Mine started suddenly a few years ago. I had a bad cold. One day at work, I was doing a spreadsheet, and POW!!! The world started spinning, my vision was blurred, and I felt a bit weak. I thought it was perhaps just a quick, hardcore dizzy spell, but then I realized that I couldnāt type. I took some deep breaths, got myself together, closed my office door, and took it easy for a few minutes. When I eventually felt safe enough to leave my office, my balance was off, but no vertigo. After about an hour, I went home for the day.
The symptoms of disequilibrium remained for several days. I thought it was just a bad cold messing with my ears. I still had trouble typing at work. I took some decongestants, but nothing changed. When the weather warmed up a bit in the next week, things got better. I was able to workout, and I thought it was behind me. Thenā¦
ā¦It got worse. Someone once told me when you have a bad cold or sinus infection, to use a solution of saltwater. Snuff it up through the nose, and it will clear everything out. That turned out to be one of the scariest experiences of my life. I got a wicked headache, shocking pains all over my body (especially my feet). It actually took me to the ground for over 2 hours. I tried to relax the best I could, but it was absolutely crazy.
My work suffered as a result of this. I had trouble driving, and had a lot of trouble functioning continuously at work. I felt weak, my balance was bad. I generally leaned against a wall for support when I spoke to someone. One doctor gave me some new decongestants, but those created similar symptoms to what I experienced with the salt solution. The pain in my ears was extreme. The GP I was seeing prescribed some pain medication for it, and I had an allergic reaction to it and ended up in the hospital. I stopped seeing that doc immediately, and found an ENT.
From there, I seemed to improve a little bit over a few weeks. Steroid nasal sprays, rest, etc. Then, it got worse again. Certain foods would set me off. Tuna, dairyā¦all sorts of pressure and pain in the earsā¦sometimes at the top of the head. Shocking pains in my hands, feet, back. Disequilibrium and weakness increased. The ENT ran all sorts of tests. ENG, etc. All normal. He suspected it was neurological.
The neuro rans all sorts of tests as well. MRI of head, neck, and spine. Ecogramā¦lyme titerā¦diabetesā¦M.Sā¦and tests for myasthenia gravis. All he found was some very mild carpal tunnel, mild thinning of the disks in my neck, and a slight abnormality in my right foot. He saw the pain and distress I was in, gave me some lortab and xanax, and told me to take it easy. I had to go on medical leave. Never had been sick for any extended period in my life before that.
After that, I went downhill further. I ended up in the emergency room twice. Severe, wicked pain in my ears, the top of my head, vertigo, shocking pains in hands, back, and feet. Nobody could figure it out. I went to a new ENT, and he agreed with the previous doc that it was neurologicalā¦but he wasnāt a doc who was committed to helping or working hard to diagnose me. My wife found me an otologist. When I went to see him, I needed assistance to walk. I was pretty much out of it. He thought it could very well be the onset of Meniereās and put me on a trial of triamterene and valium.
The above sequence of events from the medical leave to seeing the otologist was about 3 weeks. I had kept the owner of the company abreast of what was happening, but after I informed him that it could be Meniereās and was on doctorās orders not to return to work yet, I got a notice in the mail that my employment had been terminated. I had been hired to turn the company around, and it was going well up until I got that nasty cold (temps. were around 0 degrees at that time). When I got sick, obviously, things didnāt go well. Several friends and family suggest I litigate, but to be frank, at that point, I didnāt care that much about losing my employment because, due to my continued downward spiral, my main concern was to simply stay alive, and not become disabled. I could get COBRA, and just start over.
I improved incrementally with the new treatment regimen, but no huge improvements. The valium seemed to be the most effective. Realistically, however, I was still quasi-bedridden throughout the next month, but not in serious danger like I was before. I started doing some freelance writing to keep busy, and did better throughout the next several months. I really thought it was just a virus that had spread, and that Meniereās wasnāt really the culprit. My hearing was ok. Ringing in my ears had always been extremely minimal. I stopped taking the triamterene. I took valium when I felt off balance.
Thenā¦after several months of things looking better, the winter came.
I felt like Iād been hit by truck. Vertigo, pressure behind my ears, and to the top of my head. I was flat on my back for 10 days. A new otologist thought it was āatypical Meniereāsā and put me back on the same regimen I was initially on. I moderately stabilized thereafter, but not enough to work consistently, either part-time or full-time.
After a few months, I got a little bit better. Tried some acupuncture. It would work for about a day. Went back to the otologist. He put me through VRT, and it helped a little. He suggested the Meniett, and I improved a little more. To be sure, I have ear fullness 24/7, and am always a little āoffā as far as balance goes. Sometimes the pressure increases to a breaking point. From the upper part of my body to the top of my head. Salt intake was never a huge factorā¦it was more the types of foods. Tomatoes would put me under. Chinese was a huge no no (Iād just give it a try when I felt goodā¦big mistake). Oranges would put me in distress. If I tried a glass of red wine, I would be in pain. A glass of beer would do the same. I stayed on a quasi-vegan diet, and improved. Exercised a lot in the gym, but weights were a problem. Mostly aerobic workā¦and that helped my symptoms.
I was able to re-enter the part-time workforce early this ear, and worked until my children were out of school in June. Regarding work, it wasnāt easy, but I did ok. Gradually, however, despite seeing so many doctors, I knew I needed to do something different. I needed a full physical, and hopefully we could find something different than had been found when I initially became ill. I had a GP do a complete physical. All ok. BP and pulse below normal standards. Cholesterol in the 160s. Everything good for my age of 43.
We took that data and went and saw a new specialist. 2.5 hour exam. No appreciable hearing loss. Several other ear tests came out normal. Posturography was off, but not too bad. We talked about everything. He thought it was more MAV than Meniereās. He thought I was one of those borderline MAV/hydrops cases. Put me on verapamil and Serc. Verapamil started working faster than normal. It was just a few days before I felt a difference. Serc would sometimes seem to clear my ears a bit to the point where the combo of verapamil and Serc left me almost symptom free for the first time since late 2004. However, I do have side effects with some headache issuesāmajor headaches that force me to lay downā that pop up about an hour after taking Serc.
Right now, Iām about a month into the regimen and I am considering going off Serc. I want to give it more time, but it really seems like the verapamil is helping more than any other treatment Iāve received over the last few years.
In sum, at this juncture, I think the new doc was right about MAV. As we all know, however, you never seem to really know with these types of ailments considering that there isnāt a single, silver bullet test to identify it. Itās more a process of exclusion. Iāll continue to take the verapamil, discuss the efficacy of Serc, and explore other alternatives if necessary after seeing the new doc again in early November. Iām going to try to go back to work and try about 30 hours a week, and see how that goes. The goal, naturally, is to lead a normal life. Tough stuff.