Cholesteatoma - Vertigo - Ear Infections - 30+ Years!

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Found this website and thought I'd share my story with you. Unlike a traditional story, there's not yet an ending but I feel tantilisingly close to one.

It all began when I was probably 2 years old, my first memories of being ill are having terrible ear aches in my left ear. The sort that drill right into the side of your head and down your jaw. Throbbing pain. I remember the family Doctor back then in the late 1970's saying I was going to be an \"ears nose and throat\" child but might grow out of it. It was put down to \"catarrh\". I recall with each passing ear ache I would also get wooshing sounds in my bad ear, like the beating of my heart could be heard. I was given drops, advised to keep it clean, anitbiotics, penacillin...the usual.

By the time I was a teenager, I'd grown used to having an ear ache at least once every other month because of my \"catarrh\" and coped as best I could. I found warm hot water bottles helped soothe the pain. I eventually built up a strong resistance to it, and would only bother my GP about it if it lasted more than a week. Sometimes the ear aches came for no reason, other times after a viral infection like a cold. Always though, no matter what I caught, it ended up with an ear infection. By now, it regularily oozed watery wax when infected. It also smelt like cheesey feet. The family GP sympathised with my apparent heriditary weakness in that ear and advised I try to keep it dry, avoid getting it wet swimming etc.

I was about 19 or 20 when I noticed that my hearing in my bad ear was starting to fade. Initially I put it down to teenage life-style. Loud music, night clubs (which I also worked in), concerts...rock music etc! Because I spent many hours for many years working behind the bar in loud music venues I figured the partial hearing loss was due to customers shouting in my ear for the beer order. THe ear infections of my childhood were less severe now and I only suffered 4-6 ear infections a year which seemed quite good in comparison to my childhood.

I was working in an office and had just started dating my future wife when I was about 21 or 22. I remember it was the summer of Euro 96. I left the office to deliver a sack of mail to the DX office and had this weird feeling in my head like I was in a mild dream-like state. By the time I'd got back to the office I felt a bit queasy and figured I was about to get a migrane. I dimmed the lights, tried to relax, left work and met my girlfriend where were supposed to be going to a pub. I got to the pub, made my excuses and went to the Toilet where I promptly began throwing up. Obviously I looked very drunk to any onlookers because I couldn't stand up, my eyes were unfocussed and I was puking. I had discovered Vertigo. By the time I'd gotten to a GP I had been throwing up for about 2 days (it was a weekend). I couldn't stand unaided and found it only possible to communicate briefly with my eyes closed. Outside of this I was in a constant state of expecting, dreading, even hoping that I'd black out. I never did. The emergency GP was rather excited to have something of interest to deal with. She called in several colleagues whislt they gave me the \"bullet\" (anal sepository) of an anti sickness drug I later realised was Stemotil. The severe puking passed and I went from full-on spin cycle to high seas gale force 10 (like major sea sickness). I was off work for 6-7 weeks. They didn't belive me. The GP said I'd sufffered from \"Accute Labrynthitis\" or commonly \"Vertigo\". I was asked to pick which type of Vertigo I'd suffered from the medical text book at the GP as he explained that most GP's only cover this sort of thing for 30 mins at Med School. I was told there was no cure. I was told it would go of its own accord. It finally totally left me 3 months later. I was mentally scarred from this. My usual outgoing personality was marred. I no longer thoughtlessly went to a funfair, climed a ladder, looked up at the sky. It all came with \"what if\" warning thought.

3 years went by. My hearing was now a little worse but had evened out so I was used to having a \"good ear\" and a \"Bad ear\". I accepted that probably because of the years in the clubs that my hearing wasn't great in my bad left ear. I wondered if my episodes of hearing issues, infections and vertigo were connected. During one of my regular bi-monthly ear infections and GP visits I asked. \"Probably not\" I was told. I was handed the leaflet (which by now I could hand wright from memory) about how Otitis externa and Otitis interna worked and how I should keep my ear dry and blah blah blah. When my now Wife was due in at Stansted airport from a work trip and I had to go and collect her I'd just had a bad cold. I remember the familiar creeping feeling up the back of my neck that morning and a slight \"humming/dreamy\" feeling when walking earleir that day. The M11 motorway at Stansted was being widened at the time, no hard shoulder to pull over into. So when the road started to twist and bend in front of me, I closed one eye and tried to focus on getting to the airport. My wife found me in the end. I'd made it to the car park barriers where I'd flung open the car door and found a nice straight lamp-post to hold onto whilst the world spun around me. Covered in puke, crying, frightened and desperate my wife drove me straight to A&E. They whisked me through the system (suspecting a Brain Hemorage). It was only when in between puking I mentioned my previous vertigo experience that the attending Doctor gave me what felt like a Horse-size shot in the leg. Within an hour the world was only wobbling. He'd given me a whacking great jab of stemotil. \"You have vertigo\" was the diagnosis. \"Why\" I asked. \"You just get it\" I was told. That bout then returned a few days later with a vengance, this time I was already at home and signed off work so my GP gave me Stemotil tablets and we also tried Cyclizine. It took 8 weeks before I was able to get out of bed that time. THe pressure on my Wife and family was enourmous. My employer at that time was scepticle to say the least. They sent me to the work GP who also confirmed that Vertigo was just one of those things and not brought on by \"anything specific\". I was not really reassured with the affirmation that it was \"rare in someone so young, especially as severe as that\". My life changed forever from that second bout. I began to live in fear of Vertigo. I avoided all possible culprits for it. Previously an active person, I was now badly over weight. Negative and grumpy. I'm amazed my wife married me and even more amazed she wanted start a family with me.

