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Labyrinthitis
Alternate Names : Inner Ear Infection, Otitis Interna
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What are the treatments for the infection?
Antibiotics are given for labyrinthitis caused by bacteria, often through an intravenous line, or IV. An IV is a thin tube that is inserted though the skin and into a vein, usually in the hand or forearm. Surgery may also be needed inside the ear.
Viral infections may be treated with corticosteroids, such as prednisone, and antiviral medications. If there is permanent hearing impairment, a hearing aid may be useful.
Vertigo can be treated with medications such as meclizine. Medications are only used short-term for balance trouble. They allow the brain to learn to adjust to the inner ear injury. Special exercises can often help speed and improve the brain's ability to adjust.
What are the side effects of the treatments?
Antibiotics can cause allergic reactions and stomach upset. Antivertigo medications may cause drowsiness, a dry mouth, and allergic reactions. Surgery may cause balance problems, bleeding, infection, or allergic reaction to anesthesia.
What happens after treatment for the infection?
Most people need no further treatment after the infection causing labyrinthitis is cleared up. Those with balance problems are often advised to continue balance exercises to adjust to the inner ear damage. If the hearing impairment doesn't improve within two weeks, the loss is likely to be permanent.
How is the infection monitored?
Those with labyrinthitis caused by a bacteria are often monitored in the hospital for a short time . Others can often monitor their symptoms at home. Regular hearing tests may be advised in some cases to follow symptoms. Any new or worsening symptoms should be reported to the healthcare provider.
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Author: Mark Loury, MD Reviewer: Adam Brochert, MD Date Reviewed: 08/06/01
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