Ask the Audiologist

Q&A

Subject: Balance problems
To: JS, Michigan


    I have a friend that is in his early 80's. He has lost virtually all of his hearing. The problem is, he has terrible equilibrium problems. The doctor he is seeing says he doesn't know why he has this problem, but that it is not connected to his hearing loss. I find that hard to believe. Is this possible, or is there some literature you can send to me on this subject. I would appreciate any help that you could give us.
    Thank you very much, JS


Dear JS
You are at least partly correct in that there are some hearing problems and balance disorders that go together. The most common is called Meniere's Syndrome. In addition to balance problems, ( sometimes even severe vertigo) and hearing loss, this syndrome may also display fluctuating hearing loss, fluctuating sound clarity even in cases of stable hearing levels, and even nausea and vomiting. Each case needs to be evaluated medically and treatment includes medications to control the dizziness and diet restrictions to avoid fluid build up.


However, equilibrium problems may also be related to blood pressure drops, metabolic disorders, and the side effects of some medications. In some instances, the physicians determine that the problems is "benign positional vertigo" ... a sort of dizziness brought on by standing quickly, turning or bending over. As the name implies, there is no particular disease and the patient learns to move about with greater care. Some physical therapists and some audiologists can help patients learn to cope with their dizziness by a series of therapy sessions designed to desensitize the balance system.


As you can see, sometimes balance problems may be related to hearing problems and often times they are not. The best way to know for sure is to have a thorough exam by a physician knowledgeable in these types of problems.

Take care of your friend!
Solveig