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Balance Problems: Causes and Prevention



People are more likely to have problems with balance as they get older. But age is not the only reason these problems occur; there are other causes, too. In some cases, you can help reduce your risk for certain balance problems.

Have you ever felt dizzy, lightheaded, or as if the room were spinning around you? These can be very troublesome sensations. If the feeling happens often, it could be a sign of a balance problem. Balance problems are among the most common reasons that older adults seek help from a doctor.

 

Why Am I Dizzy?Some balance disorders are caused by problems in the inner ear. Others may involve another part of the body, such as the brain or the heart. Aging, infections, head injury, certain medicines, or problems with blood circulation may result in a balance problem.

Drawing of an inflamed labyrinth.The part of the inner ear that is responsible for balance is the labyrinth. When the labyrinth becomes infected or swollen, often through an ear infection such as otitis media, it can cause dizziness and loss of balance. This condition is called labyrinthitis.

Upper respiratory infections and other viral infections, as well as stress, fatigue, allergies, smoking, or alcohol use, also can increase the risk for labyrinthitis.

Photo of a bottle of prescription pills.Balance problems can also result from taking certain medications. For example, some medicines, such as those that help lower blood pressure, can make a person feel dizzy. Ototoxic drugs are medicines that damage the inner ear. Sometimes the damage lasts only as long as you take the drug; other times it is permanent. Some antibiotics are ototoxic. If your medicine is ototoxic, you may feel off balance. Check with your doctor if you notice a problem while taking a medication.

Diseases of the circulatory system, such as stroke, also can cause dizziness and other balance problems. Smoking, high blood pressure, diabetes, and heart disease increase the risk of stroke. Low blood pressure also can cause dizziness to occur.

Drawing of an inner ear with Ménière's disease.Your diet and lifestyle can help you manage certain balance-related problems. For example, Ménière's disease, which causes vertigo and other balance and hearing problems, is linked to a change in the volume of fluid in the inner ear.

Photo of older adults exercising. By eating low-salt or salt-free foods, and steering clear of caffeine and alcohol, you can make its symptoms less severe. Balance problems due to high blood pressure can be managed by eating less sodium, maintaining a healthy weight, and exercising.

The ear infection otitis media is most common in children, but adults can get it too. You can help prevent otitis media by washing your hands frequently. Also, get a flu shot every year to stave off respiratory infections. If you still get an ear infection, see a doctor immediately before it becomes more serious.

Do you take medication? If so, ask your doctor if your medicine is ototoxic, or damaging to the ear. Ask if other drugs can be used instead. If not, ask if the dose can be safely reduced. Sometimes it cannot. However, your doctor will help you get the medicine you need while trying to reduce unwanted side effects.

Quiz

1. All balance disorders are caused by injury to the head.

FALSE is the correct answer. Head injuries can lead to problems with balance, but they are not the only cause. Problems in the inner ear cause many balance disorders. Other balance disorders may involve another part of the body, such as the brain or the heart. Aging, infections, certain medicines, or problems with blood circulation also may result in a balance problem.

2. The labyrinth is the part of the inner ear that is responsible for balance.

TRUE is the correct answer. The labyrinth interacts with other systems in the body, such as the eyes and the bones and joints, to maintain your body's position.

3. An ototoxic drug is a type of medicine that is beneficial to the inner ear.

FALSE is the correct answer. Ototoxic drugs are medicines that damage the inner ear. Sometimes the damage lasts only as long as you take the drug; other times it is permanent.

4. A diet rich in fruits and vegetables, and low in potato chips and other high-sodium foods, could help a person with Ménière's disease control vertigo.

TRUE is the correct answer. Ménière's disease is linked to a change in the volume of fluid in the inner ear. By eating low-salt or salt-free foods, and steering clear of caffeine and alcohol, you can make its symptoms, such as vertigo, less severe.

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