Ask Dr. Yo: is Meniere's Disease neural circuit dizziness? What's the difference between them?

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  • Опубліковано 16 вер 2024

КОМЕНТАРІ • 51

  • @bilelsalem4512
    @bilelsalem4512 Рік тому +8

    Yes, I'm getting better ( almost visual symptoms free), I was suffering from PPPD for 6 months.. Don't lose hope! and accept It (acceptance is the key)! Sports + Walking + Breathing + watching success stories helped me a lot (95% better after just 1 month and a half of doing these things)

  • @mamag9673
    @mamag9673 5 місяців тому +2

    Thank you so much. This will help. I have already been seen by a Neurologist had ct scan of my head and neck they only found Arthritis in my upper neck. I’m heading to see ENT specialist tomorrow. All I know is this is terrible pain and dizziness. My life has changed can’t drive to work. But praying for relief.

  • @kathygreen6043
    @kathygreen6043 Рік тому +2

    Excellent explanation. I do have Menierre's damage and severe deafness in one ear. However, many of my symptoms are fear based due to having to live with this and these attacks while at work, church, home, travel, wherever. I had a thyroid storm precipitate this, so huge stress to the body.

  • @laniseboomsanders7577
    @laniseboomsanders7577 Рік тому +1

    OMG, you described me. Childhood was a little stressful, moved as a child, continued to moved a lot as a young adult. I have been a perpetual caretaker. for the family...I was a funeral director and am now a nurse. Talked about Meniers with healthcare professional today. My hearing test was scored %100 so probably not Meniers. NCD sounds right. Thanks for such valuable info.

  • @jackiekinyon9541
    @jackiekinyon9541 Рік тому +1

    Thank you Dr. Yo for sending this to me. It was very helpful to listen to.

  • @Fadabullet
    @Fadabullet Рік тому +1

    Thank you so much for responding to my email and for this video. I will sign up for the course. I feel like there may be hope.🙏

  • @rachelfritz8249
    @rachelfritz8249 Рік тому +1

    Makes so much sense! You truly are the best at what you do!

  • @tomipresley6246
    @tomipresley6246 Рік тому +1

    hi doc your explanation excellent if only the ent department i go to was as up to date and informed as you, regards from northern ireland

  • @candyland8903
    @candyland8903 Рік тому

    I'm so glad I found your channel. I was given one diagnosis after another, including vestibular migraines, after getting covid early on in spring 2020. Been to dr after dr and every different one just slapped a anxiety label on it and tried giving me diff medications. But I decided not to take any of them as none of the Drs agreed on the diagnosis. One called the episodes I had panic attacks even tho they lasted for 6+ hours until I would end up in the ER from dehydration and not being able to lower my HR and BP.
    So my reg Dr said its panic disorder. The neurologist said vestibular migraine and wanted me to get the covid vax cuz its from long covid. He also said I need heavy migraine meds or its going to get worse as I get older. Another said its premenstrual disphoric disorder (pmdd) cuz most of these episodes came in sync with my menstrual cycle and episodic.
    When the ENT ordered the ENG/VNG testing, I wasnt able to get thru the caloric testing. It triggered one of the worst, violent episodes of vertigo, I've ever had. They ended up having to stop the testing. The air triggered the vertigo a bit. But the water was absolutely unbearable. I became extremely violently ill. And my head felt like something had popped, and my vision and hearing went in and out. They had to call me a ride and had to wheel me out in a wheelchair, as I was nonstop vomiting.
    It was miserble and I dont think I'd ever want to expose my body to that kind of stress and state again. I'd be terrified it would cause a stoke or something cuz my HR and BP get so high and stay stuck there for hours... as tho I'm stuck in the sympathetic response. Which is why everytime these episodes happen, I tell the drs I think my autonomic nervous system is dysfunctioning for one reason or another. And they always look at me like I'm crazy.
    Some Drs will make note of me telling them this info. Or I will tell them it feels like I get stuck in the sympathetic response cuz my heart races as I'm laying in bed, and it stays stuck above 100 for hours.. and I normally have a resting HR in the 50s. That's consistent from years of being very active. So I know something is wrong, but every dr labels it something else.
    But your videos are making a lot of sense. I'm just curious if you have found that any of the retro viruses, that stay dormant in our bodies, and even covid, can have this affect on causing this dysfunction in the neural network/autonomicnervoussystem????? I remember learning years ago, in therapy, that being autistic, and having complex ptsd actual causes autonomic dysfunction to begin with, and it can disrupt the HPA axis. I've asked these drs I've been to for this chronic dizziness if having these disorders I was diagnosed with years ago, could be causing all these issues now and they always tell me no. But obviously that is false and it does cause it.

