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Benign paroxysmal positional vertigo - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3631 Questions
User :   Hi, My son got elbowed in the head at a basketball game last night. He didn't hit the floor. It was while standing/jogging. He left the game due to headache and nausea. He seemed ok for the rest of the evening. But, in the morning, complained of more headache and nausea and threw up twice. Is it possible that he got a concussion? If so, how long should we keep him out of basketball? He has more games this weekend scheduled. Or, is it a coincidence and just the flu? But, there is no fever, so I don't think it is the flu. How do we determine which one it is? How long should he rest?
Doctor :   Hi
User :   Hello
Doctor :   Dr here , let me read ur query
User :   Thank you
Doctor :   getting elbowed on the head does not lead to concussion
User :   Is the force/energy from the blow not strong enough? What do you think of the symptoms, then?
Doctor :   but yes, if there was associated ear injury, that could cause the nausea
User :   The hit was in the nose/jaw/front of face area.
Doctor :   the severity of injury due to elbowing is not that severe to affect the brain within the cranial cavity
Doctor :   concussion is due to sudden deceleration issues associated with more severe trauma
User :   OK, so then isn't a concussion, most likely. What do you think it is then?
User :   My son does get migraine's on occassion. Maybe he was just overly sensitive in that area?
Doctor :   in that case, that could just be a benign positional vertigo, associated with the injury he had
Doctor :   yes , that also cuold be the reason
User :   OK, thank you. Is there any recommondation on rest?
Doctor :   rest for 2-3 days would be more than enough
Doctor :   or he can take off as long as he feels fit
Doctor :   taking dramamine would help the nausea
User :   Thank you. Could I trouble you with one last question? What would a layman's description be for "positional vertigo"?
User :   ...and is dramamine available over the counter?
Doctor :   yes it is a OTC medication
Doctor :   the ear canals have receptors for maintaining position
Doctor :   when they get stimulated , due to uncertain reasons, they relay abnormal impulses
Doctor :   this makes the brain feel that the body is not having a good posture
Doctor :   and it causes nausea and vomiting
Doctor :   this is a physiological response
Doctor :   and is called benign positional vertigo
User :   OK. Thank you, Doctor, for the assistance and explanation.
User :   I don't have any further questions today.
Doctor :   ok , thanks for consulting me here
Doctor :   hope i have answered your questions
Doctor :   and cleared your doubts
User :   Thank you for your help! Much appreciated and of course, relieved... : )
Doctor :   you are most welcome
Doctor :   have a good day,
Doctor :   take care and bye for now
User :   You too. Good bye.
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