Acharya D

, Primary Health Care Corporation, UAE
Title : Motion sickness: An overview

Abstract

Motion sickness is not a disease, it is a phenomenon. It causes much distress and inconvenience to the person being affected by it & major annoyance to the other fellow travelers. This is caused by a conflict in the kinetic input, often with an excessive vestibular stimulation. It is experienced by people while travelling by road, air or waterways. This phenomenon is usually characterized by dizziness, nausea and vomiting. A complex interrelation between lack of effective vestibular compensation, idiosyncratic perceptual style, migraine and anxiety is at play during the bouts. Photo- and phonophobia are key diagnostic symptoms that should be specifically looked into as they are easily missed by the clinician. The most important aspect of management after the correct diagnosis is a clear explanation of the condition to the individual. This is very essential to boost up the confidence of the harrowed traveler who is suffering. The pathophysiology involved in this is the role of vestibulo -ocular reflex (VOR) which is responsible for the ability to maintain fixation on a target during head movement. The VOR functions to stabilize images on the retina during head movements, simultaneously and at the same rate, in direction opposite to head movement. The vestibular system receives inputs on “three channels”: inner ear, vision and somatosensory (i.e., tactile & proprioception). The inputs go to the central processor for processing. At the central level, the inputs are compared and should corroborate each other. Disagreement results in motion sickness. A multifaceted approach is taken up in the management of motion sickness in form of certain drugs, appliances, exercises, precautions and psychotherapy or counselling. Thus, this is a humble attempt to present an overview of this phenomenon in a nutshell. 

Biography

Debashis Acharya is passionate about Otorhinolaryngology (ENT), being more than 27 years in the field including his training period from the prestigious Army Hospital (Research & Referral) affiliated to the University of Delhi, India. An ex- Indian Army Medical Corps officer (Lieutenant Colonel) served as ENT Specialist in the Armed forces for approx. 12 years until 2008 when he left the services. He has worked as Medical Superintendent at a private Medical College Hospital in Western India after that for almost one year. He also holds a Master’s degree in Hospital Administration from the International Symbiosis University, Pune, India. Subsequently held the appointment of H.O.D. & Associate Professor at Ahmedabad, India. for approx. two years before moving to Qatar in 2011. Presently working as Consultant ENT in PHCC (Primary Health Care Corporation) --Govt. of QATAR since 2014. His academic articles have been published in various foreign ENT journals and he is also Honorary Editor of many such publications. He has been an Organizing Committee member & Chairman of various international ENT conferences across the Gulf region, India, UK, Singapore & Italy to mention a few. He is an avid COVID worker & has been honoured by the Govt. Of Qatar & Anbar Medical University, Iraq. His research article on COVID has been published by a high indexed journal, appreciated internationally, received multiple citations & has been sent with recommendation to WHO for further academic research on COVID.