    • @TheSteadyCoach
      @TheSteadyCoach  Рік тому

      What an awful ride you've been on. To answer your question, from my perspective, many of us have had these viruses in our systems and they are incidental findings that don't explain ongoing symptoms. What they can do, as you say, is trigger autonomic dysregulation. However, when that persists beyond the initial activation or infection, I start to have questions about the person's history- what makes that person's nervous system extra sensitive? Trauma and life stress are two obvious answers. I am shocked your doctors said no. There is very clear evidence in mainstream medicine that early childhood trauma, for example, predisposes people to everything from heart disease to autoimmune issues to chronic pain.

  • @brookewelsh5912
    @brookewelsh5912 2 місяці тому

    Thank you for sending this to me. I have been living in constant fear. everyday, when I get the dizziness I go into a downward spiral mentally every single day. I’ve been living in constant stress for years before this but now it’s worse. This makes soo much sense and it gives me the most hope. Thank you for all that you do. I really cannot thank you enough, seriously!!! I appreciate your empathy, kindness and education. You’re amazing ❤️‍🩹🫶🏼

    • @TheSteadyCoach
      @TheSteadyCoach  2 місяці тому +1

      You are not alone, Brooke! We have had others come through here who had Meniere’s diagnoses that were flat out wrong, and others who do have Meniere’s but were able to stop having chronic symptoms.

    • @brookewelsh5912
      @brookewelsh5912 2 місяці тому

      @@TheSteadyCoach thank you for always responding to me and for the reassurance! Thanks for everything!!

  • @tomipresley6246
    @tomipresley6246 Рік тому +1

    well done doc

  • @maddyshanahan
    @maddyshanahan Місяць тому

    Dx with Meniere’s but steadily improved over 8 months. Narrowed down what helps…low salt, tons of vestibular rehab, and steroid injections every few weeks. MD is GREAT, but I don’t think we’ve ever said there was a physical defect. Except swelling? How would he know? VNG test showed peripheral issue not central. Does that confirm MD? Do people ever just go into remission? Or should I just be happy with much improvement? I am dying to enter work force again (all 4 kids now 18 and leaving nest). Not sure I can commit to that. Thinking 1 way to find out…but honestly many fears about driving, being a good employee, attending each day, I dunno. Some days are more positive than others. I so want this to just go. a. way. and let me have my life back. We’ve planned for this stage for 30+ yrs. Sometimes feel cheated. 😢

  • @kerirhinehart6346
    @kerirhinehart6346 Рік тому

    You mentioned In the beginning of the video about hypo function.. which I have in both ears, the left worse than the right. So if I’m still dealing with daily off balance and dizziness after 8 years, I could possibly also have some sort of Neuro circle dizziness? After all my years of research of this, I strongly believe that I have VM with PPPD as well…. You have given me hope that maybe then that I’m not doomed and that my body can adjust to all of this. I wish I understood more about hypo function in the ears…. No doctor will take the time to really explain what has happened to me… they are always in such a hurry. Thank you as always for what you do!!!!!

    • @TheSteadyCoach
      @TheSteadyCoach  Рік тому

      I’m overdue for a similar video on bilateral hypofunction but same principle. Many people diagnosed with bilateral hypofuncfion do not actually have it, and if you do actually have it, bilateral hypofunction can cause off balance but does not usually cause dizziness.

