What causes nausea vomiting vertigo nystagmus tinnitus and nerve related hearing loss in the right ear?

Several medical conditions can cause a combination of nausea, vomiting, vertigo, nystagmus, tinnitus, and nerve-related hearing loss in the right ear. Here are some possible causes:

1. Ménière's Disease:

Ménière's disease is a chronic inner ear disorder that affects the fluid and pressure within the ear. It can cause episodes of vertigo, hearing loss, tinnitus, and a feeling of fullness or pressure in the affected ear. Nausea and vomiting often accompany these symptoms.

2. Vestibular Neuritis:

Vestibular neuritis is an inflammation of the vestibular nerve, which connects the inner ear to the brain. It can cause sudden and severe vertigo, along with nausea, vomiting, and imbalance. Hearing loss and tinnitus may also occur if the inflammation affects the nearby auditory nerve.

3. Labyrinthitis:

Labyrinthitis is an infection or inflammation of the inner ear structures, including the labyrinth, which is responsible for balance and hearing. It can cause vertigo, nausea, vomiting, hearing loss, and tinnitus.

4. Acoustic Neuroma:

An acoustic neuroma is a non-cancerous tumor that grows on the auditory nerve. As it grows, it can put pressure on the nerve and cause hearing loss, tinnitus, vertigo, and balance problems. Nausea and vomiting may also occur if the tumor affects the nearby vestibular nerve.

5. Perilymph Fistula:

A perilymph fistula is a tear in the inner ear membrane that allows the leakage of inner ear fluid. It can cause sudden hearing loss, vertigo, tinnitus, and aural fullness. Nausea and vomiting may also occur.

6. Otosclerosis:

Otosclerosis is a condition in which abnormal bone growth occurs in the middle ear, specifically in the stapes bone. It can lead to conductive hearing loss, tinnitus, and sometimes vertigo. Nausea and vomiting are less common symptoms.

7. Certain Medications:

Some medications, such as high doses of aspirin, certain antibiotics, chemotherapy drugs, and diuretics, can cause side effects including nausea, vomiting, vertigo, tinnitus, and hearing loss.

8. Viral Infections:

Viral infections like the mumps, measles, or labyrinthitis can affect the inner ear and cause symptoms such as vertigo, hearing loss, tinnitus, and nausea.

9. Head Injury:

A head injury, such as a concussion, can damage the inner ear structures and lead to vertigo, nausea, vomiting, tinnitus, and hearing loss.

10. Other Neurological Conditions:

In rare cases, certain neurological conditions, including multiple sclerosis, stroke, or tumors in the brain, can cause a combination of symptoms that affect balance, hearing, and the digestive system.

To determine the exact cause of your symptoms, it is important to seek medical attention. A healthcare professional can perform an evaluation, including diagnostic tests such as hearing tests, imaging studies, and balance assessments, to identify the underlying condition and recommend appropriate treatment.