Caloric stimulation is a test which uses differences in temperature to diagnose ear nerve damage.

Caloric stimulation is done to check the acoustic (ear) nerve, which provides hearing and helps with balance. It is also used to test parts of the brain involved in balance.

This test may be recommended if you have:

• Dizziness or vertigo
• Hearing loss that may be due to certain antibiotics
• Certain types of anemia
• Possible psychological causes of vertigo

It may also be done to look for brain damage in persons in a coma.

This test stimulates the inner ear and nearby nerves by delivering cold and warm water to the ear canal at different times. Rarely, the test is done using air instead of water. The person doing the test should examine the ear and especially the eardrum to make sure it is normal before doing the test.

One ear is tested at a time.

When cold water enters the ear and the inner ear changes temperature, it should cause rapid, side-to-side eye movements called nystagmus. The eyes should move away from the cold water and slowly back.

Next, warm water is placed into the ear. The eyes should now move towards the warm water then slowly away.

The eyes can be observed visually, but more often this test is done as part of electronystagmography which uses patches called electrodes, placed around the eyes, to detect the movements. A computer records all the results.

Ice cold water may be used if there are no responses.

Do not eat a heavy meal before the test. Avoid caffeine, alcohol, allergy medications, and sedatives at least 24 hours prior to the test, as these can affect the results. (However, do not stop taking medicines without first talking to your doctor.)

Some people find cold water in the ear uncomfortable. Brief, but severe vertigo may occur during the test. You may have nausea associated with that feeling. Vomiting is rare.