I had times when I could almost forget Vertigo. Usually summer months I found my ear problems would be at a minimum. I'd made a connection bewtween infection and Vertigo and so now, even the slightest sign of an ear infection, even the itchy ear, I'd learned to go straight to the GP.

I was burying my step-nan and my poor wife had also lost her nan the January I was recovering from my 3rd serious bout of Vertigo which had wiped out Christmas and New Years for the family. It had followed flu and I was unsuprised this time, less fearful and more angry. I remember being supported by some undertakers whislt I in turn tried to carry my step-nans coffin. It was probably my lowest point. I considered paying to have the labrynth and hearing completely removed but read that even this was no guarantee of a resolve. The internet was in daily commen use by now and much better quality information available on it. I discovered a thing called a Cholesteatoma and read the symptoms of others and made a connection. \"I bet thats what I 've got!!\". The next ear infection a month later, I asked the GP to refer me to an ENT specialist. I was told point blank that there was no reason to be reffered. Request denied.

So, my children were born. A New light in my life. Ear aches and infections came and went. Mild vertigo after any type of Cold or Flu was sufferable versus the episodes of the past. Had I learnt to cope at last? Then, after persistent tummy aches and pain with a lump, I found myself reciovering from an emergency operation on an Umbilical Hernia. Having kept the ward awake all night with my snoring and episodes of not breathing, a ward assistant mentioned that I might want to get my sleep apnea sorted out. \"Sleep what?\". It seemed to get worse from then. BEfore long I could hardly keep my eyes open in the day. I'd wake in pools of sweat in the night, I even awoke to discover I'd wet myself. My wife had enough issues with a small baby and a 3 year old, without having to deal with a husband who was turning into a baby too! I went to the GP. \"You're morbidly obese, your blood pressure is through the roof and you now have sleep Apnea as a result...loose weight fast\". So, with a fresh new fear of not seeing my kids grow up (either a heart attack looming or falling asleep at the wheel was going to kill me) I bucked up my ideas and lost the weight. I began swimming again. The ear infections came back with a vengance. I mentioned this to my supportive GP (during another request for antibiotics) and he said \"if you get one more infection in the next few weeks, we need to take a closer look\". Sure enough, I had a real good one. Leaking brown smelly fluid, sore ear, and if I held my nose and blew I could make a really interesting sound out my ear. \"Must be perforated this time\" I thought. Had to see an emergency GP. An American lady. I owe her the next chapter of my life. \"You're going to see an ENT specialist. Your medical history is appaling. How can you have had this many ear related issues and nobody ever reffered you?!?!?!\". I was booked for my ENT specialist.

It was Halloween in 2009. I saw him at the local hospital and he took a good long look. He did what I later found out was called a microsuction and asked me to come back in 1 year. My heart sank. \"Another year of this Cr@p.\". However, for the first time in years, my hearing started to improve in my bad ear. That winter I had only 3 or 4 ear infections and all minor. Then by the summer, I'd had hardly any. I'd almost forgot that I was due to go back to the ENT specialist in October 2010 when the week before...another bad ear infection, hot on the tails of a heavy cold. Squeking noises if I held my nose again and of course the smelly fluid and pain. \"You need a Scan\". \"AT LAST\" I thought. I had my scan very quickly for NHS (a few weeks I think), then I got a letter saying I'd need to see anotehr ENT specialist at a different hospital. THings began to move at last. Christmas came and went and I was booked in to see the specialist in Feb this year. He took a look at the scan and announced I had a large Cholesteatoma. He seemed a bit supprised by the BIG SMILE on my face. I explained.

