Unpleasant sensations during VSD have different characteristics. A person may experience pressure surges, pain in the heart, rapid heartbeat, anxiety, difficulty breathing, increased body temperature, disturbances in the gastrointestinal tract, restless sleep with VSD, etc. One of the manifestations of VSD is tinnitus. It may also indicate the development of another disease (otitis media or cervical osteochondrosis), and therefore is subject to careful diagnosis. Information about what kind of pain during VSD worries the patient will help the doctor suspect the correct diagnosis, which is confirmed by examination.
Reliable diagnosis and high-quality treatment of VSD in Moscow is performed at the Yusupov Hospital. Extensive experience and high qualifications of doctors allow us to identify the causes of the disease and successfully eliminate it.
Inflammation
Inflammatory causes of ear congestion:
- external otitis of any etiology (fungal, bacterial, viral);
- eustacheitis (tubootitis);
- catarrhal otitis media, bullous otitis (with influenza);
- purulent otitis media (including chronic);
- exudative otitis;
- adhesive otitis media
With inflammation in the nasal cavity, paranasal sinuses or pharynx, swelling of the nasopharyngeal mouth of the auditory tube occurs, due to which the pressure in the tympanic cavity and the environment ceases to equalize, and the drainage function of the auditory tube is disrupted. The infectious agent, together with the discharged contents from the nasal cavity and paranasal (paranasal) sinuses, enters the auditory tube and tympanic cavity, causing inflammation of the auditory tube - eustacheitis (tubo-otitis) and otitis media.
Due to inflammation, swelling of the mucous membrane of the middle ear and eardrum occurs, sound-conducting mechanisms stop working normally, and ear congestion occurs, and hearing decreases. A common cause of dysfunction of the auditory tube and the development of otitis in children is hypertrophy of the nasopharyngeal tonsil and adenoiditis. In adults, vasomotor and allergic rhinitis and deviated septum are common causes of swelling at the mouth of the auditory tube. The cause may also be a violation of blood circulation and innervation in the inner ear.
With inflammation in the external auditory canal, swelling of its walls appears, fungal or purulent masses clog the ear canal, and the surface layers of the eardrum become inflamed (myrinigitis). Because of this, the mobility of the eardrum, necessary for proper sound transmission, is reduced.
Most of the described forms of otitis often occur as complications of acute respiratory diseases, sinusitis, rhinitis, especially in the case of improper cleansing of the nasal cavity. In addition to the feeling of congestion during otitis media, shooting, sharp or aching pains, hearing problems, bloody, fungal, purulent discharge, itching, a feeling of pulsation or fluid transfusion in the ear can be added.
A feeling of ear fullness also occurs when:
- water getting into the ears (usually when swimming), the water usually evacuates on its own and does not require intervention;
- when a cerumen or epithelial plug forms (can also occur after water gets into the ear due to swelling of the cerumen plug);
- foreign bodies getting into the ears: insects, earbuds, cotton wool from cosmetic sticks, etc.
After eliminating the provoking factor, the discomfort disappears and hearing is restored.
Insomnia
Insomnia and drowsiness with VSD are common clinical manifestations of nervous system dysfunction. As a result of insomnia, a person becomes irritable, lethargic, and develops chronic fatigue. Facial swelling with VSD can also be the result of insomnia.
The following are the main triggers for insomnia:
- stress;
- neurosis;
- depression;
- change of time zones;
- some medications.
Insomnia with VSD requires urgent treatment, since a prolonged lack of sleep and proper rest causes significant disruption of the functioning of the organs and systems of the body. Insomnia can cause exhaustion of the body - a serious condition that requires complex treatment.
Sensorineural hearing loss
The cause of hearing loss and a feeling of fullness in the ears may be sensorineural hearing loss, which occurs as a result of a violation of the blood supply or innervation in the inner ear.
Sensorineural hearing loss can result from:
- changes in blood pressure due to hypertension;
- acute viral diseases;
- barotrauma;
- fracture of the base of the skull;
- ischemia of the central areas of the auditory analyzer;
- neuroma of the vestibulocochlear nerve;
- compression from the outside by neoplasms and vascular aneurysms.
Lower back pain
The cause of back pain during VSD, in particular in the lower back, is most often osteochondrosis of the lumbar region. Degenerative-dystrophic disease of the spinal tissue disrupts the functioning of the nerve roots, which, in turn, begin to transmit incorrect signals to the peripheral nerve endings. Thus, osteochondrosis causes symptoms of VSD.
Back pain with osteochondrosis with the VSD clinic has the following manifestations:
- increased heart rate;
- numbness of the limbs;
- heartburn, nausea;
- lack of air (a cough is often associated with VSD).
Osteochondrosis can develop not only in the lumbar area, but also affect other areas of the spine: the thoracic and cervical regions. VSD and tension in the neck are a consequence of cervical osteochondrosis. Its other symptoms are headache, dizziness, memory impairment, and constant fatigue.
