Labyrinthitis and Vestibular Neuritis – The Physical and Psychological Effects

The physical and psychological effects of chronic Labyrinthitis and Vestibular Neuritis.

Labyrinthitis and Vestibular Neuritis (VN) are both conditions which affect the functioning of the inner ear. Both are usually caused by a viral infection but effect different parts of the Vestibular System. Labyrinthitis causes inflammation of the Labyrinth, which resembles three intertwined semi-circular canals. These canals are filled with fluid and sensors, which detect rotational movement of the head and aid balance. Each semicircle is at a different angle to the others and is responsible for recognizing a particular head movement, for example, side to side, up and down and tilting to either side. In addition, each semicircle contains hair cells that are activated when the inner ear fluid moves. When the head moves, these hair cells send nerve impulses to the brain through the 'vestibulocochlear nerve' (also known as the acoustic nerve) telling the brain about the position of our head and body. Vestibular Neuritis causes inflammation of the vestibular nerve, however causes the same symptoms as Labyrinthitis. Labyrinthitis and VN are thought to effect 1 in 10 people.

Labyrinthitis and VN symptoms usually begin very suddenly and can last between 2-6 weeks. Some people report that their symptoms disappear as suddenly as they started, however for many, recovery can be slow and frustrating. If Labyrinthitis and VN continue past 2 weeks, it typically indicates that there is damage to either the Labyrinth or the Vestibular Nerve as a result of infection. In cases such as these, Vestibular Rehabilitation Therapy is vital to get the vestibular system to compensate. Even with individuals who have a percentage of unilateral or bilateral hypofunction report increased independence and a decrease in symptoms, after practicing VRT for a number of weeks. Without this therapy, recovery can be bleak. Medication prescribed by general practitioners such as Stetetil or Serc, can actually be detrimental to recovery as they 'dumb down' the inner ear functioning in an attempt to curb the feeling of motion sickness. However, in doing so actually inhibit the brains ability to compensate fully on its own.

Symptoms of Labyrinthitis and VN usually include, but are not limited to:
• Vertigo – a dizziness which feels like being drunk
• Spinning vertigo (dizziness like the room is spinning)
• Feeling like falling over or losing balance completely
• Nausea
• Chronic fatigue
• Low stamina and weak
• Mild confusion
• Disorientated
• Slight memory loss
• Light headed, faint, woozy
• Sore, tired and strained eyes
• Motion intolerance
• Vivid dreams
• Disturbed sleep
• Tinnitus
• Catarrh
• Blocked and popping ears
• Shaking

There are also a number of psychological symptoms individuals who experience when suffering with Labyrinthitis and VN. Due to the isolation and the loss of self-reliance symptoms can cause, many people can experience depression. In addition, a large number of sufferers report experiencing panic attacks and anxiety combined with their Labyrinthitis and VN symptoms. Some healthcare professionals suggest that this is a natural reaction due to worrying about falling over or feeling faint. However, one study conducted in 2003 by Nakagawa et al. showed that stimulation of the vestibular system was found to directly affect the amygdala gland, which triggers human beings fight or flight response, causing anxiety and panic attacks. Unfortunately, what this means for sufferers is that they have another element to deal with in their recovery.

Often the psychological symptoms of chronic illness can be overlooked as it can be normal to feel down when the body is sick. The five stage grief model, originally identified by Swiss-American psychiatrist Elizabeth Kübler-Ross in 1969, is a great indication of how people experience chronic illness. The stages are:
• Denial
• Anger
• Bargaining
• Depression

To make a full recovery from chronic Labyrinthitis and VN symptoms it is advisable to perform daily Vestibular Rehabilitation Therapy exercises (as laid out by a professional physiotherapist after a consultation) and also attending talk therapy such as Cognitive Behavioral Therapy.

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How to Test for Hearing Loss

Are you losing your hearing in the following situations?

· You have a problem hearing over the telephone.

· You have to strain to understand or pick up conversations.

· You often ask people to repeat what they said.

· Others complain that you turn up the volume too high.

· You face a difficulty following the conversation when two or more people are talking.

Oftentimes, we tend to neglect the hearing sense and take it for granted. Only when there is a serious loss of hearing do we visit a doctor. Many of us do not realize that hearing loss can lead to serious repercussions including cognitive decline, dementia, low self esteem and being treated as pariahs of the society.

Hearing loss should never be neglected and you should seek the advice of an Audioologist, Otolaryngologist or Otologist if you feel the above mentioned symptoms.

A hearing loss is diagnosed based on the person's history, behavior and the results of medical and audiological examinations. You would then be examined to know the causes of the hearing loss, and if it can be treated. The most common way by which one could suffer from a loss of hearing is with the fluid in the middle ear or wax in the ear canal not being taken care of.

