Does Parkinson’s Cause Tinnitus

Constant Noise In The Head Such As Ringing In The Earsrarely Indicates A Serious Health Problem But It Sure Can Be Annoying Here’s How To Minimize It

Tinnitus is sound in the head with no external source. For many, it’s a ringing sound, while for others, it’s whistling, buzzing, chirping, hissing, humming, roaring, or even shrieking. The sound may seem to come from one ear or both, from inside the head, or from a distance. It may be constant or intermittent, steady or pulsating.

Almost everyone has had tinnitus for a short time after being exposed to extremely loud noise. For example, attending a loud concert can trigger short-lived tinnitus. Some medications can cause tinnitus that goes away when the drug is discontinued. When it lasts more than six months, it’s known as chronic tinnitus. As many as 50 to 60 million people in the United States suffer from this condition; it’s especially common in people over age 55 and strongly associated with hearing loss. Many people worry that tinnitus is a sign that they are going deaf or have another serious medical problem, but it rarely is.

The course of chronic tinnitus is unpredictable. Sometimes the symptoms remain the same, and sometimes they get worse. In about 10% of cases, the condition interferes with everyday life so much that professional help is needed.

While there’s no cure for chronic tinnitus, it often becomes less noticeable and more manageable over time. You can help ease the symptoms by educating yourself about the condition — for example, understanding that it’s not dangerous. There are also several ways to help tune out the noise and minimize its impact.

Tinnitus Isnt A Sign Of Brain Death Even Though It Arises In The Brain; No Cure For Tinnitus Currently Exists

IncorrectFactually inaccurateInadequate support

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Combining A Vertigo Drug With A Parkinsons Disease Drug To Treat The Inner Ear Disorder Menieres Disease

Principal Investigator: Dr. Michael Strupp?

Disease: Meniere’s disease

Research Description: Meniere’s disease is a chronic inner ear condition, with symptoms including vertigo, dizziness, loss of balance, hearing loss, tinnitus and ear pressure. Although a number of therapeutic options have been proposed to treat MD, including a low salt diet, surgery and steroid injections into the inner ear, no FDA approved therapies for MD currently exist. In Europe, the anti-vertigo drug betahistine was approved to treat MD over 50 years ago, and betahistine is a commonly prescribed generic drug outside the US. However, its efficacy in treating MD has not yet been definitely shown. The research team has previously found that higher doses of betahistine can be more effective in reducing MD symptoms than lower doses, but patients must take a very large number of pills to achieve the higher dose levels. The team also discovered that combining betahistine with selegiline, a generic drug approved for Parkinson’s disease inhibits the enzyme that also metabolizes betahistine, leading to higher blood concentrations. Therefore, this drug combination may improve the clinical efficacy of betahistine even at lower doses. The team now proposes a clinical study to determine the efficacy of combining betahistine and selegiline in MD patients, potentially resulting in a new therapeutic approach not only for MD but also for other vestibular disorders.

Funding Partners: Becky and Lester Knight

 

Can I Do Anything To Prevent Tinnitus Or Keep It From Getting Worse

Noise-induced hearing loss, the result of damage to the sensory hair cells of the inner ear, is one of the most common causes of tinnitus. Anything you can do to limit your exposure to loud noise—by moving away from the sound, turning down the volume, or wearing earplugs or earmuffs—will help prevent tinnitus or keep it from getting worse.

What The Research Says About Caffeine Hearing Loss And Tinnitus

Contributed by Joy Victory, managing editor, Healthy HearingAugust 9, 20212021-08-09T00:00:00-05:00

Wondering how caffeine intake might affect your hearing, especially when it comes to hearing loss and tinnitus ? What about Meniere’s disease? 

So far, research has not shown any harmfullinks between caffeine consumption and hearingloss.

This isn’t a heavily studied topic of research, and for the most part, it does not seem that caffeine intake plays a big role in hearing health overall. 

Caffeine May Worsen Temporary Hearing Loss After Noise Exposure

Ever left a really noisy event and your hearing felt funny and muffled? You likely experienced temporary threshold shift , a sign that your the delicate hair cells of your inner ear are overworked and fatigued. Under normal conditions, your hearing should recover in a few days, if not sooner. It might help to skip any large doses of caffeine until your hearing is back to normal: Daily consumption of caffeine may prolong recovery from TTS, a 2016 study showed. However, the study was conducted on a small group of guinea pigs, so it likely does not translate to the same effect in people. 