Symptoms of ear congestion
Associated symptoms for various ear diseases:
| Cause | Symptoms | |||||||
| Pain | Ear discharge | Itching | Hearing loss | Autophony | Noise | Sensation of fluid transfusion | Manifestations of general intoxication | |
| Sulfur plug | No | No | Not really | Yes | Not really | Not really | No | No |
| Otitis externa | Yes | Not really | Yes | Yes | Not really | No | No | Not really |
| Tubootitis | Not really | No | No | Yes | Yes | Not really | No | Not really |
| Otitis media | Yes | No | No | Yes | Yes | Not really | No | Yes |
| Suppurative otitis media | Yes | Yes | Not really | Yes | Not really | Not really | No | Yes |
| Exudative otitis media | No | No | No | Yes | Yes | Not really | Yes | No |
| Sensorineural hearing loss | No | No | No | Yes | Not really | Yes | No | No |
Diagnostic methods
Timely diagnosis is the main condition for successful treatment of diseases that are accompanied by headaches and tinnitus. After the examination, the doctor will prescribe additional examinations that will determine the main cause of the deterioration in health. So, the following diagnostic methods may be needed:
- measuring blood pressure, including monitoring this indicator throughout the day;
- blood tests - general and biochemical, as well as determination of glucose and cholesterol levels;
- angiography of cerebral vessels - allows you to determine the intensity of blood circulation, the presence of spasms and blockage of the arteries;
- computer or magnetic resonance imaging is the main method for detecting tumors, aneurysms and other pathologies that require surgical treatment, as well as diseases of the cervical spine.
The Clinical Brain Institute houses precise, modern equipment for diagnosing a number of diseases. Experienced doctors will prescribe only the necessary examinations, which will allow you to quickly make an accurate diagnosis and begin treatment. It is important that it is impossible to obtain all the necessary information about the stage of the disease and its causes either at home or on the basis of a simple examination.
Diagnosis of ear congestion
Standard examinations for any ear pathology:
- video endoscopy or microscopy of the ear;
- video endoscopy of the nose and nasopharynx;
- audiometry;
- tympanometry;
If necessary, additional studies are prescribed:
- computed tomography or magnetic resonance imaging of the temporal bones and brain;
- culture of nasal discharge and external auditory canal for flora and sensitivity to antibiotics;
- general blood test, blood glucose (other additional laboratory tests are possible after consulting a doctor);
- Doppler ultrasound of neck vessels;
- consultations with other specialists.
Treatment of tinnitus with VSD in Moscow
In Moscow, VSD therapy is successfully performed at the Yusupov Hospital. Since VSD is more often a manifestation of some disorder in the physical or psychological state of a person, the pathology requires careful diagnosis. The modern equipment of the Yusupov Hospital allows for examinations of any complexity, which contributes to a quick and accurate diagnosis. Based on the examination data, the doctor (therapist, neurologist or other specialist) creates the most effective therapy that will eliminate unpleasant symptoms and cure the true cause of the pathology.
You can make an appointment with the clinic’s specialists by calling the Yusupov Hospital.
Treatment
Treatment for ear congestion and otitis media involves treating the underlying cause of the disease:
- in case of an inflammatory process in the nasal cavity and paranasal sinuses, antibacterial therapy is prescribed, in addition, lavage of the nasal cavity is prescribed, which eliminates the discharge of discharge into the auditory tube during self-washing, treatment with a YAMIK catheter, puncture of the maxillary sinuses, physiotherapy;
- if a chronic pathology of the nasal cavity or nasopharynx is detected, leading to the closure of the mouth of the auditory tube, surgical treatment is performed (adenotomy, vasotomy, septoplasty, etc.);
- To remove wax plugs or foreign bodies, the doctor performs lavage (under visual control) or instrumental removal of the foreign body;
- for external otitis, the outer ear is washed and its walls are treated with antifungal and antibacterial drugs;
- in case of dysfunction of the auditory tube or exudate in the tympanic cavity, medical procedures are necessary: pneumomassage of the tympal membrane, blowing of the ears according to Politzer, catheterization of the eustachian tube, paracentesis or shunting of the eardrum;
- for sensorineural (sensorineural) hearing loss, a course of vascular and vitamin therapy is prescribed to improve the nutrition of the inner ear and brain.