There are a few things you can do to hear and cope better in situations that have caused you difficulty in communicating with the help of hearing aids and hearing problem treatments.

In case you are diagnosed with a hearing loss, you have to undergo a full hearing test. This test will recognize the degree and type of hearing loss you may have developed and also determine if you could be helped by hearing aids. The hearing health professional will also recommend the type of hearing aid that would be suitable for your hearing loss.

A few facts about hearing aids:

· Hearing aids will not correct hearing all at once like glasses correct vision.

· Helps to pick up sounds clearly and helps you hear in many situations.

· New hearing aids may require follow-up visits for technical tweaks by your provider.

· Adjusting to your hearing aids takes time and perseverance.

Your doctor will put you through a few tests in order to check your hearing, this may include:

· Physical exam – Your doctor will look in your ear to detect the possible causes for a hearing loss. Earwax, infection from an infection, etc. could be the reason.

· General screening test – You will be asked to cover one ear at a time to see how well you pick up or hear words spoken at various volumes and how you respond to other sounds.

· Tuning fork test – Tuning forks are two-pronged metal instruments that produce sounds when stuck. This may evaluate and reveal whether hearing loss is caused by damage to the vibrating parts of your middle ear, damage to sensors, or nerves of your inner ears or damage to both.

· Audiometer test – You are made to wear earphones and hear sounds directed to one ear at a time. The audiologist presents a range of sounds of various frequencies and requests you to indicate each time you hear a sound.

Your treatment depends on the cause and severity of the hearing loss . Get diagnosed at the earliest!

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Guide On How To Take Care Of Your Hearing Aids

If you have a hearing problem you know how important the hearing aid is to you. Premium hearing aids are expensive; therefore, you should take good care of them. Here are some tips:

Use them properly

Just like any other device, how you use the them very affects how long they are. The first step to ensuring that it lasts for a long time is ensuring that they are professionally installed. This calls for you to work with a certified and experienced audiologist who will diagnose your condition and help you in installing the right one. The doctor will also give you tips on how to wear the them so that they do not develop any problem. In case of discomfort, chances are that you are not using the aids the way that you should. If you are having trouble with your hearing aid, contact a professional to take a look at them.


Another way of taking good care of it is cleaning them regularly. Hearing aids are just to ear wax clogging. When they clog they are not effective enough. Dirty ones also tend to accumulate a lot of harmful bacteria so putting your ear at danger. To get rid of bacteria and wax, you should regularly clean them. The cool thing is that it's easy to clean as all you need to do is use a soft piece of cloth to wipe.

If you are having trouble cleaning them, take them to a professional. The key to having an easy time cleaning is avoiding a lot of wax buildup. To do the same, experts recommend that you clean the them daily.

Protect them from excessive temperature and moisture

At no time should you expose your hearing aids to moisture. You should ensure that they are always dry. One of the ways of doing this is purchasing a hearing aid dehumidifier. This is where you can rest it when you are not using them. You can also keep them dry by popping them open once in a while to allow dry air in.

Temperature has been shown to spoil hearing aids when exposed to extreme levels. One of the ways of protecting them from excessive temperature is avoiding leaving them near heaters on in the car while the temperatures outside are high. You also should never put them in the oven or microwave.

Avoid dropping them

Hearing aids will break when you drop them on a hard surface. For them to last for long, be cautious when handling them. To protect them from dropping when they are not in use, keep them in a presentation case. You can also keep them in their drying kit.

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What More You Need To Know About Hearing Aids

Hearing aids are recommended for people with hearing difficulties. They work by making the sounds louder so you hear easily. Most of the modern ones are digital where they come with a computer chip that converges the incoming sound into digital mode. They also analyze and adjusts sound depending on your hearing loss, your listening needs, and the amount of noise around you.


There are many types in the market that you can go for. The different types include:

In the ear hearing aids : It is designed to form a shell that fills your ear. They come in two styles: one that fills most of the bowl-shaped area of ​​the ear and one that fills only a small part of the lower ear. According to experts, they are ideal for people suffering from mild or severe hearing loss. While they are great, they are susceptible to ear wax clogging; therefore, you should regularly clean them.

Behind the hearing aids : They are characterized by a earmold that fits inside your ear while the rest of it rests behind the ear. There are many types within this category. There are some that have twin microphones. These have a feature that allows you to switch between all round sound and and more directional sound. The directional setting increases your hearing ability in a noisy environment. There are other units that have an open ear fitting. These ones are characterized by a soft earpiece at the tip of the tubing instead of an earmould. The cool thing is that they give you a more natural sound.

In the canal hearing aid : They are small in size so difficult to see from the outside. This results you from having to worry too much about people noticing you. From their name, they are designed to fit partly into the ear canal. Just like in-the-ear aids, they are susceptible to ear wax clogging; therefore, you have to regularly clean them.

