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Overview | Symptoms and causes | Complications and diagnosis | Treatment and prevention | When to seek help
A condition that is generally not dangerous, labyrinthitis is an inflammation of the labyrinth, a part of your inner ear. As this area is responsible for balance and hearing, it causes unpleasant symptoms such as vertigo. If ignored, labyrinthitis can result in long-term balance problems and permanent hearing loss.
Commonly affecting adults aged between 30-60, it is closely linked to vestibular neuritis. When comparing the two, labyrinthitis is a swelling of both your vestibulocochlear nerve, ultimately leading to both balance and hearing complications. Whereas vestibular neuritis results in one branch being inflamed, leading to balance issues only.
Due to the nature of the condition and the risks of future hearing and balance health problems, prompt treatment is key. But what do we know about labyrinthitis, and what should your next steps be if you suspect you have it?
The known risk factors of labyrinthitis are certain medications (antidepressants, anti-inflammatories, and drugs that treat diabetes), excessive alcohol consumption, flu, smoking, allergies, fatigue, and stress. If you have labyrinthitis, your symptoms are usually sudden and may include:
The causes of labyrinthitis are usually viral infections; however, bacterial infections can also be the cause. Here are some common examples: Epstein-Barr virus, Herpes simplex, stomach flu, upper respiratory infection, and head injury (a very rare cause).
Related reading: Types of hearing loss
Labyrinthitis only gets more complicated if it is left untreated, as without the right medical attention, it can result in hearing loss, dangerous falls, and permanent damage to your inner ear.
Diagnosing labyrinthitis is performed by your local GP, who will examine you and go through your medical history. There are various tests they may do to confirm the condition as well as assess your balance, hearing, and how well your nervous system is functioning.
They will generally want to rule out other underlying health conditions, like vestibular neuritis, with tests such as:
The treatment for labyrinthitis ultimately depends on how severe your condition is. Your GP might recommend at-home remedies, physical therapy, medication or a combination of them all. Only the very complex cases need surgery, and such cases are extremely rare.
When we look at the available medications that can be prescribed for labyrinthitis, your GP might offer antivirals, antibiotics, corticosteroids (which reduce nerve inflammation), and drugs to manage nausea and dizziness (often diphenhydramine or fexofenadine).
Gentle exercises at home can help manage dizziness and imbalance if your symptoms are still ongoing after a few weeks. This is called vestibular rehabilitation therapy. Many also try some home remedies to ease the debilitating symptoms that are common with labyrinthitis. These might include:
How quickly people respond to treatment again varies depending on the severity, and also, what works for one person might not necessarily work for others. As a rule of thumb, labyrinthitis usually lasts for around six weeks; however, most people do start to feel improvements around two weeks.
As labyrinthitis is often a result of other health conditions, the best preventative advice would be to wash your hands regularly, especially during the colder months when there is a higher risk of developing a cold and flu.
If you experience vertigo, nausea, or balance problems, contact your healthcare provider immediately. They can help identify the cause of your symptoms and create a tailored treatment plan. Questions you could ask your GP if you are diagnosed with labyrinthitis:
Labyrinthitis usually isn’t serious. But it can cause debilitating side effects. The resulting vertigo can make it hard for you to get out of bed and go about your daily life. Should you develop symptoms, don’t wait until they get worse.
Timely treatment can reduce the likelihood of long-term inner ear issues. However, if you have hearing loss due to prolonged labyrinthitis or another condition, we can help support you locally.
We offer free hearing assessments in a clinic in your area or in your very home at no extra cost.
Do not spend hundreds of pounds without getting a second opinion from us.
If you are looking at this page then it is likely that an audiologist has suggested that you purchase this particular hearing aid, so is this the best model for you?
In general, any audiologist will always recommend to you the model that best suits your needs. Here is a useful checklist to make sure that is the case.
