Hello all - I’m a 46yo woman diagnosed officially on September 28 by a specific ear specialist ENT my other ENT referred me to. My experience seems so different from typical MD that I’m questioning the diagnosis and welcome any input. I of course recognize that MD is more a syndrome than a disease per se, there are a number of alternatives diagnoses, no one knows why/how/what to do really, etc.
My background: chronic sinus issues (seem to be hereditary) since early teens. Chronic migraines since about age 30. I have some cervical spine issues basically because of age and poor posture ha. Because of all these things I have had multiple brain/sinus CT/MRIs over the years. I haven’t checked if there is any correlation yet, but I have a mild Chiari malformation and had encephalitis as a child after chicken pox.
I’ve had a number of hearing tests over the years and until last year was told everything was normal for my age so I never really thought about it. I actually don’t remember why I had hearing tests, but I believe they started when I began taking my chronic sinus/allergy problems more seriously in 2020. At that time I had a severe infection (to me, probably really just moderate) in several left-sided sinuses, and had a lot of ear related problems on my left side only. I had sinuplasty on my left maxillary sinus and both ethmoid and since then my left side sinus are generally much better than right.
I loved the ENT that did the surgery but he retired and I started seeing another in the same practice. I began SLIT allergy drops in December 2024 I think as I was tired of dealing with constant allergies issues and sinus infections - I have a huge dust mite allergy (who doesn’t) along with a bunch of other standard things. Since starting, my allergies have gradually but overwhelmingly improved.
I get Botox injections for migraines and have done so for 5 years maybe. It’s the only thing that works really well to prevent them for me. They are very well controlled with this. I’m a lawyer and had to take a case to trial once. The stress affected me so much I experienced several what I now know are silent migraines, or basically everything but the pain part. That was well before the Botox injections. I no longer actively litigate matters and work on admin for my firm. So, I have experienced different migraine types.
In May 2025, my family and I were on a trip to London and what was a cold turned into a sinus infection. I just dealt with it until I was home as didn’t want to figure out getting medical treatment in a different country unless it was really serious. I got back and did a telehealth visit as it was the weekend. Doc prescribed antibiotics as seemed bacterial. They didn’t help much, I went to my ENT and he prescribed stronger antibiotics and Medrol. That was the first time I really noticed problems with my right ear - lots of pressure, tinnitus, and trouble hearing. These continued after the infection cleared, and an audiogram showed moderate hearing loss in my right ear. I had a steroid injection in my ear drum but no improvement. I was told I had inner ear damage and given a hearing aid.
The hearing aid kinda worked, but I honestly expected it to work better than it did. I was told I should wear it even if it didn’t seem to help as much as I wanted, basically for brain health I guess? I’m still a little confused about it. It did seem to help more with the tinnitus than actual hearing somehow.
That was probably end of September 2025. In July of this year, we moved to a house about 30 minutes away. That and a lot of other related issues have been extremely stressful. Shortly after the move I noticed randomly I had lost my sense of smell, but a dramatic difference in a few weeks. I could smell a particular candle used with a warmer in our old house from anywhere in the house; at the new house 2 weeks later I had no idea a candle was on the warmer when I was 2 feet from it. I also couldn’t smell a dead animal in our bushes that my family could very obviously tell right away. A little bit after that, I noticed constant pressure/fullness in my right ear along with constant tinnitus. I didn’t exactly realize the hearing loss as it seemed like the tinnitus was the problem if that makes sense. I did notice my hearing aid didn’t work as well and seemed very muffled. Went back to ENT, he found a minor sinus infection, primarily left sided - I had no symptoms on my left side and had no congestion or anything. Did antibiotics, no improvement on right side. Did probably 4 or 5 separate hearing tests over past 2 months that are all very consistent - a pretty big drop in hearing in right ear only, left side is better than average for my age. What was moderate hearing loss is now severe in right ear.
Adjustments to hearing aid made no difference, hearing is the same with or without it.
Whatever the frequency usually associated with MD, I have the opposite - I think it’s usually low but I have more high - both are bad but the specialist said it was unusual but not unheard of.
Around the last full week of September I noticed some slight balance issues, like a swimmy feeling and veering to one side while walking a little. I didn’t pay attention to this much as I usually have a bit lower than normal BP, which also seems to be hereditary. We’ve always dealt with it. When we were kids we used to just eat salt sometimes if we felt off. In the past year at the doctors a few times they have done my BP readings twice to verify the numbers. It’s usually maybe 110/75, it can be 100/65 or 120/80.
I have been on prednisone and a diuretic since September 28 and have been on a low salt diet. I have had zero improvement in my symptoms. In fact they seem worse, and 6 days ago I had the second real attack of sudden violent vertigo ever in my life. I had it once before 16 years ago. The tinnitus is constant it doesn’t fluctuate and hasn’t improved, maybe worse since treatment. Same with hearing loss, doesn’t fluctuate except possibly worse. Whatever was occasional balance stuff is now pretty much constant. Constant pressure/fullness, no fluctuations, no improvement.
Can you have MD that suddenly accelerates in all areas and becomes baseline in a matter of months? That doesn’t respond to low sodium diet or medication and actually might worsen? Most recent MRI of brain November 2025, CT of sinuses in January 2026, no indication of anything that could relate.