Open fit hearing aids : They are a variation of the behind-the-ear hearing aids but they come with a thin tube. Due to the design, it keeps the ear canal open so allowing low-frequency sounds to enter the ear naturally. The opening of the ear canal also ensures that high-frequency sound is amplified. The design makes it a great choice for people suffering from mild to moderate hearing loss. Since they are small in size, some people have reported that it's difficult to manipulate them; therefore, you should be keen when using them.


There are many types of hearing aids that you can go for. As you have seen different aids have different benefits and capabilities. It's up to you to choose the ones that are ideal for you.

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Tips For Simplifying Communication for the Hearing Impaired in the Workplace

Meetings, conversations with co-workers, presentations – the workday involve a lot of communication and demand much energy to keep operations running at work.

It can be extremely challenging for a hearing impaired professional to keep up with organizational processes and tasks and perform their duties.

Here is some practical advice and tips on how to help hearing impaired individuals function better at work.

Disclosing your hearing impairment to collections
No matter how tempting it is to keep your disability a secret or how embarrassing it is speak about it, it is important that your colleagues know about your hearing impairment in order to make both communication and work easier in the workplace.

Here's what you can do to let people know the specifics.

  • Do not go ahead with “I am deaf” statement. Instead, explain the nature of your particular condition while making statements like 'I have trouble hearing people on the telephone or hearing voices in noisy or crowded backgrounds'.
  • Advise your collections on how best to communicate with you. For instance, you can tell them to be a bit loud, speak more slowly, use appropriate visual clues wherever possible and to be a reasonable distance from you so as to make sure that their face is well lit.
  • Ask them to rephrase rather than repeat things you have difficulty with, and write down critical information such as dates, times, addresses, telephone numbers, peoples' names, and amounts of money.
  • In case you have one side more affected than the other, tell co-workers which is your good side.
  • If you use any assistive listening device, let people know whether it is hearing aids or a speech process you wear. Also, explain how your specialized device work.

Tips for people in the workplace with normal hearing
Your organization may include employees and co-workers who have never worked with a hearing impaired colleague before. Not only is it necessary that all of your colleges are aware of your medical condition but it is required that they know how to deal with the hearing impaired in the workplace and help improve their efficiency.

Some key suggestions include:

  • Use your body language and facial expressions effectively. Avoid being straight-faced while talking or listening.
  • Keep your speech clear and do not exaggerate your lip and mouth movements as it may hinder speech-reading for the affected person.
  • Incorporate open-ended questions in your conversations between 'yes' or 'no' questions to determine if the hearing impaired understood you properly.
  • Talk at a normal pace or slower than usual if required.
  • Speak with the affected person to know how best to adjust your speed and volume of your speech.
  • Pause from time to time while you communicate with a hearing-impaired person to allow them to catch up and actively understand.


It's natural for some people with affected hearing to keep their disability a secret. However, keeping your disability untreated an undisclosed would only worsen the situation and raise more problems in the future.

Follow the general suggestions and guidelines mentioned above to ensure the hearing impaired can improve their productivity and efficiency at work.

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Hearing Aids Can Open Up a Whole New World

Hearing loss can affect individuals at any age. Impaired audit function may result from environmental conditions (such as working in a noisy environment), illness, or trauma to the head. In some cases, heredity is involved.

It's incredibly frustrating when hearing is compromised. Conversations become challenging. Being unable to hear sounds, such as a teakettle whistling, your dog barking, or a loved one asking for help, creates difficulties. Auditory loss can even be dangerous, especially if you can not hear important alerts or an emergency vehicle on the road.

Thankfully, the technology for hearing aids continues to advance, with new breakthroughs made every year. There are styles, sizes, and types of devices to suit many different needs, including a person's anatomy or lifestyle.

Invisible Products

Designed for veterans and first-time hearing aid users, these devices are hidden from view. Custom fit to the ear's shape, they rest comfortably inside the ear. Small in size, they utilize the latest in technology to amplify sound to a clear, audible level without drawing attention. They are easy to remove, and typically are ready to wear after just one visit to the audiologist.

In The Canal

An entire subset of devices sits in the ear canal. Receiver-in-canal models come in discreet designs and are easy to adjust. They work well for all levels of hearing loss, from mild to severe. Available in a variety of colors, they provide excellent sound clarity.

Completely-in-canal models are virtually undetectable. They work well for mild to moderate hearing loss and provide phenomenal sound quality. Standard in-canal models are visible but can be accessed easily. They also deliver top quality sound, including clear voices that stand out in almost any environment.

Behind The Ear

Hearing aids that are worn behind the ear work best for moderate to severe auditory impairment. They come in discreet designs that tuck behind the ear for privacy. Models have buttons or dials that are easy to use, and a variety of colors are available to suit your preference. This style is recognized for comfort and high performance.

