It's really not fake, it's easy to be misdiagnosed! Zhejiang women feel dizzy and nauseated when they do housework. incidence rate: Ms. Gao Qin | Otolithiasis | Housework
Since the beginning of this year, Ms. Qin from Ningbo, Zhejiang has contracted a strange disease: she suddenly feels dizzy and nauseous, especially frequently while drying clothes and squatting to clean the floor. Although it can be scary during the attack, taking a short rest will help. Her family teased her if she was avoiding household chores. In fact, Ms. Qin is not slacking off, but the small stone in her ear has "gotten lost".
"Strange diseases" haunt me, and when I do housework, it will erupt
Ms. Qin has been suffering from this strange illness for several months now. One day, while doing household chores, she suddenly felt dizzy and nauseous. But strangely, this symptom only lasts for a few seconds and quickly disappears automatically.
Afterwards, this situation occurred from time to time. Ms. Qin carefully recalled that "dizziness" mainly occurred when she did activities such as lifting her head to dry clothes and squatting down to clean the floor and tie shoelaces. Sometimes, it would occur while lying down or waking up. Is it intentional to avoid household chores when your lover is still joking.
At first, Ms. Qin thought it was a cervical spondylosis outbreak. I came to the local hospital's orthopedic department for treatment. After examination, her cervical spine and other conditions were all normal. After visiting the internal medicine department, the MRI of the head was also normal. The doctor said that there was "insufficient blood supply to the cerebral arteries" and used medication and injections, but the situation still did not improve at all. Ms. Qin was tormented by a strange illness and dared not sleep, look up, lower her head, or walk alone.
After exploring multiple disciplines, Ms. Qin was recommended to seek medical treatment at the Neurology Department of Li Huili Hospital in Ningbo Medical Center, led by Dr. Lin Shuqin.
After listening to Ms. Qin's description of her condition, Lin Shuqin helped her undergo a series of examinations and preliminarily determined that she had "otolith syndrome". So she asked Ms. Qin to conduct a positional induction test in the consultation room to further confirm the diagnosis.
Sure enough, Ms. Qin's serious discomfort struck again. Lin Shuqin found that Ms. Qin's eyes were constantly trembling upwards and downwards during the right semicircular canal induction test, which fully matched the symptoms of posterior semicircular canal otolith. Due to Ms. Qin's serious illness, she immediately arranged for otolith reduction techniques.
After manual reduction and vestibular rehabilitation treatment, Ms. Qin's condition has greatly improved. Even if you repeat the movements of lifting your head, lowering your head, and squatting high, the feeling of spinning around will not occur.
Staying up late should be wary of otoliths and running away from home
Speaking of otolith, it is a common ailment in our daily lives, but when it occurs, it is really unbearable.
The scientific name for otolith is benign paroxysmal positional vertigo. Otolith is a type of calcium carbonate crystal with a composition similar to "stones", which can sense changes in the center of gravity and grow in the balance organs of the inner ear of the human body.
Lin Shuqin metaphorically compares: "If the otolith accidentally 'runs away from home', it may fall off and roll into the balanced semicircular canal. When the head rotates, the otolith will stimulate the hair cells of the semicircular canal, causing symptoms of dizziness and vomiting."
This kind of disease will improve after a few seconds or tens of seconds when it occurs, but after performing a certain action, it will recur, repeatedly, which is annoying.
Generally speaking, otolith is related to psychological pressure, fatigue, long-term insomnia, trauma, intense exercise or physiological changes, and is a disease with a very high incidence rate.
"In the past, otoliths were more common among middle-aged and elderly people. Now, due to the increasing number of people staying up late, working overtime, using computers, staying up late to watch TV shows, playing games frequently, irregular sleep patterns, and brain fatigue, many young people also suffer from otoliths." Lin Shuqin analyzed.
However, due to a lack of understanding, many patients often associate dizziness with diseases such as hypertension, insufficient cerebral blood supply, and cervical spondylosis. In clinical practice, it is sometimes misdiagnosed as dizziness or cervical spondylosis. Many imaging examinations or long-term medication and infusion treatments have been performed, but the results are not satisfactory. If the patient has recurrent dizziness, especially if the symptoms are related to changes in position, it should be considered whether they have otolith. They can go to specialized dizziness clinics in the neurology department of major hospitals.
"Having otolith can actually be cured without the need for injections or surgery. Manual repositioning is a series of positional changes that allow the otolith that has fallen into the semicircular canal to return to its original location, thus treating the disease. Patients with milder symptoms can achieve satisfactory results after 1-2 manual repositioning treatments. The recurrence rate of otolith is high, and after repositioning, they often need to take medication to improve microcirculation for three months to prevent recurrence." Lin Shuqin said that many patients who come here suffer greatly while lying on a flat car can walk home on their own after manual repositioning in outpatient clinics.