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Basic treatment regimens for ear pathology*
| Pathology | Basic treatment methods |
| Sulfur plug | Removal by rinsing or instrumental removal. |
| Otitis externa | Toilet of the external auditory canal, treatment with medications, ear drops, vasoconstrictor nasal sprays, systemic antibacterial or antifungal therapy, FTL**. |
| Tubootitis | Vasoconstrictor nasal sprays, blowing of the eustachian tubes according to Politzer, pneumomassage of the eardrum, FTL**, catheterization of the auditory tubes if necessary. |
| Otitis media | Vasoconstrictor nasal sprays, systemic antibacterial therapy, ear drops, Politzer ear blowing, pneumomassage of the eardrum, FTL**, if necessary, catheterization of the auditory tubes, lavage of the nasal cavity using the moving method. If necessary, surgical treatment - eardrum bypass or paracentesis. Complemented by the treatment of diseases of the ENT organs. |
| Suppurative otitis media | Vasoconstrictor nasal sprays, systemic antibacterial therapy, ear drops, Politzer blowing, if necessary, transtympanic injection of drugs, catheterization of auditory tubes, nasal lavage using the displacement method. If necessary, surgical treatment - eardrum bypass or paracentesis and other operations, FTL**. It is supplemented by treatment of pathologies of the nasal cavity, nasopharynx and paranasal sinuses, if indicated. |
| Exudative otitis media | Vasoconstrictor nasal sprays, mucolytics, Politzer blowing, catheterization of auditory tubes. If necessary, surgical treatment - eardrum bypass or paracentesis, FTL**. It is complemented by the treatment of pathologies of the nasal cavity, nasopharynx and paranasal sinuses. |
| Sensorineural hearing loss | Catheterization of auditory tubes, systemic vascular and vitamin therapy. |
*These treatment regimens are not a recommendation for self-treatment and serve to familiarize patients with basic treatment methods. The final decision on treatment and examination methods is made by the doctor after the examination!
** FTL – physiotherapeutic treatment.
Feeling of a lump in the throat with VSD
Very often you can find in people suffering from VSD the sensation of a lump in the throat. It's one thing when there is a logical, although there may be an unpleasant and frightening explanation, for example, a tumor or severe inflammation that causes a narrowing of the larynx. But what to do in cases where there is a lump, but there are no reasons for it, and turning to a variety of specialists gives the same result: the person who contacts them has no reason to feel a lump.
What are the symptoms of a lump in the throat?
This symptom of VSD, like a lump in the throat, appears completely suddenly. One fine morning there is a feeling that something is interfering, preventing you from swallowing and breathing deeply as usual. At the same time, five minutes ago everything was in order, but any ordinary or everyday situation, accompanied by a little excitement, an increase in blood pressure and an increase in heart rate - and now, the feeling that someone is squeezing the neck. All you have to do is drink a sedative, come to your senses a little, and your condition will return to normal. But in any other stressful situation, the feeling of a lump in the throat appears again.
Unpleasant sensations can be either constant or periodic. At the same time, the sensations may differ from person to person; it may be a tickling sensation, a tingling sensation, a feeling of squeezing, or the inability to swallow, whether it is saliva or solid food.
Sometimes the feeling of a lump can develop into a state in which a person may realize that he has forgotten how to swallow and cannot do it. Then it comes to a panic attack. So, over time, a fear of swallowing in general and eating solid food may develop.
Causes of a lump in the throat with VSD
Vegetative-vascular dystonia in itself is a nervous disorder; suffering from VSD, a person is constantly in panic and fear of something. This, in turn, is triggered by the release of large doses of adrenaline into the blood.
Which part of the body the adrenaline will choose to express itself is not clear. For some, this manifests itself in pain in the chest area, for others, the gastrointestinal tract suffers, and for others, they experience spasms of the laryngeal muscles, which is the very sensation of a lump in the throat.
It is worth remembering that no other disease, for example, an enlarged thyroid gland, osteochondrosis or aneurysm, gives symptoms similar to a coma, no matter what anyone says.
What could be bothering your throat?
People who first feel a lump in their throat first think of the worst, of course, cancer. What else could create such sensations of interference if not a tumor? And the more panic moods grow in a person, the stronger the lump is felt.
You need to know that the most important difference between a lump in the throat during VSD and any serious disease of the larynx, esophagus or other respiratory organs is that during sleep the lump is not felt at all. When I wake up, everything is fine too. But as soon as you get up and feel more energetic, the sensations return. The whole point here is that until the brain woke up, the body felt good, but as soon as the brain returned to working condition, it remembered that there should be a lump, and the patient felt it again.
It is the normal state of the throat in the first five minutes after waking up that should assure a person that the issue here is not some mythical disease, but the state of the nervous system.
How to treat a lump in the throat?
In fact, it is very difficult for any person suffering from VSD to admit to himself that the problem is not a disease at all, but a disorder of the nervous system. Treatment for coma is the same as for VSD therapy.
- Taking psychotropic medications that reduce panic attacks to a minimum and have a calming effect in a dosage that is relevant for a particular patient.
- An attempt to come to terms with the fear of death and liberation from oppressive terrible thoughts. You can seek advice on this issue from a psychotherapist, but you will have to work on yourself on your own.
The feeling of a lump in the throat will not go away on its own and will poison your life.
He needs to be treated. Author: K.M.N., Academician of the Russian Academy of Medical Sciences M.A. Bobyr
