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Getting Vertigo Attacks Often. Had Epley Manoeuvre. What Else Can Be Done?

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Posted on Fri, 14 Jun 2013
Question: I get vertigo attacks a few times a day--often lasting for hours. I have seen a few specialists and had the Epley manoeuvre but to no avail. What else can I do ? Many thanks
doctor
Answered by Dr. Abhishek Sharma (1 hour later)
Hello,
Thanks for writing to XXXXXXX
You are 82 yrs old. Are you sure the stents were insert in the legs. Generally we hear it for heart disease after angioplasty. In such a case you need an evaluation of carotid arteries as well.

Are you taking water pills? If yes it could be one of the reason as they deplete some useful electrolytes and cause low blood pressure as well.
Vertigo is rotatory feeling and not imbalance or syncope. I think you are able to differentiate that. The description of the problem is short and it requires a detailed history when a person suffers from vertigo.

Vertigo can be because of mainly ear problem --
Ear disease like discharge
You were mentioning about Epley's, it means the doctor had treated earlier like Benign paroxysmal positional vertigo. There are other important reasons at this age important of them is decreased vascular supply and dehydration. Try to address them well.
Since you have met concerned specialists I could relate this as decreased supply due to blocks in the artery supplying the brain. It is unable to procure the blood required especially when you stand up. Do not get up from bed all of a sudden (you might be having postural hypotension).

Let me know if I missed anything important.
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
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Answered by
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Dr. Abhishek Sharma

ENT Specialist

Practicing since :2005

Answered : 1110 Questions

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Getting Vertigo Attacks Often. Had Epley Manoeuvre. What Else Can Be Done?

Hello,
Thanks for writing to XXXXXXX
You are 82 yrs old. Are you sure the stents were insert in the legs. Generally we hear it for heart disease after angioplasty. In such a case you need an evaluation of carotid arteries as well.

Are you taking water pills? If yes it could be one of the reason as they deplete some useful electrolytes and cause low blood pressure as well.
Vertigo is rotatory feeling and not imbalance or syncope. I think you are able to differentiate that. The description of the problem is short and it requires a detailed history when a person suffers from vertigo.

Vertigo can be because of mainly ear problem --
Ear disease like discharge
You were mentioning about Epley's, it means the doctor had treated earlier like Benign paroxysmal positional vertigo. There are other important reasons at this age important of them is decreased vascular supply and dehydration. Try to address them well.
Since you have met concerned specialists I could relate this as decreased supply due to blocks in the artery supplying the brain. It is unable to procure the blood required especially when you stand up. Do not get up from bed all of a sudden (you might be having postural hypotension).

Let me know if I missed anything important.