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Dear e, if your patient has his left ear blocked with wax the first

thing to do is remove the wax. You need to see the drum. Is there fluid

behind it? This can usually be done by curetting, (its quite easy to do

with a disposable curette using it with an otoscope) only syringing if it

won't budge. It could easily explain the rushing sound in the ear and the

vertigo. If after removal the vertigo remains it could be viral infection

of the inner ear or mastoiditis from the dental infection (is she tender

over the mastoid)? or an acoustic neuroma this needs to be ruled out by CAT

scan. Trigeminal neuralgia is often well treated by vitamin B12 injections,

(doesn't work with tablets) you need to find a doctor or naturopath who

will do this....it is often spectacular. Herbally gelsemium in the Rx may

help. In viral infection of the inner ear and Menieres I find a blend of

stachys, rosemarinus, zingiber plus gingko useful as a base for the vertigo

and nausea (adding antiviral agents if this is the problem).

Hopefully your patient will soon be waxing lyrical!

Best wishes,

lind Blackwell ND MNIMH

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