Suggest treatment for vertigo - Online Doctor Chats
from your description it appears like benign paroxysmal positional vertigo
there is no apparent reason or pathology in this condition
you will get relief from taking vestibular sedatives such as Cinnarazine
I had a cat scan when it first happened. They didn't find anything
Yes, I understand that, if your CAT scan could not find anything, then it is highly unlikely that there is anything wrong
That is the reason I say it seems more like a benign paroxysmal positional vertigo (BPPV)
it is quite common in your age group, particularly in women
What does that mean and how long will it last ?
it means, it is a self limiting issue without any apparent cause
it may last for a few weeks to a few months
but the recovery can be hastened by taking medicines such as cinnarazine
Promethazine works well too
I've only been taking it at bedtime. Should I take it more often?
Yes, I would in my patients advise it to be taken twice a day
I have slot of pressure on my left ear and feels like water inside. This started about 6 weeks ago
Yes, that is quite common in BPPV
the other condition which is almost similar is meniere's disease
Is any of the meds you suggested over the counter ?
does the vertigo get better or worse on shaking your head in any particular direction?
Not much. But it's worse when I lay down
Cetrizine is an over the counter medicine, but I would advise against it if you are taking Promethazine
because they have synergistic effect
so can cause more sedation
Ok so I will start taking my meds twice a day until dizziness is gone ?
If it is worse when you lay down, it means it is BPPV, it is associated with keeping your head horizontal
K. Thank you I haven't been able to get either doctor I've been seeing to give me any good answers. They have suggested a Neuro doctor
I hope you will find the answers you are looking for
I'm@ high risk for ms. Buy, I will try this first. Thank you
You can ask you ENT doctor to perform this Epley maneuver
this will certainly help if the problem is BPPV
What is that for ?
In BPPV the otoliths that are present in the semicircular canals may roll, thus causing the vertigo
Epley's maneuver will re-position them
Yes I learned the exercise in pt. They do help
So, looks like it is indeed BPPV
Thank you so much. You have helped alot
the exact reason for the dislodgment of these otoliths is not known
that is why I initially said there is no apparent reason
anyways, thank you very much for consulting me here
it was my pleasure to help you with your problem
You are welcome
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