Tinnitus May Warn Of Increased Risk For Alzheimers Parkinsons

Tinnitus, a sensation of sound without any source, appears to precede Parkinson’s and Alzheimer’s diseases and may serve as a sign of increased risk for those conditions, according to a recent study.

The study, “Tinnitus and risk of Alzheimer’s and Parkinson’s disease: a retrospective nationwide population-based cohort study,” was published in the journal Nature Scientific Reports.

Rates of tinnitus increase with age and studies have found that hearing loss, as well as central auditory dysfunction more generally, are associated with higher risks of cognitive dysfunction, particularly dementia, control of attention, and working memory.

Past studies, however, have not examined the relationship between tinnitus, Parkinson’s, and Alzheimer’s in a population-based way.

A team of researchers from various Taiwanese institutions recently examined this association using records from Taiwan’s National Health Insurance system. The NHI records provide a large and nationally representative patient sample with long follow-up periods, as participation is nationwide and mandatory.

They identified 12,657 tinnitus patients and 25,314 control patients without tinnitus. Over a 10-year follow up period, 398 of those with tinnitus and 501 without developed Alzheimer’s.

A further 211 tinnitus patients and 249 control patients developed Parkinson’s.

Where Can I Find Additional Information About Mnire Disease

NIDCD maintains a directory of organizations that can answer questions and provide printed or electronic information on Ménière’s. Please see the list of organizations at .

Use the following keywords to help you search for organizations that can answer questions and provide printed or electronic information on Ménière’s disease:

Risk Factors That Increase Risk Of Cardiovascular Disease

Recent research showed that people with Parkinson’s who have a high or medium risk of cardiovascular disease tend to have more problems with walking and memory. While both cardiovascular disease and PD become more common as people get older, this study found that people with poorer cardiovascular health also had worse walking and memory problems, even in the early stages of PD. The study authors suggest that assessment and treatment of vascular health may help improve these patients’ PD symptoms as well.4,5

What Are Researchers Doing To Better Understand Tinnitus

Along the path a hearing signal travels to get from the inner ear to the brain, there are many places where things can go wrong to cause tinnitus. If scientists can understand what goes on in the brain to start tinnitus and cause it to persist, they can look for those places in the system where a therapeutic intervention could stop tinnitus in its tracks.

In 2009, the National Institute on Deafness and Other Communication Disorders sponsored a workshop that brought together tinnitus researchers to talk about the condition and develop fresh ideas for potential cures. During the course of the workshop, participants discussed a number of promising research directions, including:

Teens Loud Music And Possible Future Hearing Problems

One study found that out of 170 teenagers, over half had experienced tinnitus in the previous year. Research has proposed that “potentially risky leisure habits,” such as listening to loud music on personal devices, could trigger tinnitus.

However, the investigators found that those who were prone to tinnitus tended to keep their music volume down, suggsting they may already have a hidden susceptibility to hearing loss in the future.

They propose monitoring for tinnitus and a low tolerance for loud noise from an early age, as these could be early signs of future hearing loss.

Tinnitus is a common problem in the general population, especially among those with certain risk factors.

These include:

Parkinsons Disease May Also Result In Hearing Loss

A study, conducted by a Taiwanese research team, shows that incidences of Parkinson’s disease were 1.77 times more likely in a group of patients with hearing loss compared to a non-hearing loss group: 3.11 vs. 1.76 per 1,000 people respectively.

With a comparison group of nearly 20,000 people without hearing loss, the research team investigated the incidence of Parkinson’s disease by the end of 2010 in both groups.

What Research About Mnires Disease Is Being Done

Insights into the biological mechanisms in the inner ear that cause Ménière’s disease will guide scientists as they develop preventive strategies and more effective treatment. The NIDCD is supporting scientific research across the country that is:

• Determining the most effective dose of gentamicin with the least amount of risk for hearing loss.
• Developing an in-ear device that uses a programmable microfluid pump to precisely deliver vertigo-relieving drugs to the inner ear.
• Studying the relationship between endolymph volume and inner ear function to determine how much endolymph is “too much.” Researchers are hoping to develop methods for manipulating inner ear fluids and treatments that could lower endolymph volume and reduce or eliminate dizziness.