The operation was last week. I've yet to talk with the surgeon. I'm told I was under for over 9 hours as it turned out to be extensive. Currently my ear leaks blood and brown stuff. It hurts like hell and I feel a little unsteady. I have severe Titinus at the moment but I've had that pretty much to one degree or another the last 30 years so am quite patient with it. I don't know yet If I'll ever hear again out of my bad ear. I don't know if they got the whole Cholesteatoma. I'm hopeful. Most of all I'm elated. At last, after 30+ years of sadness and life changing behaviour because of my ears, I feel I finally have a reason..a cause..for my problem. I'm hoping that Vertigo is gone from my life forever. I'm frightened to say it or even think it in case it hears me and comes back to get me...but for the first time I'm hopeful.

If you have long term ear problems. Don't take no for an answer. It turns out that this is very rare. Most GP's won't suspect it. It's not really their fault but I'm dissapointed that not enough is known about it at entry level so that it seems not to be even considered. If any of this is familiar to you and you are unsure, I urge you to push to see an ENT specialist. I'm not cured yet...but for the first time in my life I feel like I might be on the winning side with this.

God Bless. Thanks for reading.

Lee.

1 like, 6 replies

6 Replies

  • Posted

    Lee, i know this post was over 2 years ago so i dont know if i will have any chance to get a response from you. i just wanted to say, fascinating story, i was 11 years old when i had cholestotoma and it was mis diagnosed for many of years before ONE doctor saw and recognised something a little bit different. I would like to say thank you for taking your time to write that long story out. Very inspiring really! i do hope, even just a little bit, that this reaches you, and you can reply. God bless, Oli.
  • Posted

    I agree with oli this is a fascinating story. You are one tough man Lee. I was wondering how things have gone for you since the surgery? I hope you have been doing well you deserve some peace. God speed.
  • Posted

    Update Jan 2014. Well, I'm still under ENT care for the post-op and "ongoing" support us Cholesteatoma suffers must endure. What I don't think was ever made clear at the outset was just how much ongoing maintenance is required post op. Ultimately, after healing post Op I was seen every 3 months for a "microsuction" a procedure where by they insert a tiny vacuum device into the ear cavity (where the canal used to be but is no longer since the mastoid was removed) and essentially suck any excess goo from within. This leaves you dizzy for several minutes (it passes) and then often with a bit of bloody discharge. Following any microsuction is a course of Otomize ear spray anti biotics. I continued along this regualr course of post op maintenance for around 2 years with gradual reductions in regularity. My ENT changed to a new expert who also diagnosed a persistent (and common in post op cases) bacterial infection which was treated with a large dose of anti bacterial meds and anti biotics spray/tablet plus some steroid based drops to reduce swelling. This cleared that up and it has so far not returned. I'm now left with around 30% hearing from the ear which I figure is a bonus as according to all ENT and Docs that peer into the hole say I shouldn't have any! I still ahve persistent tinitus which is linked to the regualr minor infections the post op ear now gets due to the cavity collecting fluid. This is managed locally by the GP with Anti Biotic earspray (Otomize) plus a daily (for life) nasel spray (nasonex) which inflates the drain tubes (eustacian tubes) to allow the excess goo to drain the right way down my throat. Did I mention I've also had my Tonsils removed to aid this drainage further as they were blocking the tubes from draining. This has been attributed to the actual cause of all the ear infections in the first place that led to the Cholesteatoma!!! So...lesson no.1...get your tonsils removed if you suffer ear infections on a regualr basis.
  • Posted

