reduce stress.
  The first three herbs are decocted in three cups of water and boiled for half an hour, then take it off the fire, stop for a while and add the scutellaria, then decoct it for 5 minutes. After taking it, you can feel light-headed and bright-eyed, with no other side effects. If there is still no obvious effect after taking it, you should go to the hospital to see a doctor.
  Health care techniques
       1. Rub the auricle and the neck behind the ear with the thumb, forefinger and middle finger more than ten times, and then press and rub the ear gate, hearing palace, hearing session and cataract points for 15-30 seconds each.
  2. Pinch the auricle with the thumb, index and middle finger to do the traction method more than ten times, and then insert the middle finger into the ear to do a quick tremor method. At the same time, the patient himself uses his hand to pinch towards the nose to drum outward, which can be done repeatedly 2-3 times.
  3. Pinch and lift the auricle 20 to 30 times every morning and evening.