  • @endevourdaze
    @endevourdaze Рік тому

    Everything you have said makes perfect sense..though i don't believe i have MD but do have PPPD..it's undoubtedly nervous system dysfunction related..which in my case is the result of astronomical levels of continuous stress and trauma from childhood right through to the present day(45 yrs)

  • @wildfrontiergoods
    @wildfrontiergoods 9 місяців тому

    I’ve been diagnosed by a few different specialists in Japan with MD. I have a history of anxiety and panic attacks….. I definitely think this is what brought on the attacks. I also developed pppd…..
    However, after a strong vertigo attack that lasts for ~8 hours my pppd goes away…..then eventually comes back.
    I haven’t had a strong vertigo attack in a few years thankfully (due to controlling stress I think) however the pppd remains….also head pressure/sometimes ear pressure.
    My thought was that the fluid buildup in my ear was causing the pppd as well…..when the fluid buildup is gone the pppd would go away…..
    I wonder if that even makes sense haha
    I am full on in agreement with everything you say and what you teach…..however getting past thought that something os physically wrong with me and to stop searching for a medical reason for symptoms is really difficult for me……
    Anyway I really need to sign up for your vip course and schedule a meeting with you if possible…..
    I would like to speak to someone in English (currently in Japan) about this 😅

    • @TheSteadyCoach
      @TheSteadyCoach  9 місяців тому +1

      This is so tricky! Since you haven't had an attack for a long time, the persistent symptoms could very well be neural circuit symptoms (PPPD) and not the result of fluid at all. There are diagnostic tests that can show if you have the fluid or not. If not, or the fluid doesn't change over time, then you're almost certainly dealing with neural circuit symptoms that are a brain prediction error and have nothing to do with your ears.

  • @IndialienJones
    @IndialienJones 7 місяців тому

    I've been told, after testing with a neurotologist/ENT, that I have hydrops in my right ear (inner ear fluid). I was also told by this same doctor that I have "post concussive syndrome of a central basis". I can hear my eyes moving in my right ear. I can also hear a whooshing sound when I turn my head or jut my head forward. It isn't always present, but I experience this most of the time.
    Is this likely causing my dizziness? Can I treat this as neural circuit diziness/TMS, or is it likely that this is a structural/damage issue that won't be helped by treating it as NCD/TMS?
    The doctor wants me to have a CT scan of my head again, (had this scan a year ago) to check for any holes in the inner ear structure that may explain why I can hear my eyes moving in my ear. I'm hesitant to have more radiation exposure. Their solution, if there is a hole, is to have surgery or to just live with it.
    Any feedback would be greatly appreciated. I'm losing hope.

  • @stevie9y9y
    @stevie9y9y 5 місяців тому

    Hi Dr Yonit, I would love if you could make a video about pharmaceutically triggered PPPD. Literature suggests BP meds, Anti Convulsants and SSRIs can trigger it. This was the case with me and the neuro-otologist told me he sees it all the time and that taking more meds is the only thing that will help as its a chemical imbalance issue and I'm not in a position to improve without them. Is there any chance you could address this? ❤🙏

  • @CieslarDeny
    @CieslarDeny 2 місяці тому +1

    Hi can you help me I have been diagnosed with Meniere's disease, proven hearing loss and hydrops of the endolymphatic sac in the right ear. I have only had 9 attacks in my life (27 years old), but the last vertigo attack I had after eight years of rest (no attack) and I had it in December 2023. But everything is different, always dizziness (dizziness after an attack) disappeared by the second day , now I have such dizziness after a vertigo attack for 7 months constantly 24/7. all the VEMP tests are fine without any problems, but the attack still doesn't seem to go away, I have been left with imbalance for 7 months. could it be PPPD? I have anxiety and depression from my condition, if I drive the car all the symptoms are gone. Ty so much for your advise and answer

    • @TheSteadyCoach
      @TheSteadyCoach  2 місяці тому +1

      Short answer yes, neural circuit dizziness can occur even when there is structural damage that explains some symptoms.

