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Viral or bacterial Labyrinthitis ?

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I was diagnosed by my doctor 4 weeks ago with Labyrinthitis, and also glue ear, and was advised that this would go away in its own time and prescribed suppressants to alleviate symptoms. Whilst this has gotten a little better some days, others its making me very dizzy, with terrible headaches, sinusitis, post nasal drop and nausea. The only thing that seems to lift it enough to function normally is using Sudafed nasal decongestant - however i'm aware I cannot use this for more than a few days and thus when i stop using it, it all comes back. I'm wondering how the doctor can tell the difference between viral and bacterial labyrinthitis and whether I should now be asking to try some antibiotics?

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replied February 27th, 2009
Ear, Nose and Throat Disorders Answer A5910

According to the data you reported, you might be experiencing inflammation in more than just the inner ear. Inflammation of sinuses (sinusitis), nose (rhinitis) might be present as well. The infection might have spread from its original place. You might want to schedule a check-up with your doctor or ask a second opinion from Ear, Nose and Throat specialist. Since you have a post nasal drop, a swab from your nose and throat with antibiogram can determine if the condition is caused by bacteria or virus, and what antibiotic might be used, if this is caused by bacteria.

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