Visit Your Primary Care Provider And Audiologist

If your tinnitus continues beyond a week, becomes bothersome, starts to interfere withyour sleep and/or your concentration, or makes you depressed or anxious, seek medical attention from a trained healthcare professional. Your PCP should be able to diagnose/rule out certain causes of tinnitus, such as obstructions in the ear canal or temporomandibular joint dysfunction , and provide a referral to the appropriate specialist. If no underlying medical issues are found, see an audiologist for a hearing assessment and evaluation of tinnitus treatment options.

It is also vital that tinnitus patients educate themselves about tinnitus and tinnitus management so that they can be their own advocates in the healthcare process. ATA encourages patients to independently research their condition in preparation for their appointments and arrive with specific questions for their provider:

All materials posted on the ATA website are subject to copyright owned by the American Tinnitus Association . No part of these pages, either text, file or image may be used for any purpose other than personal use. Any reproduction, retransmissions, republication, storage in a retrieval system or retransmission, in any form or by any means, electronic, mechanical or otherwise, is strictly prohibited without prior written permission. Submit our contact form for general inquiries.

 

And Some Cancer Patients Should Be Cautious Too

Cancer patients who take the drug cisplatin should be careful combining the drug with caffeine intake. Cisplatin is well-known to cause hearing loss and tinnitus in chemotherapy patients, a phenomenon known as cisplatin-induced hearing loss. A 2019 study on lab rats showed that adding caffeine increased the risk of hearing loss. The study authors concluded that “these findings highlight a possible drug-drug interaction between caffeine and cisplatin for ototoxicity and suggest that caffeine consumption should be cautioned in cancer patients treated with a chemotherapeutic regimen containing cisplatin.”

What Are The Complications Of Parkinson Disease

Parkinson disease causes physical symptoms at first. Problems with cognitive function, including forgetfulness and trouble with concentration, may arise later. As the disease gets worse with time, many people develop dementia. This can cause profound memory loss and makes it hard to maintain relationships.

Parkinson disease dementia can cause problems with:

• Speaking and communicating with others
• Problem solving
• Forgetfulness
• Paying attention

If you have Parkinson disease and dementia, in time, you likely won’t be able to live by yourself. Dementia affects your ability to care of yourself, even if you can still physically do daily tasks.

Experts don’t understand how or why dementia often occurs with Parkinson disease. It’s clear, though, that dementia and problems with cognitive function are linked to changes in the brain that cause problems with movement. As with Parkinson disease, dementia occurs when nerve cells degenerate, leading to chemical changes in the brain. Parkinson disease dementia may be treated with medicines also used to treat Alzheimer’s disease, another type of dementia.

Can Upper Cervical Chiropractic Help Tinnitus

If you are suffering from tinnitus, it just makes sense to give this natural and effective form of care a try. Contact a practitioner in your area today to schedule an examination. If a misalignment is detected, you may have just found the natural way to long-lasting relief.

to schedule a consultation today.

Summing It All Up: Menieres Vs Other Maladies

As you can see, there are many maladies that can create Meniere’s-like symptoms. Experts estimate between one-third and one-half of all dizziness patients experience have also had diagnostic changes and changes to treatment recommendations since their first examination. That’s why you go through all those tests before your doctor settles on a diagnosis. If you have Meniere’s, then you can take the next steps for planning your care and life modifications for the best quality of life.

Joy Victory Managing Editor Healthy Hearing

Joy Victory has extensive experience editing consumer health information. Her training in particular has focused on how to best communicate evidence-based medical guidelines and clinical trial results to the public. She strives to make health content accurate, accessible and engaging to the public.Read more about Joy.

What Are The Symptoms Of Parkinson Disease

Parkinson disease symptoms usually start out mild, and then progressively get much worse. The first signs are often so subtle that many people don’t seek medical attention at first. These are common symptoms of Parkinson disease:

• Tremors that affect the face and jaw, legs, arms, and hands
• Slow, stiff walking

Learn more about the center

How Does A Doctor Diagnose Mnires Disease

Ménière’s disease is most often diagnosed and treated by an otolaryngologist . However, there is no definitive test or single symptom that a doctor can use to make the diagnosis. Diagnosis is based upon your medical history and the presence of:

• Two or more episodes of vertigo lasting at least 20 minutes each
• Tinnitus
• Temporary hearing loss
• A feeling of fullness in the ear

Some doctors will perform a hearing test to establish the extent of hearing loss caused by Ménière’s disease. To rule out other diseases, a doctor also might request magnetic resonance imaging or computed tomography scans of the brain.

