Are ear stones and imbalance of inner ear fluid the same thing?

　　"Ear water imbalance" refers to Ménière's disease. Benign paroxysmal positional vertigo (BPPV) and Ménière's disease are different conditions, generally differing in causes, symptoms, and prognosis. A detailed analysis is as follows:

　　1. Different Causes

　　BPPV is primarily caused by head trauma, local ischemia, or other factors. External forces or insufficient blood supply to the inner ear may lead to dislodgement of otoliths (ear stones), thereby triggering BPPV. Ménière's disease is an inner ear disorder whose exact cause remains unclear. It may be associated with allergies, autoimmune disorders, and other factors that disrupt fluid absorption and metabolism in the inner ear, leading to the development of Ménière's disease.

　　2. Different Symptoms

　　Patients with BPPV may experience symptoms such as nausea and vomiting when they suddenly change body position. The episodes are typically brief. In contrast, patients with Ménière's disease often suffer from rotational vertigo, accompanied by pallor and low blood pressure. These episodes usually last from several minutes to several hours.

　　3. Different Prognoses

　　BPPV is curable. Symptoms may resolve spontaneously even without treatment, although recovery time varies and recurrence is possible. Currently, there is no known cure for Ménière's disease. Treatment mainly focuses on symptom management through medications or vestibular rehabilitation therapy.

　　It is recommended to maintain a regular lifestyle, eat a balanced diet, and avoid consuming irritating foods. Using a cane during daily walking may also help prevent falls due to loss of balance during an episode.