Gi infections relationship with inner ear

Ear infections - Better Health Channel

Nov 1, WASHINGTON -- Chronic vestibular dysfunction is an underappreciated cause of unexplained chronic nausea and vomiting, a researcher said here. Patients with the inner ear problem who present with frequent nausea and vomiting often are diagnosed with and treated for gastroparesis. Aug 4, It's different from a middle ear infection, which is a bacterial infection Viral infection of the inner ear, stomach, or respiratory tract; Herpes virus. When your inner ear gets infected or inflamed, it can cause a type of balance disorder known as labyrinthitis. Sometimes you can get it when you have an upper.

The treatment of RP includes corticosteroids, immunodulators and biologic agents. The goal of treatment is to abate the symptoms and to preserve the integrity of cartilaginous structures.

While immunosuppressive therapy is necessary for the remission and maintenance of IBD, this increases the risk of infectious complications. Duque et al described a year-old female with CD treated with azathioprine and infliximab.

She complained of left otalgia, otorrhea and fever with no gastrointestinal complaints. She suffered from necrotizing external otitis and she was successfully treated with ciprofloxacin mg IV for 3 weeks and then oral for another 3 weeksceftazidime 1, mg IV for 6 weeksas well as topical therapy with alcohol and aspiration of secretions.

Necrotizing external otitis is a rare but acknowledged complication of external otitis and affects predominantly immunocompromised patients and diabetics [ 18 ].

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Data are limited with regard to diseases of the middle ear and its association with IBD. Shaw SY et al compared children with IBD with 2, controls based on age, sex and geographical region. They studied the association between early childhood otitis media and pediatric inflammatory bowel disease. The study showed that children with an otitis media diagnosis by 5 years have 2.

A possible explanation is that the children with otitis media received antibiotics and the antibiotic use is a possible predictive factor in IBD, as a study showed that patients with IBD are more likely to have been prescribed antibiotics 2 - 5 years before their diagnosis [ 20 ].

Nineteen of 22 patients had no identifiable causes for SNHL. Only one patient responded to medical treatment [ 21 ]. A significant difference was found at high frequencies in UC patients, at frequencies of 2, 4 and 8 kHz and in CD patients at the frequency of 4 kHz [ 22 ].

Ear Involvement in Inflammatory Bowel Disease: A Review of the Literature

However, there was no difference when Kalyoncu et al performed otoscopy, tympanometry and pure tone tympanometry in 24 pediatic patients with IBD and 20 healthy children and compared the findings between these groups [ 23 ]. The hearing level often fluctuates, with period of deterioration alternating with remission. Diagnosis of AIED is based on clinical presentation, the demonstration of a progressive sensorineural hearing loss in periodic audiological tests, a response to immunosuppressive drugs such as corticosteroids and exclusion of other causes of SNHL [ 24 ].

The response to immunosuppressive therapy has led to an investigation to identify autoantibodies to inner ear components. Furthermore, a study confirmed the finding of circulating antibodies against a kD protein that was detected in the serum of 42 out of 72 patients with idiopathic progressive bilateral SNHL.

For clinical use is available the Otoblot test, which is a Western blot for antibodies against a 68 kD protein found in the inner ear. Currently, the use of Otoblot test in the clinical practice is controversial [ 29 ]. There is minimal data on the role of imaging in the diagnosis and management of AIED. In two cases of ulcerative colitis and severe SNHL, three-dimensional magnetic resonance imaging revealed obliteration of the inner ear.

These patients responded poorly to steroid therapy [ 30 ]. To further explore the issue, Evans and colleagues reviewed records of consecutive patients referred to a single physician from January to December for treatment of chronic nausea and vomiting. Patients were identified by billing records.

Ear Involvement in Inflammatory Bowel Disease: A Review of the Literature

The study included only patients with symptoms lasting one month or more. A total of In that group, had gastric emptying test results available; 95 of the tests had been done using a method other than the standard four-hour international protocol.

The most common problem with the gastric emptying test was a shorter-than-recommended duration, typically two hours or less, Evans noted. Other deviations from protocol included alternative meals, use of medications known to alter gastric motility, and symptoms of nausea or abdominal pain at the time the test was performed.

When 36 of the patients were given a repeat gastric emptying test, 27 of them had normal results. After a thorough workup, a final diagnosis of gastroparesis was made in only Other diagnoses included cyclical vomiting syndrome 8. But the most common specific diagnosis was chronic vestibular dysfunction.

This was diagnosed through the presence of nystagmus, an abnormal Romberg test, or an abnormal result on the Fukuda stepping examination, in which the patient is asked to march in place for one minute with his or her eyes closed and ears covered.