*Welcome to the OutUK series looking at gay men and their health brought to you in association with the NHS* website.**
	Each week we'll tackle a different topic in our A to Z of Gay Health. We'll have features and advice on everything from relationships, sexual health, mental and physical conditions and how to stay fit. You can follow any of links provided below for more information direct from the NHS website, or see this week's feature L: Laxatives.

Labyrinthitis

Labyrinthitis and vestibular neuritis are types of inner ear infection that affect your balance. They usually get better on their own within a few weeks.

Check if you have labyrinthitis or vestibular neuritis

The most common symptoms of labyrinthitis are:

dizziness or feeling that everything around you is spinning (vertigo)
feeling unsteady and off balance - you might find it difficult to stay upright or walk in a straight line
feeling or being sick
hearing loss
ringing in your ears (tinnitus)

The symptoms of vestibular neuritis are very similar, but it does not cause hearing loss or tinnitus.

Symptoms can start suddenly. They may be there when you wake up and get worse as the day goes on.

The symptoms often ease after a few days.

You'll usually get your balance back over 2 to 6 weeks, although it can take longer.

Things you can do to help

Labyrinthitis or vestibular neuritis usually gets better on its own. But there are things you can do to ease the symptoms.

Do

lie still in a dark room if you feel very dizzy
drink plenty of water if you're being sick - it's best to drink little and often
try to avoid noise and bright lights
try to get enough sleep - tiredness can make symptoms worse
start to go for walks outside as soon as possible - it may help to have someone with you to steady you until you become confident
when you're out and about, keep your eyes focused on a fixed object, rather than looking around all the time

Don't

do not drive, cycle or use tools or machinery if you feel dizzy
do not drink alcohol - it can make symptoms worse

See a GP if:

you have symptoms of labyrinthitis or vestibular neuritis that do not get better after a few days or are getting worse
you've been diagnosed with labyrinthitis or vestibular neuritis and your symptoms have not improved within a week of starting treatment

The GP may refer you to a hospital specialist.

Ask for an urgent GP appointment or get help from NHS 111 if:

you have sudden hearing loss in 1 ear

You may need to be referred to a specialist for tests, and possibly treatment.

You can call 111 or get help from 111 online.

Labyrinthitis and vestibular neuritis - what's the difference?

Labyrinthitis and vestibular neuritis are problems with different parts of the inner ear, which are needed for balance:

labyrinthitis is inflammation of the labyrinth - a maze of fluid-filled channels in the inner ear
vestibular neuritis is inflammation of the vestibular nerve - the nerve in the inner ear that sends messages to the brain

The symptoms of vestibular neuritis and labyrinthitis are very similar.

However, if your hearing is affected, then labyrinthitis is the cause. This is because inflammation of the labyrinth affects hearing, while inflammation of the vestibular nerve does not.

Treatment from a GP for labyrinthitis or vestibular neuritis

If you have labyrinthitis or vestibular neuritis, a GP may prescribe antihistamines or motion sickness tablets for up to 3 days. Do not take them for any longer, as they can slow down your recovery.

Labyrinthitis or vestibular neuritis is usually caused by a viral infection, such as a cold or flu, so antibiotics will not help. But a GP may prescribe antibiotics if they think your infection is bacterial.

Exercises for long-term balance problems

Sometimes, balance problems can last for much longer - for many months or even years.

Vestibular rehabilitation is a series of exercises that can help restore balance. You should only do the exercises under the supervision of a specialist such as a physiotherapist or audiologist.

You can ask a GP to refer you to a physiotherapist, or it may be possible to refer yourself directly.

Waiting lists for accessing NHS physiotherapy can be long and you may prefer to pay for private treatment. Most private physiotherapists accept direct self-referrals.

OutUK's A to Z of Gay Health continues and you can read this week's feature L: Laxatives. We have covered many subjects in this series and you can catch up with all of our Previous A to Z Features. If you want to find out more about this particular topic you can visit the Original article on the NHS website. If you are worried by any aspect of your health make sure you go and see your doctor or book an appointment at your local clinic.
Photos: LightFieldStudios and one of VladOrlov, Stockcube, darak77, ajr_images or rawpixel.com.