In The Ear

Able to cover the entire range of injury from mild to severe, these devices differ from most in-canal varieties because they rest in the outer, visible portion of the ear. They provide excellent sound quality even in noisy places, and they are easy to reach when you need to remove or adjust them. They let the wearer accurately distinguish speech during conversations.

Single Sided Hearing

This is a unique class of devices that works best for individuals who experience hearing loss in only one ear. These products decrease reverberations, thus balancing the normal auditory perception in one ear with the amplified sound in the other.

Made For the iPhone

For ease and convenience, these devices are designed to be compatible with your iPhone. Music and phone calls can be streamed from your phone directly to your hearing aids. They're highly effective in eliminating buzzing and whistling. What's more, they work great in noisy environments.

As you can see, many types of devices exist to suit your needs and tastes.

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Debunking The Myths Around Hearing Assessments With Potent Facts

Hearing loss, be it mild impairment or profound deafness, calls for immediate medical attention.

However, many people with the medical condition put off having their hearing assessed because of the misinformation they have gathered from their family, friends and people around.

While pre-examination jitters are common and natural, it is important for any affected individual to overcome this fear and have the evaluation done in order to receive an appropriate treatment.

So, here we are, debunking the myths that are holding you back from improving your hearing and quality of life.

Myth # 1: Hearing can be easily tested at home

Fact: Babies and infants may respond to some sounds and get started by loud noises even when they lack the ability to hear sound properly to develop appropriate speech.

So, if you thing by just clapping hands or breaking heavy objects you can identify whether a child is hearing impaired, you have a misconception here. In order to be sure of the presence and intensity of the injury or loss in your child, it is inevitable to have a hearing evaluation done by a professional audiologist.

Myth # 2: Babies require sedation during assessments.

Fact: Infants under the age of 3 months are typically evaluated for their hearing while they're naturally sleeping.

However, in some cases the child to be evaluated may be given a mild sedative to make them quiet and calm or fall into sleep so that the test can be performed properly.

Myth # 3: The Screening is painful

Fact: Hearing screening is a quick process that does not include any type of pain or discomfort.

With the constantly progressing hearing technology, audiologists today have cutting-edge screening machine and equipment that make the evaluation easy, quick and painless for people of all ages. What's more, many hearing aid clinics in Australia offer free hearing tests and evaluations as part of their service which encourages the affected to get their evaluation done.

Myth # 4: Infants can not wear hearing aids, so there's no need for an assessment

Fact: According to audiology specialists and experts, newborns as young as 1 month can be equipped with a hearing aid, if needed.

With the increase in advanced hearing aid assessment technologies and methodologies, it's become possible to detect hearing impairment or deafness in infants and young children earlier than ever. Once, a child is diagnosed with the condition, the concerned audiologist would explain a suitable treatment option based on the age of the child and severity of the condition.


We just bought up four common myths. Unfortunately, there are many like these that prevent people from getting proper hearing care and treatment.

It is advisable to consult with a certified audiologist to receive optimal hearing evaluation and treatment as well as know more about the medical condition and possible aids.

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Hearing Loss State Spotlight – Iowa

In 2014 more than 100,000 of your friends and neighbors in Iowa reported experiencing some sort of hearing loss. That's not surprising since 15% of adults over 18 experience hearing loss to some extent, and 28.8 million American adults could benefit from hearing assistance!

The causes of hearing loss in Iowans may surprise you, however. people in Iowa often joke that we have two seasons – winter, and construction / farming / pothole repair. That second season is wreaking havoc on our hearing. Let's go over some of the occupations that contribute most to hearing loss in Iowa.

Causes of Hearing Loss

Construction: If you've ever been eaten at a red light while a crew uses a jackhammer to repair the street, you know how painfully loud that sound can be. Imagine how it would feel if that was the job you did every day. People working in construction use saws, drills, hammers, and other equipment that makes a great deal of loud noise for long periods of time.

Farming: Did you know more than 200,000 Iowans are employed as farmers or work in a farming related field? At first glance, farming might not seem like a profession that could damage your hearing – at least not to city dwellers. But those who have lived or worked on a farm, or in any of the many industries that relate to it, know better. A tractor with a closed cab can expose its operator to noise levels of around 85 decibels, and an open cab to 100 decibels. Grain silos and all the equipment that dries and keeps things flowing smoothly generate a lot of noise. Even a barn full of animals can be loud. A pig's squeal alone can reach 106 decibels!

Manufacturing: According to the CDC, 82% of hearing-loss cases reported in 2007 involved workers in manufacturing. Manufacturing is equipment-intensive work, and equipment tends to create noise. In Iowa, manufacturing tend to be specially focused on heavy farming equipment, which often has more work and machining.When the noise reaches over 85 decibels, damage can occur. When that noise level is sustained for hours and days at a time, it's hard to understand how someone would not have hearing loss.

