The pacient is a 51 year old female that has been experiencing ear pain and disconfort, along with other symptoms. She experiences long term insomnia, fluctuating blood pressure (109/49; 131/38; 162/56; 143/43), and unstable platelets count. Recently she has noticed some disconfort and sharp pain in the ears, mostly during the night, high piched soud amplification, and some nauses when moving the head. I dont know if this symptoms are all related but this are what she is experiencing now. The ear pain comes and goes, some days better some worse.What could it be? Thanks!