Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
please enter chat
I'm Dr. Phil
Can I ask your first name?
Hello Dr Phil. I'm Graham - on behalf of my wife, Valerie
Hi Graham and Valerie
Nice to meet you
any ear fullness, ear pain or hearing loss?
There was an early sensation of ear fullness, but no fluid. No ear pain and hearing has been tested with good reults
has she seen an ENT doctor?
Yes - was referred recently but all he said was that her hearing, after a test, was actually very good 'for her age'! She also saw ENT consultant during hospitalization and was told there was some evidence of a recent infection. This was in february
okay, has she followed up with one yet?
No. There doesnt seem to be much interest in her now!
okay I would do two things
1)see another ENT-this could be easily identifiable by someone that cares!
2)consider vestibular migraines. This is a form of migraine that causes dizziness
a neurologist can diagnose this
Vestibular migraine was mentioned at the time of hospitalization but not really developed. Could she still be suffering symptoms this long after an event of that nature?
they can go on forever!
Wow! In that case, is treatment possible?
many meds can help
here's an article for you
And could it have been caused by a prolonged, stressful situation - maybe even exacerbated by an inner-ear infection or similar?
it was probably a "perfect storm"
I've copied the link - thank you. One last thing - would you recommend that we continue to persue this - ie: should we push for further investigation and treatment. If so, with whom - ENT or Neurology?
absolutely push for it
start with ENT and if that doesn't work, neurology
Ok. Will do. Thank you very much for your time and experttise/opinion etc. Take care
you're welcome :)
please don't forget a positive rating
I appreciate it
Will do. Bye