Hunting: This activity might ring a bell – and keep bells ringing in your ears for years to come in the form of tinnitus. In 2013 more than 170,000 hunting licenses were issued to Iowans. Being exposed just once to gunfire can do permanent damage to your hearing! Bow hunters might think they're at less risk but you do not have to pull the trigger yourself for a gun's sound to cause hearing issues – standing next to the person shooting, or even in the vicinity, can cause damage.

What can you do about it?

First, be mindful of working conditions and use the appropriate noise-reducing gear. Know what tools and equipment are particularly loud, and wear hearing protection when working with or near them. Try different protection options – earmuffs may sound like something a kid would wear in the snow, but using them will keep you safe and much happier when you can hear your grandchildren telling you about their day. If earmuffs are too much, try earplugs. They may not be glamorous, but if they're effective, that's all that matters where safety is concerned.

Second, use tools that muffle or reduce noise on the equipment itself. You can install noise-reducing mufflers on engines. Choose the tractor with an enclosed cab or purchase an add-on enclosure.

Third, a simple and quick hearing test can help you understand where your hearing is now, and your hearing care provider can help you identify tools and resources to slow or prevent further damage. If you work in any of the above industries, or you find yourself engaging in loud activities regularly, you should have your hearing tested once per year to check for any significant changes.

Our hearing is one of the greatest gifts we have because it allows us to connect with people and things we love, and when we can protect that gift, we should!

This post was guest authored for ClearValue Hearing, the free hearing benefits plan by ASI Audiology and Hearing Instruments out of Red Oak, Iowa. Call today at 888-439-5775 to receive free annual screenings for hearing loss anywhere in the United States.

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How To Stop My Ears From Ringing – The Nuisance Of Tinnitus And A Simple Solution

How many times have you woke up in the morning with an annoying high-pitched tone in your ears and asked yourself how to stop my ears from ringing? Perhaps you attended a concert the night before and the music was extremely loud causing temporary hearing damage. Or, maybe you have an excess build up of wax laying near your eardrums. Possibly even, you have a persistent ring caused by an ear injury or nerve damage. Regardless of what cause you are plagued with this non-stop frustrating annoyance known as tinnitus.

Tinnitus can be an extremely uncomfortable condition that can be made worse by continued exposure to things that cause ear damage such as loud concerts, machinery, or injuries of the ear. These noises can cause a person with tinnitus to become irritable or be started easily. Nearly 20% of people suffer from some level of tinnitus or ringing of the ears.

Nearly everyone experiences tinnitus at one time or another, whether it be a major loud ringing, or a simple nagging faint sound that will not go away. If this condition lasts longer than a month or so it can become a real problem and lead to anxiety and stress as well. In some cases tinnitus could have a symptom of other ear related issues so it is always important to seek medical advice from a doctor. But, unfortunately, in many cases a doctor may not find the root cause of tinnitus if it has been due to exposure to loud noises.

Now there is a wonderfully simple technique to eliminate ringing in the ears and the pain associated with tinnitus. By implementing the use of brainwave entrainment and binaural beats in conjuction with your doctor's prescribed therapy or medication you can completely get relief from tinnitus. Binaural audio has been used for decades and has been discovered to be useful in many health and spirituality areas. Multiple audio tones frequencies (usually two) are played simultaneously, one in each ear, to create a sound wave of a certain frequency. This frequency is tuned to the specific desired brainwave state or internal organ frequency to cause a specific effect. Binaural audio can relieve tinnitus symptoms as well as other health related issues such as stress and migraine headaches, joint and organ pain, and more. Brainwave entrainment is also very useful in meditation to reach certain levels of brain activity such as Alpha, Delta, and Theta.

Research has shown the beta frequency helps ease tinnitus and related symptoms and allows you to relax and be more comfortable. In fact, you may be able to find relief before your medications take affect, and you may find it easier to get a peaceful rest or sleep.

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We All Have Rocks in Our Heads

I want to share a scary story with you. A few weeks ago, I woke at my usual 3:30 in the morning. I quickly sat up in bed and immediately fell to the floor.

I lay there stunned for a moment and then tried to sit up. The room was spinning. I slowly pushed myself upright using the bedspread for leakage.

When I managed to get to my feet, I had to hold on to furniture while traveling slowly towards the bathroom.

After standing at the sink for a few moments, the dizziness dissipated. I slowly walked from the bathroom to the kitchen, again using furniture to support myself.

I sat at the kitchen table sweating, with ringing ears, wondering what was wrong with me. I finally called family and asked them to take me to doctor.

Two hours later, my diagnosis was vertigo and double ear infections.

I missed a few days of work while trying to get a handle on the vertigo hopping the antibiotics would make it go away.

Well, that did not happen.

The medication did make it less daunting to walk and drive but I had to remain upright (no bending over) and no turning quickly.

