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Symptoms and Treatment for Vertigo - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   My Father Age 54 is suffering from a disease similar to Vertigo. He has dizziness and imbalance issues while walking. Once he is on bed and chair he dont face any problems. He feels less dizzy while sitting and on bed. While walking he can not move his head all of sudden. He has spinning sensation all the time. He can not do down on ladder without support. We went to Nerologist and as per his observation this was not vertigo but imbalance. We went for Vestibular rehabilitation for 5 days but it did not help. My father is facing the problem from last one year. He had a laser operation in his left eye 6 months before. He also has minor difficulty while speaking and writing. He used to take vertigo medicines before but has stopped from last 1 month. Could you please suggest any solution.
Doctor :   Hi
User :   Hello
Doctor :   Reading , Give me 1 min
User :   Hey Doctor
User :   sure
Doctor :   Is there is any tinnitus, hearing problem
User :   not really
User :   but he is overwight around 116 kg but hieght is 6 feet and 2 inches
Doctor :   ok
Doctor :   you said he can not move head while walking
User :   yes
Doctor :   Because moving head will aggravates the vertigo, right?
User :   yes
Doctor :   there itself the reason is very clear
Doctor :   Does he has any tremors
User :   no, we did MRI but did not find any issues
User :   bp, sugar is normal
Doctor :   tremors=shaking in hands etc
User :   oh okay.. no
Doctor :   ok
Doctor :   MRI is normal. No tremors. So small brain is normal
Doctor :   Cerelebelem might be normal
User :   yes
User :   hey doctore has problem in writing
Doctor :   Does not move head while walking well in bed. Gets dizzi when moves head. Yes
User :   and emty shella in MRI
Doctor :   ok
Doctor :   SO the problem could be Begign Positional Verigo
Doctor :   Do you know bout that
User :   okay
User :   yes i have read about this alot
User :   but we went to nerologist in pune..
Doctor :   So u know abt
User :   yes
Doctor :   there are stones in canals of ears and they move with head movement and cause Vertigo
User :   yes doctor i have read this
Doctor :   So what elese do you want to know ?
Doctor :   Can i tell u prevention and treatment
Doctor :   Prevention begins by maintaining good hydration and avoiding rapid movements of the head.
User :   i have few questions doctor
Doctor :   ok
User :   one nerologist in pune said this is not vertigo.. he did some test .. by reading eyes moment.. dont know the name of test..
User :   he said this is balance disorder
Doctor :   ok
User :   and we went for vestibular exercise
User :   but this did not help
User :   what do u suggest now.?
User :   and please helo me with treatment exercise
User :   in case if this is vertigo
User :   and where should get him checked in india?
Doctor :   so u should hae asked the Neurologist what is the diagnosis
Doctor :   There are few causes
Doctor :   Balance problem is different
Doctor :   vertigo is different
Doctor :   Vertigo cause balance problems
Doctor :   And there are number of reasons for balalnce problems like pArkinson disease, cereberelar problems, Nyastenia Gravis etc
Doctor :   But there are very few reason for vertigo
Doctor :   EAR problems , 8 th cranial nerve problem cerebelera prblems
Doctor :   From History and RI it is clear that he normal brain
Doctor :   I dont know whether he is having any NYSTAGMUS in eyes
Doctor :   Nystagmus is spontanous eye movements
Doctor :   Involntary movements
Doctor :   Here Benign Positional Vertigo is svere and not responding exercises
Doctor :   and medicines
User :   doctor he had laser operation in his eye six months back.. because he had hole in retina..
User :   do you think as per the his symtom he has vertigo?
Doctor :   nope
Doctor :   BPPV is rarely a problem that cannot be resolved. Neurologists, otolaryngologist, and vestibular rehabilitation physical therapists may be of help in confirming the diagnosis and resolving BPPV or controlling its symptoms.
Doctor :   do not stop mediciation
User :   okay
Doctor :   I think u know the medication
Doctor :   change medication if one is not working
Doctor :   The definitive treatment for BPPV requires that crystals causing inflammation in the semicircular canals be moved out of those canals. This can be done by the Epley maneuvers, where the head is taken through a series of position changes that allow the crystals to be emptied out of the canals.
Doctor :   Self-Care at Home
Doctor :   Prevention begins by maintaining good hydration and avoiding rapid movements of the head.
Doctor :   Drink plenty of fluids.
Doctor :   Avoid sudden head movements and body position changes
Doctor :   Any balance problems usually has some movement problem
User :   yes doctor
Doctor :   Thank you
Doctor :   Bye
User :   thanks alot doctor
User :   i will ask him to follow all these
Doctor :   ok
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