No Need To Abstain According To Research

Some tinnitus patients report an improvement in symptoms when they cut back on caffeine. If you also find it useful, then by all means, cut back. Just keep in mind that so far, research hasn’t shown that cutting back will reduce tinnitus. In fact, one study on women actually found lower rates of tinnitus among women who reported heavy coffee use. 

This is similar to a previous study finding that indicated “caffeine abstinence” was an ineffective treatment for tinnitus, and in fact, the withdrawal from caffeine might actually be distressing. 

No evidence was found to justify caffeine abstinence as a therapy to alleviate tinnitus, and acute effects of caffeine withdrawal might even add to the burden of tinnitus, the study authors said.

Upper Cervical Chiropractor And Tinnitus

Tinnitus refers to a ringing, buzzing, whistling, or rushing sound in the ear. “Do you hear that ringing sound, or is it just me?” If you find yourself asking this question , the problem could be tinnitus.

• Why does tinnitus occur?
• How could it be connected to the upper neck?
• Is there a natural way to find relief?

We will address the answers to these questions and more in our article.

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WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.

DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. All information is observation-only. Our phase IV clinical studies alone cannot establish cause-effect relationship. Different individuals may respond to medication in different ways. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. The use of the eHealthMe site and its content is at your own risk.

If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date.

The Link Between Tinnitus And Dementia

Many studies have remarked on the link between hearing loss and dementia, but many people still wonder if tinnitus has any links to the condition as well.

Tinnitus

Recent studies have shown that there is an irrefutable link between hearing loss and dementia in older patients. As their hearing worsens, they might have trouble interacting with people. Many older people who struggle to communicate with family members, friends, and nurses might withdraw, which can have a negative impact on their health. Social isolation has been shown to increase the onset and effects of dementia, and hearing loss can directly cause isolation.

There is also the issue of misdiagnosis. Certain symptoms of hearing loss might be misinterpreted as dementia. In one case, a woman was diagnosed with a serious case of dementia. After she was fitted with hearing aids, doctors were able to determine that many of her symptoms weren’t caused by a mental condition, but a hearing problem.

Early detection of hearing loss is key in these cases. Once the hearing loss is diagnosed, measures can be taken to ensure that the patient’s health and well-being are better taken care of. Hearing aids can allow them the freedom to communicate, and an active social life can help prevent the onset of dementia.

Evaluate And Treat Underlying Problems

If you develop tinnitus, it’s important to see your clinician. She or he will take a medical history, give you a physical examination, and do a series of tests to try to find the source of the problem. She or he will also ask you to describe the noise you’re hearing and the times and places in which you hear it. Your clinician will review your medical history, your current and past exposure to noise, and any medications or supplements you’re taking. Tinnitus can be a side effect of many medications, especially when taken at higher doses .

Musculoskeletal factors — jaw clenching, tooth grinding, prior injury, or muscle tension in the neck — sometimes make tinnitus more noticeable, so your clinician may ask you to tighten muscles or move the jaw or neck in certain ways to see if the sound changes. If tight muscles are part of the problem, massage therapy may help relieve it.

Tinnitus that’s continuous, steady, and high-pitched generally indicates a problem in the auditory system and requires hearing tests conducted by an audiologist. Pulsatile tinnitus calls for a medical evaluation, especially if the noise is frequent or constant. MRI or CT imaging may be needed to check for a tumor or blood vessel abnormality.

If you’re often exposed to loud noises at work or at home, it’s important to reduce the risk of hearing loss by using protectors such as earplugs or earmuff-like or custom-fitted devices.

