Labyrinthitis and vestibular neuritis

Overview

Labyrinthitis and vestibular neuritis are types of inner ear infection that affect your balance. They usually get better on their own within a few weeks.

Symptoms

The most common symptoms of labyrinthitis are: dizzinessor feeling that everything around you is spinning (vertigo)feeling unsteady and off balance – you might find it difficult to stay upright or walk in a straight linefeeling or being sickhearing lossringing in your ears (tinnitus) The symptoms of vestibular neuritis are very similar, but it does not cause hearing loss or tinnitus. Symptoms can start suddenly. They may be there when you wake up and get worse as the day goes on. The symptoms often ease after a few days. You'll usually get your balance back over 2 to 6 weeks, although it can take longer.

Causes

Viral infection (cold/flu/herpes); bacterial infection (rare). Autoimmune condition.

Treatment

If you have labyrinthitis or vestibular neuritis, a GP may prescribeantihistaminesor motion sickness tablets for up to 3 days. Do not take them for any longer, as they can slow down your recovery. Labyrinthitis or vestibular neuritis is usually caused by a viral infection, such as a cold or flu, so antibiotics will not help. But a GP may prescribe antibiotics if they think your infection is bacterial.

Prevention

Avoid driving/operating machinery if dizzy. Reduce stress/tiredness to prevent recurrence.

When to see a doctor

See GP if: dizzy >3 days; hearing loss; ringing in ears. Go to A&E if sudden severe dizziness & deafness.