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PDF Editor FAQ
Why is the AVIL tablet taken?
Avil Tablets contain pheniramine maleate, a medicine used to treat allergic conditions such as hayfever, runny nose, itching skin and skin rashes. It is also used in the prevention and treatment of inner ear disorders (eg Meniere's disease) and travel sickness.Avil is one of a group of medicines called 'antihistamines' which works by blocking the action of histamine.
What are the causes of vertigo?
VertigoVertigo is a condition in which you feel off-balance and dizzy, as if you or your surroundings are moving, spinning, or swaying. It can lead to nausea and disability. Vertigo is most common in elderly people, but it can affect both sexes at any age. It may be a temporary or permanent condition.Causes of VertigoThe organ of balance is the vestibular system in the ear, a tiny grid of fluid-filled tubes and sacs. There are two identical vestibular systems, located in the labyrinth of each inner ear. As you move, the liquid in the tubes also moves about, and its levels are read by nerve cells. The information is sent to the brain, which uses it to calculate which way is down and what should be the horizontal level.Any problems with balance originate in the vestibular system, so people who suffer from frequent vertigo are said to have a vestibular disorder. Balance problems may be associated with a ringing in the ears or loss of hearing. Vertigo can also be caused by changes in the parts of the brain (cerebellum and brain stem) that are also involved in controlling balance.Major causes of vertigo include the following:benign paroxysmal positional vertigo: This is a common form of vertigo, usually brought on by specific head positions or movements. It is caused by calcium deposits in the ear canal that periodically become dislodged and cause symptoms.head trauma: People who have received a violent blow on the head can suffer temporary or permanent damage to the inner ear, causing balance problems.labyrinthitis: Untreated bacterial infections of the middle ear can get into the inner ear and damage the labyrinth and also cause hearing loss.neuronitis: Viral neuronitis is really just viral labyrinthitis that affects the nerves of the vestibular system and not the cochlea (the organ for hearing). However, neuronitis can also be caused by a blood clot lodged in the tiny blood vessels that feed the inner ear.Ménière's disease: This was once called watchmaker's disease because it tends to strike people who do precise, intricate work that requires concentration and careful control of the hands for long periods. Nobody knows what causes Ménière's disease.Some antibiotics can damage the vestibular system in high doses or with prolonged use.Acetylsalicylic acid* (ASA), caffeine, alcohol, nicotine, sedatives, tranquilizers, and several illegal drugs can cause temporary dizziness but do no permanent damage to the balance organs once they are stopped.Taken from : Vertigo - Causes, Symptoms, Treatment, Diagnosis - Conditions - MedBroadcastHope this answers your query.
Why has Meniere's Disease been so slow at making progress toward a cure?
There is a cure. Well, it´s not perfect. But it stops the vertigo attacks completely.You just inject gentamicin through the tympanic membrane into the middle ear in surface anaesthesia. Then the patient lies on the other side for an hour. After 2 (sometimes 3) sessions the patient is cured. It´s that simple.I know studies say it works only in about 80% - but I have performed this for about 50 patients and have not met a single one whom the therapy didn´t help. I guess (and I know from an institution where I have worked before) that some just don´t do the procedure properly. Some try to put in a grommet first so they don´t need anaesthesia for the second procedure (most of the medication does not reach its destination). Some have no idea how to apply surface anaesthesia and are only willing to do the procedure in general anaesthesia, which may be an obstacle for both the patient and the doctor.A possible side effect would be hearing loss (which is a minor nuisance in a Meniere patient whose hearing on the side of the disease is bad, anyway). However, I have not seen a hearing loss of more than 10 dB in any patient up to now. You have to stop the treatment when you see that it takes effect. And the literature warns you about the therapy because of the possibility of developing Meniere´s disease on the other ear, as well. Contrary to the literature, I have not come across this, either. Actually, I am afraid many doctors cannot differentiate between Meniere´s disease and vestibular migraine.
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