Later, a friend told me I probably had knocked some of my “head rocks” loose. I looked at her as if she'd just offered me a glass of milk that had been sitting in the sun on a countertop all day.

Turns out, she was right!

After doing research, here is what I learned.

Our ears have tiny pebbles of calcium carbonite in the inner ear that helps us maintain our sense of balance.

These “ear rocks,” also called Otoliths, are located deep in the inner ear in a small pouch called a utricle.

When we move our heads, these small rocks move around and bump into nerve cells. The nerve cells send signals to our brain that tell it which way the head is leaning. It's how we know up from down, left from right.

Mini Ear Avalanche

Occidentally these little rocks fall out of the utricle and get into another part of the inner ear canals. When this happens the brain gets confused. It thinks we're moving more than we really are, resulting in unsteadiness or dizziness.

Head injury, viruses, or as in my case, an ear infection are the most common causes for “mini ear avalanches”. They are much more common in adults over fifty.

What's the Cure?

If you are willing to wait, the problem will sometimes resolve itself after several weeks.

Well, I am not good at waiting so I went searching for a quick resolution to my vertigo problem.

There is a very simple, yet clever, treatment called the Eply Maneuver. This choreographed sequence of head movements cause the misplaced rocks to roll back into the utricle.

I suggest you discuss this maneuver with your doctor before trying it. To evaluate and correct BPPV (benign paroxysmal positional vertigo) an ear, nose and throat specialist administers the Dix-Hallpike maneuver.

I also found sleeping in a semi-recumbent position for two or three nights helped as well as keeping my head vertical during the day. I'd use two pillows and avoided sleeping on my “bad” side.

Also, avoid trips to hairdressers, dentists, or any type of physical exercise requiring you to sit up, lie down, or bend over quickly (push-ups, sit-ups, or toe touching).

Your vertigo may not be as easy to cure as mine was.

This maneuver has been successful in approximately 85% of all cases.

The Epley Maneuver is a non-invasive and painless way to find relief from certain benign cases of vertigo and dizziness.

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Helping The Hearing Impaired: Handy Tips for Teachers to Liaise With Students With Hearing Loss

As much as it is important and inevitable, education and learning can be exceptionally challenging for the kids who are dealing with hearing impairment or hearing loss.

Luckily, they have teachers as their guards at school just like they have parents at home to care for them.

With a little more attention and support, teachers and administrators can help their hearing impaired students overcome difficulties at school and reach their full potential.


    Effective communication

  • Effectively use nonverbal cues like facial expressions and hand gestures when appropriate to highlight your points.
  • Complement verbal explanations and auditory information with visual clues like images, graphs, illustrations and videos (that include captions for students to easily comprehend ..
  • Provide the hearing impaired with notes to lessons beforehand so that they do not have to concentrate on writing things down while trying to listen.

    Engagement with other students

  • Point to students as you say their names so as to help direct the hearing impaired child's attention from speaker to speaker.
  • If the student uses sign language, have other students to learn the basics or common words of the language in their free period.
  • If feasible, establish a circular seating arrangement for all students to conveniently see and engage with each other.
    Reducing Background Interferences

  • Whenever possible, keep classroom doors closed to avoid unwanted background noises.
  • In case the classroom has a tiled floor, try to lay a carpet to help the room's acoustics and suppress varied incidental distracting sounds.

    Assistance with Hearing Aid

  • Hearing aids come with a unique classroom setting. Most of hearing devices come with a microphone to be worn by the teacher and amplify their voice.
  • Be sure to adhere to all guidelines within the hearing impaired student's IEP (Individualized Education Plan) relating to classroom adaptations and cochlear implants or aids for the hearing impaired.
  • In addition to hearing aid, there's another advanced technology that translates speech into readable text in real time. Such technology can be very helpful for students with profound hearing loss and in extremely noisy situations.

    Additional Considerations

  • Try to stand close to the child with impaired hearing and keep still when speaking. This will help the child hear better and prevent missing out on something being said.
  • Speak slowly, in a clear and audible tone and use simple words and sentences on order to make instructions clear and concise to the affected child.
  • Allow the child enough time to understand your questions and respond to them./li>
  • Check if the student is able to understand what is being said by observing his facial expression or asking the child to repeat instructions.


A few practical changes in the teaching style and classroom setting can work wonders for a hearing impaired child when it comes to learning and engaging at school.

Do you have a student who has hearing loss and facing difficulties in learning? Help them find suitable hearing aids online at, a reliable hearing aid provider in Australia and improve their listening experience.

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A Brief History of Closed Captioning

Closed captioning and subtitles have been part of accessible media since 1972 and has played a large role in the development of disability rights as well as civil rights in the United States. Created initially for the Deaf and hard-of-hearing, it has been implemented on a large scale since that time across television programming via video captioning and now on the Internet with YouTube and many other sharing services. The primary benefit of these services is to provide a convenient visual interpretation through text or symbol of televised audio content including speech, music and sound effects.

