For Meniere's and for many with vestibular migraine, the ear tells the story before the room does. VertigoMe keeps ear fullness, hearing change and tinnitus in the spin log, asks for tinnitus detail, and shows how often those went with your episodes, so the pattern is on paper for your ENT.
Ménière's is about ten times less common than BPPV and appears to be over-diagnosed, while vestibular migraine is missed. What your ears do during a spin helps tell them apart.
Neuhauser, Handb Clin Neurol 2016Ear fullness, hearing change and tinnitus louder are symptoms in the spin log, under Accompanying experience, one tap each and all optional. Ear fullness after a spin can be logged as an after-effect, and ear fullness and hearing change are also in the prodrome list for when they come first. The hearing-change breakdown in Insights shows how often each went with your spins.
When you log Tinnitus or Tinnitus louder as a symptom, a short sheet asks which ear, what it sounded like and how long it lasted, with ringing, buzzing, roaring, hissing and pulsating as the choices. The detail is stored on the spin. The Tinnitus card in Insights then shows on how many of your spins you logged it, the split by ear and character, and the average duration. It is a log attached to your episodes rather than a standalone daily check-in.
The DHI is the 25-question score vestibular clinics use to measure how much dizziness limits your life. VertigoMe presents it under Profile, scores it (0 to 30 mild, 31 to 60 moderate, 61 to 100 severe, lower is better) with the physical, emotional and functional subscales, shows the change since your last one, and can remind you every one, two or three months. Your scores appear on the full report and the PDF so your clinician can read them alongside your log.
The symptom step of a spin log. Spin character first, then Accompanying experience, where ear fullness, hearing change and tinnitus are one tap each; choosing tinnitus opens a short sheet for the ear, the sound and how long it lasted. The Tinnitus card and your DHI history live in Insights.
Only that you answer the hearing questions when they come up with a spin, which is what keeps them attached to the episode the insights are built from. There is no daily tinnitus check-in and no audiogram upload in the current app, and the DHI is the one clinical questionnaire included, reminded every one to three months.
Not in the current app. Hearing changes are logged as symptoms with each spin; there is no audiogram upload or hearing-test tracking yet.
No. Tinnitus detail is captured when you log it as a symptom, usually with a spin. That keeps it attached to the episode, which is what the insights use.
The Dizziness Handicap Inventory (DHI). Other scales are not in the app at the moment.