    Ooops! Also missed a bit from this, having just re-read the initial post I wrote I notice it was written only about a day before I then was re-admitted to hospital post op. Unfortunately, I suffered from a delayed facial palsy which was a known possible complication of the procedure as the cholesteatoma was wrapped over the facial nerve. It's rare to have a delayed palsy as mostly it happens straight after the op. I was worried pre-op about this as I was told in no uncertain terms that if the nerve got damaged, the palsy (paralysis) would be permanent, so having gone from being delighted about not waking up like I'd had a stroke, I was then very worried that I began to loose movement in my left side of the face. It started with an inability to wink at my youngest daughter but soon increased and I lost total movement on the whole left side of the face and upper chest/neck just like I'd had a stroke. I was readmitted to hospital for a week while they put me on massive dose of steroids to reduce the swelling from the post op ear onto the facial nerve which was pressing the nerve and causing the numbness. The hardest thing was that not one single time was I reassured that the movement would come back. It took around 3 months in total. The worst thing was losing the ability to blink my left eye which then became sore and watery for which I used some drops that lubricated the eye. Also I dribbled water when I drank and bit my tongue when I eat (food also often fell out) which was all terrible. I felt like a freak and despite many people saying that it hardly noticed I felt like everyone was looking at me. Speaking was also a trouble and in my attempts to do something to help myself, I practiced Bells Palsy facial exercises in the mirror to try to encourage my brain the regenerate the nerve. The steroids made me very emotional and I was very depressed. Slowly with little twitches and flutters I regained most of my facial control over a period of around 3 months but to date, several years on from that episode I still have eyelid twitches, lip twitches and I'm told by the GP that I must not let an ear infection take hold in case the nerve (which is now exposed as I have no mastoid) becomes swollen. As a result I am constantly on top of any changes in my post-op ear. As a result of this, I'm always seen by the GP quickly now and I feel they do now at least understand my condition in my local practice so I don't have to repeat the story to get a new prescription of meds. My follow ups with ENT post op and post the palsy slowly went from 1 month to 3 months to 6 months to annual. It was during these follow ups and the several repeat bacterial infections I suffered due to the cavity becoming infected that I was recommended for a Tonsillectomy (removal of Tonsils). At my age at the time (37) I was warned this would be very painful in recovery but worthwhile in that my Eustachian tubes would drain much better as they were slightly pinched shut anyways and the tonisils I had were huge and I did still get Tonsilitis at least twice per year. Post op Tonsillectomy started painful and became excruciating before getting better again. The pain was due to the tonsil scabs healing. Anyway, well worth having as an added bonus I no longer snore (which my wife loves) and I wake up much more refreshed and need less sleep. I can't help but feel that back in the 70's when the Doctors refused to remove my Tonsils because "they are there for a reason" that I would not have gone down this path which is why I say in the other post that if you are a sufferer of long term ear infections and do have Tonsils that are often infected or large that you should discuss having them removed. Since having them removed I've now gone a full 12 months. I did get a sore throat when one of the kids caught tonsilitis but felt free of the worry that I was going to catch it! I've had a reasonably good 12 months with my left ear to this point...but I'm now very aware that I must not take anything for granted with it, any excessive ringing, tingling, tickling or signs of infection are kept well on top of. I guess it's fair to sayu I go around 3 months between the cavity becoming infected with a minor ear infection now. This is all due to the cavity being so large and it becoming an easy target for secondary infection if I catch a cold, get it wet or it becomes very humid. During humid weather the cavity litterly fills with condensed warm air which is a breeding ground for bacteria and it is during these times I am at most risk of a bad infection. When I say infection I no longer mean ear ache. It now largely consists of a watery discharge and an increase in the tinittus sounds or ringing and tickling. I absolutely can't get the ear wet. I have to wear purpose made ear plugs just for a shower...and as for swimming ( a real love for me ) that's off the agenda for life. I do go swimming but I am supposed to put in a purpose made bung, smother the ear with vaciline and then I've been told to cover the ear with clingfilm! That's the seriousness of getting it wet! As a result I don't go swimming much now...I loved to swim, underwater especially and do a little snorkling whenever I could...never again for me sadly and with two young kids this is hard to explain why daddy can't go swimming. It's worse because my wife isn't really a swimmer so the kids are now not very good at swimming which I feel is a failing on my part. All because of this flaming ear! Anyway, that's the update such as it is. In short, if you are having an op on Cholesteatoma then please please please discuss all the options. It's without doubt life changing and comes with risks but also freedom from the painful ear infections. Also the Vertigo attacks if you are having them. However the constant faffing with the ear post op to protect it from water, loud noises and the way that you will inevitably become over protective of the remaining good ear will all make other changes to your life. I've been told that I can have, possibly, a further procedure to recover some hearing by having a prosthetic ear drum (I no longer have an ear drum in that ear) but at the moment I'm unsure I want another operation at this time.
  • Posted

    Really interesting. I had a radical mastoid operation when I was 11 (34 yrs age). I like you have to go back for the suction periodically. In recent years it has become more frequent. I was over the moon when it was once every 9 months, now it seems I live at the hospital. Since before Christmas I have had earache at the back if the ear I had the antibiotics then the suction ( I hate that bit) then a visit 4 weeks later. Still in pain am now having a CT scan next week. Been searching the internet to see if the Cholesteatoma can return? I have no hearing in the "bad ear" and haven't had since I was 11. No tonsils either. They were taken out when I was 7. I hope it's nothing but I shall have to wait and see. As for swimming I still love it however I wear an ear plug and always take steroid drops with me on holiday (just in case). I try not to put my head under water although this isn't always possible. I have tried to never let it get in my way. I strategically position myself when I go out so that i can hear people although I struggle in really crowded places. I just want to get the CT scan over with and find out its nothing x here's hoping
  • Posted

    I wanted to say thank you for this. My daughter has learning difficulties, autism, deafnesse etc and she finds it difficult to explain what she experiences - she is about to have her fourth operaton, she has a malformed middle ear and blocked eustachian tube so this is a long term issue, I have been told she will go deaf, so communiation techniques are being taught now. She was lucky she was able to access BSL and she is a good lip reader. There is just so much to think about with this, so thank you again

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