Labyrinthitis vs Vestibular Neuritis: Key Differences, What You Need to Know

When patients come to my clinic at Prime ENT Center in Hardoi, many of them describe their symptoms like this: “Doctor, meri kaanon mein sujan ho gaya hai aur duniya ghumne lagi.” That spinning sensation, that feeling of the room moving around you-it’s one of the most disorienting experiences a person can have. But here’s […]

60 Vertigo Questions Answered by an ENT Specialist

FAQ concept image representing frequently asked questions about vertigo, BPPV, and inner ear disorders

Need an ENT specialist in Shahjahanpur? Prime ENT Center in Hardoi is just 90km away. Doctor answers is something I see regularly in my practice. I’ve been practicing ENT medicine for many years, treating thousands of vertigo patients across Uttar Pradesh from Hardoi to Lucknow and beyond. In that time, patients ask me the same […]

Perilymph Fistula, When a Tear in the Inner Ear Causes Vertigo

Note: This article mentions medicine names for educational purposes only. All medications should only be taken under your doctor’s supervision. Doses and duration depend on your individual condition. Perilymph fistula (PLF) is a condition I think about frequently in my Hardoi practice because one of the leading causes-chronic cough-is extremely common in India. A tear […]

Anterior Canal BPPV, The Rarest BPPV Type

Diagram of the three semicircular canals of the inner ear — posterior, anterior, and lateral — showing the structures affected in BPPV

In my practice at Prime ENT Center in Hardoi, I see many BPPV cases-mostly posterior canal (85-90%), occasionally horizontal (10-15%). But anterior canal BPPV? That’s the rare bird. Only 1-2% of BPPV cases involve the anterior (or superior) semicircular canal. When I encounter it, I know I’m dealing with something diagnostically tricky and often mismanaged. […]

Vertigo Treatment Without Medicine: A Doctor’s Guide to Non-Medication Approaches

Diagram showing steps 3 and 4 of the Epley's maneuver for treating right posterior canal BPPV — BPPV Basics series by Dr. Prateek Porwal

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I see patients almost every week who walk in convinced they need years of medication to manage their vertigo. A woman from Kanpur tells me, “Doctor, I’ve been on dizziness tablets for six months now. Do I have to take them forever?” A retired teacher from Lucknow says, “My general physician gave me three different […]

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Unilateral Tinnitus: When One-Ear Ringing Needs an MRI

Diagram explaining the vestibulo-ocular reflex and the bedside Head Impulse Test (HIT) used to detect unilateral vestibular loss in acute vertigo

Unilateral tinnitus is something I see regularly in my practice. A patient came to my clinic yesterday with a story I hear at least once a month: “Dr. Porwal, my right ear has been ringing for 6 weeks. The left one is fine. Should I be worried?” Table of Contents Why Unilateral Tinnitus Is Different […]

Labyrinthitis Recovery Timeline: What to Expect Week by Week

Labyrinthitis Recovery Timeline: What to Expect Week by Week Note: This article mentions medicine names for educational purposes only. All medications should only be taken under your doctor’s supervision. Doses and duration depend on your individual condition. Labyrinthitis recovery is something I see regularly in my practice. One of the most common questions patients ask […]

Vestibular Migraine in Children — Diagnosis & Treatment

vestibular migraine spinning treatment prevention

Vestibular migraine in children is something I see regularly in my practice. The most frustrating conversations I have in my Hardoi clinic are with parents who tell me their child’s dizziness has been dismissed as drama, bad behavior, or attention-seeking. “The doctor said it’s all in her head,” one mother told me. “We thought she […]