    • @CieslarDeny
      @CieslarDeny 2 місяці тому

      @@TheSteadyCoach Ty 😊so the solution could be to solve the chronic dizziness, or neural circuit dizziness, which is probably now after the meniera subsides, and the solution is to work on it, according to your course, am I right? especially not paying attention to symptoms, not avoiding triggers and trying to do normal things like before this state of chronic dizziness?

  • @zack_120
    @zack_120 5 місяців тому

    8:49- The stress demon could not only cause but also be caused by dizziness. As such they can form a vicious cycle, ie. a chick-egg question. But to say stress can cause MD is not easy to undersrand as tissue damages are involved.

    • @TheSteadyCoach
      @TheSteadyCoach  5 місяців тому

      It is a chicken and the egg question but it’s worth asking the question and not assuming the tissue damage is the egg, especially with advances in psychoneuroimmunology and so many Meniere’s cases appearing to have an autoimmune component.

  • @suzannemartin6817
    @suzannemartin6817 11 місяців тому

    @The Steady Coach do you think stress hormones
    Impact biology in such a way as to cause crystals to “break off” and thus create another episode of BPPV? High level stress (panic, NS fight flight stuff) seems to have been a trigger for that as I can connect several bouts of it with a high stress episode. (Interestingly I did NOT have any after sustaining a TBI! ) Then there’s also that PPPD that is an issue in addition to BPPV. Last night had a really high anxiety conversation with my oldest son (adult) it was not him per se but it was his perspective on something and connected to things his dad had told him about me that I have high levels of shame about that I didn’t know my son knew about (he divorced me several years ago). I started ruminating and muttering about it and worked myself up into being dizzy and today when I sat up in bed I started to spin and it just
    Kept going. I laid back down which brought almost immediate relief. And ended up getting up from my side but did not feel good still. Later I when I tested for crystals it was positive but not as straightforward as it’s “supposed to be” but I wasn’t able to clear them and now I’m worse than before and now I think maybe the crystals are just in a different spot than they commonly are which has been the case before. I’m really wanting your thoughts on stress hormones impacting the biology of BPPV. I’ve slowly been working your program too but have little memory of many things in the first ten writing prompts. . Thanks

    • @TheSteadyCoach
      @TheSteadyCoach  11 місяців тому

      YES, research indicates that people with neural circuit dizziness and other high stress are more prone to BPPV.

  • @adesolagbadebo4792
    @adesolagbadebo4792 Рік тому

    Biopsychosocio? Nervous system dysfunction😢What is the best to cope? All I want to do is sleep.

    • @TheSteadyCoach
      @TheSteadyCoach  Рік тому

      Start here ua-cam.com/video/4QDFGvHGURc/v-deo.html

  • @sealegsss
    @sealegsss 11 місяців тому

    I have severe ear pressure and fullness in one ear with the constant dizziness. Almost all of the time for 3 years. That symptom alone makes me think I have MD. My hearing is ok right now. I wasn’t able to do the full testing to see if I have damage in the inner ears because it made me vomit.
    I’ve been thinking for years I was stuck in a stress loop and now I am so confused. Have you ever helped anyone with ear pressure?

    • @TheSteadyCoach
      @TheSteadyCoach  11 місяців тому

      It's actually very common among people with neural circuit dizziness and doesn't mean there's something physically wrong with you. I'm so sorry you're going through this.

  • @lolitamiranda4472
    @lolitamiranda4472 8 місяців тому

    In early 90’s my doctor told me i had minieres disease i got scared because i thought i had tumor on the brain ,when i had the attack i was rushed to the hospital bec i was spinning and had headache ,i underwent sort of tests,i had ct scan the eent doctor ,he’s a specialist said that it’s not menieres ,bec if it was i would have not lived for 5 years so although i was nervous it was a relief bec ,it wasn’t menieres ,i was thinking for sure my disease was caused by stress ,in those times ,i worried too much ,i was a teacher and as i searched one cause of vertigo is because of sounds and noises in your environment ,since i was a teacher that time ,i dealt with children ,student’s noises what’s your reaction on this am i right dr yonit ,your explanation was too vivid and concised ,you really inspired me a lot ,thank you for all your concerns !