Selected resources

Ways To Decrease Risk Of Heart Disease

As in the general population, heart disease in people with PD can be decreased by managing traditional risk factors:

• Smoking cessation – According to the American Heart Association, smoking is the most preventable cause of premature death in the U.S. Smoking increases the risk of developing many chronic disorders, including atherosclerosis that can lead to heart disease and stroke.3
• Treatment of high blood pressure – Approximately 90% of all Americans will develop hypertension, or high blood pressure, over their lifetime. Hypertension puts more stress on arteries and can cause damage over time.3
• Treatment of high cholesterol – High cholesterol is one of the major controllable risk factor for heart disease. When too much LDL cholesterol is in the blood, it can build up in the artery walls and narrow the vessels that feed the heart and brain.3
• Control of diabetes – Diabetes can affect many major organs in the body, including the heart. Fortunately, diabetes is treatable and often preventable.3

How Does Caffeine Affect Hearing Loss

For the most part, it does not appear that normal caffeine intake will have much of an impact on your hearing in the long-term. Caffeine does restrict blood vessels and alter blood pressure, and blood flow is an important part of healthy hearing, so researchers have wondered if there is a relationship. A large Korean observational study found no connection. In fact, it found that people who drank coffee had lower rates of hearing loss than non-coffee drinkers. 

Misaligned Atlas And The Ringing Ears

For one thing, a misaligned atlas can affect the structures of the ear. The eustachian tubes, in particular, play a vital role. These tubes drain away excess fluid from the ears so they can drain harmlessly. However, if tube function is inhibited, fluid can build up and lead to tinnitus. Therefore, even when ringing in the ears is caused by a blockage, the problem may still be in the neck.

The Labyrinth In Relation To The Ear

The labyrinth is composed of the semicircular canals, the otolithic organs , and the cochlea. Inside their walls are thin, pliable tubes and sacs filled with endolymph.

The symptoms of Ménière’s disease are caused by the buildup of fluid in the compartments of the inner ear, called the labyrinth. The labyrinth contains the organs of balance and of hearing . It has two sections: the bony labyrinth and the membranous labyrinth. The membranous labyrinth is filled with a fluid called endolymph that, in the balance organs, stimulates receptors as the body moves. The receptors then send signals to the brain about the body’s position and movement. In the cochlea, fluid is compressed in response to sound vibrations, which stimulates sensory cells that send signals to the brain.

In Ménière’s disease, the endolymph buildup in the labyrinth interferes with the normal balance and hearing signals between the inner ear and the brain. This abnormality causes vertigo and other symptoms of Ménière’s disease.

Why Do I Have This Noise In My Ears

Although we hear tinnitus in our ears, its source is really in the networks of brain cells that make sense of the sounds our ears hear. A way to think about tinnitus is that it often begins in the ear, but it continues in the brain.

Scientists still haven’t agreed upon what happens in the brain to create the illusion of sound when there is none. Some think that tinnitus is similar to chronic pain syndrome, in which the pain persists even after a wound or broken bone has healed.

Tinnitus could be the result of the brain’s neural circuits trying to adapt to the loss of sensory hair cells by turning up the sensitivity to sound. This would explain why some people with tinnitus are oversensitive to loud noise.

Tinnitus also could be the result of neural circuits thrown out of balance when damage in the inner ear changes signaling activity in the auditory cortex, the part of the brain that processes sound. Or it could be the result of abnormal interactions between neural circuits. The neural circuits involved in hearing aren’t solely dedicated to processing sound. They also communicate with other parts of the brain, such as the limbic region, which regulates mood and emotion.

What Should I Do If I Have Tinnitus

The first thing is to see your primary care doctor, who will check if anything, such as ear wax, is blocking the ear canal. Your doctor will ask you about your current health, medical conditions, and medications to find out if an underlying condition is causing your tinnitus.

If your doctor cannot find any medical condition responsible for your tinnitus, you may be referred to an otolaryngologist . The ENT will physically examine your head, neck, and ears and test your hearing to determine whether you have any hearing loss along with the tinnitus. You might also be referred to an audiologist who can also measure your hearing and evaluate your tinnitus.

What Is Tinnitus And What Causes It

Tinnitus is a symptom of other conditions rather than a condition all by itself. Sometimes it may be a temporary experience. If you’ve ever been to a rock concert, you probably experienced tinnitus afterward. However, for many people, tinnitus becomes a chronic issue. In such cases, the following tinnitus causes may play a role:

• Blockage – If the ear becomes blocked by cerumen or by the fluid in the ear building up , tinnitus can result.
• Side Effect – Various medications cause tinnitus as a side effect. Some of the more common ones include antibiotics, aspirin, certain anti-inflammatory drugs, antidepressants, and quinine medications.
• Deterioration – If the cochlea or other parts of the inner ear begin to break down, this can cause a buzzing or ringing sound.
• Medical Conditions – Certain conditions such as hypertension , cardiovascular issues, anemia, allergies, autoimmune diseases, diabetes, and thyroid problems can all cause tinnitus. Meniere’s disease is a vestibular condition that has tinnitus as one of its primary symptoms.
• Neck injuries – Whether caused by head or neck trauma or by some other issue with the neck and TMJ , neck problems are a common source of tinnitus. Neck pain and tinnitus frequently go hand in hand.