The first demonstration of captioning services was at the First National Conference on Television for the Hearing Impaired in 1971. By 1976, PBS was a major proponent in engineering and transmitting the technology of captioning to television viewers for pre-recorded programs.

Real-time captioning of live broadcasts was developed by the National Captioning Institute in 1982. This process involved the use of highly trained individuals capable of typing over two hundred words a minute to produce captions in close to real time. Public television station WGBH-TV in Boston, one of the earliest users of closed captioning, remains a major producer of captions.

In 1980, through the influence of the newly created National Captioning Institute, commercial television stations began regularly scheduled uses of closed captioning through a telecaption adapter. Large steps have been taken in the last 30 years to make closed captioning more readily accessible to the Deaf and hard-of-hearing. The technology is now programmed directly into televisions themselves, making adapters obsolete. In 2014, the FCC approved implementing higher quality standards for text-based interface, ensuring that progress in these technologies continues.

In the development and increased use of subtitles over the past 42 years, there have been many innovations, including the translation and transcription of audio content in a variety of languages. These translations have become common in the modern film and television industry. Closed captioning in the United States is now required to be available for regular Spanish-language television programming.

What is the difference between examples and captioning?

Subtitles are the visual representation of dialogue transcribed or translated and displayed onscreen (either embedded in or superimposed over a portion of the picture) in films, television, or video games. Subtitles are displayed generally on the bottom of the screen along with the audio track for the purpose of making the dialog more comprehensible to viewers who may not understand the native language or when the audio is temporarily unintelligible (ie, when drowned out by other sound in a public setting). Subtitles may also be used when a viewer desires to hear the audio track in its original language and read the text in translation rather than hearing the dialog dubbed into the viewer's own language.

Captions are similar to subtitles but may include in addition to dialog other audio information such as sound effects, symbolic representations of music, and may even indicate the speaker when this information is not clearly evident visually. The words captions and subtitles are frequently used interchangeably, but the main distinction between the two is that examples assume viewers can hear the audio track but for some reason find it unintelligible. Captions, however, are intended primarily for an audience that is unable or has difficulty listening the audio track.

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Hearing Loss in America, How Serious Are We About Accessibility?

Why are closed captioning services a big deal? Maybe you do not know anyone with a significant hearing deficit. Or do you? According to the National Institute for Deafness and Other Communication Disorders (NIDCD), approximately 15% of American adults (37.5 million people) aged 18 and over report some hearing difficulty. About two percent of adults aged 45 to 54 have disabling hearing loss, increasing to 8.5% for adults from 55 to 64, 25% for adults aged 65 to 74, and 50% for American adults aged 75 and older. In addition, the NIDCD estimates that approximately 15% of Americans (26 million people) between the ages of 20 and 69 have high-frequency hearing loss due to exposure to noise at work or during leisure activities.

As life expectancy continues to lengthen in the United States, it can be expected that more and more people diagnosed with substantial hearing loss will be affected by communication deficiencies over longer periods of time. So, what are their communication options? Reading and writing, surely, but more and more people are eschewing print media for television and the Internet to meet their information needs. It's quite likely a substantial number of people with hearing difficulties will learn American Sign Language, but ASL has limited availability.

What about hearing aids? Definitely some people will enhance their communication ability with hearing aids. But due to various reasons (eg, cost, stigma, physical discomfort), only 30% of those over the age of 70 who could benefit from hearing aids actually use them, according to the NIDCD, and the percentage drops even more for younger adults . This equates to tens of millions of American adults with hearing deficiencies inadequately addressed by current communication modalities.

In addition, United States law now requires closed captioning services to be made available for all programming produced by streaming video services and must be provided by broadcasters for all content distributed across the Internet if captioned when originally presented on-air (despite in many cases, closed captioning services are still not available for some programs). When more and more people are looking to electronic media for their news and information needs, the importance of greater accessibility and transparency is clear.

But is it an unenforceable mandate?

In a BBC report last year, YouTube itself stated that its closed captioning services for the Deaf and Hard-of-Hearing are “by no means good enough yet.” According to the report, as of February 2015 YouTube had more than one billion unique users every month with over six billion hours of content accessed and viewed each month. According to YouTube's own figures, approximately one-quarter of their content is closed captioned, and of that, the great bulk is produced via automatic captioning. A prominent vlogger and advocate for the Deaf and hard-of-hearing states in the report that the automatic captions generated by YouTube make “absolutely no sense.”

So, how serious are we about accessibility? Three-quarters of YouTube's media content is not accessible at all via closed captioning services, and of the 25% that are available a tremendous amount is lacking in accuracy, frequently rendering a transcript that bears little if any relationship to what is actually being spoken.