If in doubt, feel free to give us a call. That's what we're here for. In the meantime, read all about our review of the best hearing aids for 2025 here
If you have significant hearing loss in both ears, you should be wearing two hearing aids. Here are the audiological reasons why:
Localisation: The brain decodes information from both ears and compares and contrasts them. By analysing the minuscule time delays as well as the difference in the loudness of each sound reaching the ears, the person is able to accurately locate a sound source. Simply put, if you have better hearing on one side than the other, you can't accurately tell what direction sounds are coming from.
Less amplification is required: A phenomenon known as “binaural summation” means that the hearing aids can be set at a lower and more natural volume setting than if you wore only one hearing aid.
Head shadow effect: High frequencies, the part of your hearing that gives clarity and meaning to speech sounds, cannot bend around your head. Only low frequencies can. Therefore if someone is talking on your unaided side you are likely to hear that they are speaking, but be unable to tell what they have said.
Noise reduction: The brain has its own built-in noise reduction which is only really effective when it is receiving information from both ears. If only one ear is aided, even with the best hearing aid in the world, it will be difficult for you to hear in background noise as your brain is trying to retain all of the sounds (including background noise) rather than filtering it out.
Sound quality: We are designed to hear in stereo. Only hearing from one side sounds a lot less natural to us.
Fancy some further reading on this topic? You can read about why two hearing aids are better than one in our article, hearing aids for both ears, here
For most people, the main benefit of a rechargeable hearing aid is simple convenience. We are used to plugging in our phones and other devices overnight for them to charge up. Here are some other pros and cons:
For anybody with poor dexterity or issues with their fingers, having a rechargeable aid makes a huge difference as normal hearing aid batteries are quite small and some people find them fiddly to change.
One downside is that if you forget to charge your hearing aid, then it is a problem that can't be instantly fixed. For most a 30-minute charge will get you at least two or three hours of hearing, but if you are the type of person who is likely to forget to plug them in regularly then you're probably better off with standard batteries.
Rechargeable aids are also a little bit bigger and are only available in Behind the Ear models.
Finally, just like with a mobile phone, the amount of charge you get on day one is not going to be the same as you get a few years down the line. Be sure to ask what the policy is with the manufacturer warranty when it comes to replacing the battery.
Looking for more information on rechargeable hearing aids? Read our dedicated page on the topic here
For most people, the answer is yes. But it's never that simple.
The majority of hearing problems affect the high frequencies a lot more than the low ones. Therefore open fitting hearing aids sound a lot more natural and ones that block your ears up can make your own voice sound like you are talking with your head in a bucket. Therefore in-ear aids tend to be less natural.
However the true answer is we can't tell until we have had a look in your ears to assess the size of your ear canal, and until we have tested your hearing to see which frequencies are being affected.
People with wider ear canals tend to have more flexibility, also there are open fitting modular CIC hearing aids now that do not block your ears.
There is also the age old rule to consider, that a hearing aid will not help you if it's sat in the drawer gathering dust. If the only hearing aid you would be happy wearing is one that people can't see, then that's what you should get.
Most people can adapt to any type of hearing aid, as long as they know what to expect. Have an honest conversation with your audiologist as to what your needs are.
Generally speaking, six or more. Unless it's none at all.
The number of channels a hearing aid has is often a simplistic way an audiologist will use to explain why one hearing aid is better than another, but channels are complex and it is really not that straightforward. Here are some reasons why:
Hearing aids amplify sounds of different frequencies by different amounts. Most people have lost more high frequencies than low and therefore need more amplification in the high frequencies. The range of sounds you hear are split into frequency bands or channels and the hearing aids are set to provide the right amount of hearing at each frequency level.
Less than six channels and this cannot be done with much accuracy, so six is the magic number. However, a six channel aid is typically very basic with few other features and is suitable only for hearing a single speaker in a quiet room. The number of channels is not what you should be looking at, it's more the rest of the technology that comes with them.
As a final note, different manufacturers have different approaches. One method is not necessarily better than any other. For example, some manufacturers have as many as 64 channels in their top aids. Most tend to have between 17 and 20. One manufacturer has no channels at all.
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