As you can see, the neck is one of the main players when it comes to tinnitus. Let’s take a closer look at the structures of the neck that can lead to tinnitus and how they relate to a number of the causes noted above.

How Parkinsons Affects The Cochlea

It is well known that aging is related to hearing loss. However Parkinson’s disease also affects the cochlea, which is the sensory organ of hearing.

The important neurotransmitter dopamine, the absence of which causes Parkinson’s disease, helps to protect the cochlea from noise exposure. Inadequate dopamine can thus lead to damage to the cochlea and result in hearing loss.

How Is Parkinson Disease Diagnosed

Parkinson disease can be hard to diagnose. No single test can identify it. Parkinson can be easily mistaken for another health condition. A healthcare provider will usually take a medical history, including a family history to find out if anyone else in your family has Parkinson’s disease. He or she will also do a neurological exam. Sometimes, an MRI or CT scan, or some other imaging scan of the brain can identify other problems or rule out other diseases.

The Dangers Of Improper Technique

You might find irrigation kits online, but these should not be used. Many of the at-home treatments like candles and water picks can cause serious damage to your eardrum and inner ear. You should never try to remove an impaction yourself. Pushing too hard with a cotton swab can shove the earwax in deeper, damage the eardrum and cause serious tinnitus and hearing loss.

Signia also recommends that you only use the services of professionals you trust. If you’re having trouble finding a hearing care professional, the  can help you find contacts in your area.

Does Caffeine Make Tinnitus Worse

Roopesh

Hello everyone and welcome back. In my previous post, titled diet and tinnitus, I chatted about caffeine and its effect on tinnitus. I simply said that there is no conclusive proof that caffeine is either good or bad if you are suffering from tinnitus. Today I will revisit this topic and discuss some interesting findings .Enjoy this read.

Why Do People Get Mnires Disease

Many theories exist about what happens to cause Ménière’s disease, but no definite answers are available. Some researchers think that Ménière’s disease is the result of constrictions in blood vessels similar to those that cause migraine headaches. Others think Ménière’s disease could be a consequence of viral infections, allergies, or autoimmune reactions. Because Ménière’s disease appears to run in families, it could also be the result of genetic variations that cause abnormalities in the volume or regulation of endolymph fluid.

How Is Parkinson Disease Treated

Parkinson disease can’t be cured. But there are different therapies that can help control symptoms. Many of the medicines used to treat Parkinson disease help to offset the loss of the chemical dopamine in the brain. Most of these medicines help manage symptoms quite successfully.

A procedure called deep brain stimulation may also be used to treat Parkinson disease. It sends electrical impulses into the brain to help control tremors and twitching movements. Some people may need surgery to manage Parkinson disease symptoms. Surgery may involve destroying small areas of brain tissue responsible for the symptoms. However, these surgeries are rarely done since deep brain stimulation is now available.

Menieres Disease Home Treatments

It’s not clear you can do anything to prevent Meniere’s disease, but you can do a few things to help manage your symptoms.

If  you’re having an attack of vertigo:

• Try to sit down and stay still. 

• Don’t make sudden movements, and avoid bright light, loud noise, and other triggers. Watching TV or even reading also can be harmful. 

• Fix your gaze on something steady. 

In addition to eating a low-salt diet, you may want to cut down on alcohol and caffeine. Some people think such diet changes lessen the effects of the disease. Tobacco use also can be harmful, as cigarettes have chemicals in them that restrict blood vessels. If this happens in your ears, it can lead to hearing loss. Studies show that smokers are much more likely to have hearing loss than nonsmokers.

Vertigo attacks can be triggered by different things in different people. Try to write down as many things as you can remember about the episode. Triggers might include:

• Stress

• Sharp changes in weather, specifically air pressure

• Underlying illness