The most encouraging response to this sorry state of affairs has been through accessibility advocates encouraging volunteers to personally step in and caption clips themselves. The BBC report states that soon after a prominent video supporting better closed captioning began to circulate, over 2000 captions were submitted in 70 different languages. While this is gratifying, clearly it's only a drop in the bucket when videos posted to YouTube alone account for nearly an hour uploaded for each person on the planet each month. And while this work is being done with virtuous intent, who's responsible for guaranteeing the accuracy of these captions? For universal accessibility for all to been seriously, the accuracy of the captions accompanying electronic media must be taken seriously as well.

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Useful Tips to Choose Hearing Aids

There are some devices that we would never wish to be used by anyone. However if in any case the person needs to use them then it is best to buy only high quality items.

So here are some things to remember while buying hearing aids:

More Than an Amplifier

Many people think that a hearing aid is just a simple device that is primarily aimed at amplifying the sound. The reality however is different. Such device is a complex scientific device that is strategically designed to suit an individual person. The hearing loss can be attributed to different factors and can exhibit different kind of symptoms. So, based on the specific factor and symptom, it is equipped with special technology to ensure that it is able to mimic the functions of the ear and synchronize them to enable a person to hear properly. The main objective of it is not just to amplify the sound but to maintain its natural pitch and intensity. That makes it easily audible.

Digital Technology

For the better functioning the modern hearing aids are equipped with digital technology that makes it easier to adjust the settings for meeting precise specifications. Ideally a well-qualified audiologist should adjust the settings to meet an individual's needs and match the prescribed amount of noise or sound intensity suitable for him.

While Buying Online …

Many online shopping sites offer a wide variety of hearing aids. However, one thing to consider here is that various types of computer software are required to set the ideal configuration of hearing aids that can meet the patient's requirements. Each hearing device has different software's to control it. So, if your audiologist does not have access to the specific computer software then it would certainly pose a difficulty for the patient. Most of the sites do change the settings for you but you need to send your hearing device to the seller. So, it is always recommendable to check with your audiologist before buying a hearing aid online.

Proper Assessment

The audiologist assess the hearing needs of a patient after a thorough hearing test that is connected in specially designed earphones and other standard equipments. It helps the audiologist to decide the hearing requirements, lifestyle and daily interactions of a patient and recommend a hearing device that is ideally capable to help the patient live a normal life.

Apart from hearing aids, many audiologists also conduct special classes for the patients to make sure that their daily interaction are not only smooth and stress-free but also retains and boost the patient's self-confidence.

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Benefits of Consulting an Audiologist

Audiologists are licensed professionals who are experts in the diagnosis and management of disorders related to your auditory and balance systems. There is a mistaken belief that hearing loss or problems with balance only occurs in elderly people. The truth is these disorders can happen to anyone, from infants to seniors. The causes are diverse and numerous. Hearing loss should be closely monitored if you have a history of ongoing exposure to loud noises, ear infections, genetic hearing impairment, tinnitus, or head injury.

While looking for a qualified audiologist, do not be afraid to ask them questions concerning their practice. You should seek a medical professional who is aware of the latest research and evaluative methods and who uses the latest technology. The days of clunky, old-fashioned hearing aids are out. There are hearing aids nowdays that fit the shape of your answers discreetly and provide comfort in addition to efficiency.

Hearing aids are not your only solution. You may also consider hearing rehabilitation, where you work with a professional on practicing speech, reading, and listening skills. Make sure that an audiologist can provide you with multiple choices for a long-lasting, effective remedy. You should not be limited to just one solution, and the best medical professionals will be able to cater to your lifestyle and offer you a comfortable plan.

According to the American Speech-Language-Hearing Association, “Hearing and balance disorders are complex with medical, psychological, physical, social, educational, and employment implications.” Therefore, these hearing professionals have the important task of minimizing any negative impact you might be experiencing. With the right provider, you could see dramatic changes in your quality of life.

There are two common disorders in this field. One is dizziness, and the other is tinnitus. Dizziness is when people experience vertigo, unsteadiness, lightheadedness, and spatial disorientation. It may seem like a simple spell of falseness, but it is important to determine the cause and to keep track of the symptoms so that an audiologist can properly evaluate you.

Tinnitus is when people experience a ringing sensation in their ears when there is no outside cause. This condition is often followed by hearing loss. Tinnitus could have been caused by medications, age, noise exposure, allergies, head injury, or ear diseases. A medical professional can help you find relief and offer hearing protection if necessary.

According to How's Your Hearing, there are three ways that hearing aids can help tinnitus. One, by improving your hearing and reducing stress from training to hear. Two, by focusing on background sound to mask the tinnitus. And three, by stimulating your hearing nerves to increase effectiveness.

Whatever the case may be, do not hesitate to search for a qualified and experienced audiologist.

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