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Are Persistent Dizziness And Nausea A Cause For Concern?
Question: I am feeling dizzy and nauseas for last 4 weeks. Can you advice? One doctor told me I have bppv. How long it will last? Or it could be something else?
Brief Answer:
BPPV is positional and responds to exercises/ maneuvers.
Detailed Answer:
Hi,
Thank you for your query.
1. BPPV is a positional vertigo. A Dix Hallpike test should be positive. If your dizziness is not spinning, it is less likely that you have ear related vertigo.
2. BPPV requires exercises and maneuvers to cure the vertigo. Medication is only used in acute vertigo.
3. If your diagnosis is still unclear, visit a neurotologist for an examination. Further tests may be required.
4. If you have headaches, photophobia or hyperacusis, this may be migraine associated vertigo which will respond to anti migraine medication.
I hope that I have answered your query. If you have any further questions, I will be available to answer them.
Regards.
BPPV is positional and responds to exercises/ maneuvers.
Detailed Answer:
Hi,
Thank you for your query.
1. BPPV is a positional vertigo. A Dix Hallpike test should be positive. If your dizziness is not spinning, it is less likely that you have ear related vertigo.
2. BPPV requires exercises and maneuvers to cure the vertigo. Medication is only used in acute vertigo.
3. If your diagnosis is still unclear, visit a neurotologist for an examination. Further tests may be required.
4. If you have headaches, photophobia or hyperacusis, this may be migraine associated vertigo which will respond to anti migraine medication.
I hope that I have answered your query. If you have any further questions, I will be available to answer them.
Regards.
Above answer was peer-reviewed by :
Dr. Remy Koshy
Hi I am not sure which test doctor did. But she said based on what she noticed I have BPPV. Dizziness is not spinning but light headedness and mainly nausea. Eye test were good too. I had sensitivity with light and south d but seems to have gotten better. The problem is neurologist is not available for next 2 months. No headache at all so don't think it's migrane. Yes one thing looking out from 22nd floor office window make me more nauseas. Do you think it could be something serious. If not then normally how long it takes to recover?
Brief Answer:
Details as discussed below:
Detailed Answer:
Hi,
Thank you for writing back.
1. Unless your doctor did a positional vertigo test, in which the patient is made to rapidly lie down from a sitting position with the head hanging off the bed, it is unlikely that you have a proper diagnosis of BPPV.
2. Lightheadedness is more a symptom of a central or brain related dizziness. This can also occur in Migraine Associated Vertigo (MAV) and gastritis.
3. It is not necessary that you have headaches in MAV. A trial with anti-migraine medication is s to rule out MAV.
4. Recovery should be seen in 6 to 8 weeks as the brain readjusts. Vestibular Rehabilitation Exercises are required (VRE).
I hope that I have answered your query. If you have any further questions, I will be available to answer them.
Regards.
Details as discussed below:
Detailed Answer:
Hi,
Thank you for writing back.
1. Unless your doctor did a positional vertigo test, in which the patient is made to rapidly lie down from a sitting position with the head hanging off the bed, it is unlikely that you have a proper diagnosis of BPPV.
2. Lightheadedness is more a symptom of a central or brain related dizziness. This can also occur in Migraine Associated Vertigo (MAV) and gastritis.
3. It is not necessary that you have headaches in MAV. A trial with anti-migraine medication is s to rule out MAV.
4. Recovery should be seen in 6 to 8 weeks as the brain readjusts. Vestibular Rehabilitation Exercises are required (VRE).
I hope that I have answered your query. If you have any further questions, I will be available to answer them.
Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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