    • @TheSteadyCoach
      @TheSteadyCoach  8 місяців тому

      I’m so glad this lines up with your experiences. I wish more physicians were asking people about their stress.

  • @kathygreen6043
    @kathygreen6043 Рік тому

    Do you ever use EMDR for healing of neural circuit dizziness?

    • @TheSteadyCoach
      @TheSteadyCoach  Рік тому +1

      It can be a component for dealing with speciifc traumas, including onset but is not sufficient.

  • @BlessedKarma10
    @BlessedKarma10 Рік тому

    Hi Dr Yo. I was diagnosed with menieres 27 years ago. I only had a few episodes then it didn't happen again. Now with NCD, the audiologist tested for hearing loss, both ears are fine, and they are now saying I was wrongly diagnosed because true menieres happens with hearing loss.? Once a week now though I get bright white sparks out of my peripheral and then 1.5 hours of awful non spinning vertigo (feels different from normal NCD). It goes but leaves me feeling awful for a couple of days with a major increase in symptoms afterwards. I'm thinking VM, but the vestibular physio that work under the ENT at the hospital said if they make that diagnosis there's no turning back, which I don't get?? I'm trying yo treat it like NCD, but it seems to be a challenge. I had next to no symptoms past few days, then this hit me yesterday, and now I'm in full ramp up. Just very confused.

    • @TheSteadyCoach
      @TheSteadyCoach  Рік тому +2

      It sounds like you were wrongly diagnosed. Yes. VM is neural circuit dizziness too- it is a symptom based diagnosis without clear tissue damage or disease process. Migraines have LONG been treated as mindbody conditions with great success. Yes, you may have had a migraine event- this can temporarily affect the physiology of your ear and ramp up symptoms. Treat it exactly like other neural circuit symptoms. These changes are simply functional changes that are reversible, not disease. Don’t let it scare you.

    • @BlessedKarma10
      @BlessedKarma10 Рік тому

      Thankyou so much. 💛

    • @debbiewebster3431
      @debbiewebster3431 Рік тому

      Hi Dr Yo, thanks for sending me this information! I don’t really doubt the fact that I have MD. I certainly have all the symptoms: hyperacusis, vertgo, nystagmus, 85% hearing loss and tinnitus. Unfortunately, I am now having problems with my good ear. Also, all other health issues were ruled out. The testing for MD. all confirmed the diagnosis. The doctor that I am currently seeing only
      specialize in menieres disease. Anyway, I would just like some tools to regain my balance back. It’s very exhausting and debilitating. I think I just need to reprogram my brain to get some kind of normalcy back. Is the best way to implement your program is to start with purchasing your book from Amazon? Also, Do you think it would be beneficial for me to also do vestibular exercises again? I really appreciate you taking the time to read my, and responding! Ty

  • @user-hz5tu5dy1v
    @user-hz5tu5dy1v 5 місяців тому

    If you have drop attacks is it definitely minieres

    • @TheSteadyCoach
      @TheSteadyCoach  5 місяців тому

      Not necessarily. I have seen this with migraine.

  • @stevenlilley137
    @stevenlilley137 Рік тому

    If I react to salt is that a sign of menieres.
    I have pppd and vestibular migrane. As well as gut issues. Food sensitivity’s etc. but my stress and anxiety levels have always been high. I get the food and supplement reactions but the salt is what gets me.
    Even a pinch of salt make me immediately dizzy.
    What do you think?

    • @TheSteadyCoach
      @TheSteadyCoach  Рік тому

      A pinch of salt making you feel dizzy sounds like a classic mindbody issue, not Menieres. Salt would take time to impact your inner ear.