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Off-balance like floating
Ringing in the ears
Dizziness
Ear problems
Pain in the ear
Dizziness after straining my muscles
Feel like I am floating
Not seeing your symptoms? No worries!
What is Perilymph Fistula?
The air-filled middle ear and fluid-filled inner ear are separated by a thin membrane. When this membrane tears between these two parts of the ear, fluid from the inner ear leaks into the middle ear. The tear can be caused by sudden pressure changes, such as diving, head injury, or blowing the nose too hard. Common symptoms include hearing loss, ear ringing (tinnitus) and dizziness (vertigo).
Typical Symptoms of Perilymph Fistula
- Dizziness
- Difficulty hearing in one or both ears
- Sensation of imbalance as if floating when at sea
- I experience tinnitus or other noises in my ears
- Dizziness started after straining and hearing a "pop" sound
- Earache
- Nausea or vomiting
- Dizziness after blowing the nose
Diagnostic Questions for Perilymph Fistula
Your doctor may ask these questions to check for this disease:
- Do you feel dizzy?
- Are you experiencing difficulty hearing in one or both ears?
- Do you feel like you are floating or off-balance, like at sea?
- Do you experience tinnitus or other noises in your ears?
- Did you strain yourself and hear a popping sound before the dizziness started?
Treatment of Perilymph Fistula
Mild cases can resolve with bed rest, head elevation and avoidance of activities that would increase inner ear pressure like straining or sudden altitude changes. In cases that do not get better with those measures, steroids may be given along with a minor procedure or surgery to fix the hole.
Reviewed By:
Kenji Taylor, MD, MSc (Family Medicine, Primary Care)
Dr. Taylor is a Japanese-African American physician who grew up and was educated in the United States but spent a considerable amount of time in Japan as a college student, working professional and now father of three. After graduating from Brown, he worked in finance first before attending medical school at Penn. He then completed a fellowship with the Centers for Disease Control before going on to specialize in Family and Community Medicine at the University of California, San Francisco (UCSF) where he was also a chief resident. After a faculty position at Stanford, he moved with his family to Japan where he continues to see families on a military base outside of Tokyo, teach Japanese residents and serve remotely as a medical director for Roots Community Health Center. He also enjoys editing and writing podcast summaries for Hippo Education.
Rohini R, MD (Otolaryngology (ENT))
Dr. Rohini R is an ENT, Head and Neck Surgeon, with a Fellowship in Advanced Endoscopic Sinus and Skull Base Surgery and a Fellowship in Aesthetic Medicine and Lasers. Besides clinical practice and working with Ubie, she is actively training and mentoring medical students and residents. She has functioned in various work settings - teaching hospitals, private and free health centers, and worked with patients from all socioeconomic backgrounds due to her experience in free hospitals and volunteering in India and Singapore.
Content updated on Mar 31, 2024
Following the Medical Content Editorial Policy
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People with similar symptoms also use Ubie's symptom checker to find possible causes
- Dizziness multiple times
- Hearing loss worse on the right
- Spinning feeling
- A sense of motion or spinning (vertigo)
- Hearing issues
- Feeling faint
- Dizzy when standing up
- Tingling in the ears
- Hard of hearing in both ears but more on one side
- Dizzy in the morning
- Dizziness when looking up
- Hearing impairment
- Lightheadedness when I am standing
- Ringing in the ears and dizziness
- High pitched ringing
See full list
Symptoms Related to Perilymph Fistula
Diseases Related to Perilymph Fistula
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
Furhad S, Bokhari AA. Perilymphatic Fistula. [Updated 2023 Jul 19]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK563221/
https://www.ncbi.nlm.nih.gov/books/NBK563221/Calhoun KH, Strunk CL. Perilymph fistula. Arch Otolaryngol Head Neck Surg. 1992 Jul;118(7):693-4. doi: 10.1001/archotol.1992.01880070023004. PMID: 1627287.
https://jamanetwork.com/journals/jamaotolaryngology/article-abstract/620779