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    Suggest treatment for symptoms of vertigo

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Posted on Sat, 15 Jul 2017 in Ear, Nose and Throat Problems
Question: Good morning, I am having symptoms of vertigo, my dr diag it last yr, well for the past 6 months I have been getting dizzy and throwing up off and on. I went to an ENT because I told him I was having problems with my ears, the right one was the worst, I was hearing bug sounds. I was taking Meclizine 25 mg, and Meclizine 12.5 3 x per day, it was the only thing that helped me. I cant lay down in the bed have to lay in recliner, when I lay my head back it starts to get dizzy again, same when I get up and walk, but not so bad when I'm on the Meclizine which he wants me off of. I have used all 3 wks of my vacation because of this problem. when I ssaw him for my last apt, he said my right ear will keep going dn, he wants to see me in 1 yr to do another audio to see how far it has gone, I cant keep going like this, I had to come hm from wk again today.
doctor
Answered by Dr. Riddhi Shah 24 minutes later
Brief Answer:
You might be suffering from Benign paroxysmal Positional Vertigo

Detailed Answer:
Hi,thank you for your query on health care magic.

I can understand your concern.

Looking at your symptoms,you might be suffering from Benign Paroxysmal Positional Vertigo.

Benign Paroxysmal Positional Vertigo (BPPV) causes short episodes of vertigo or dizziness when moving your head in certain directions.Some of the patients affected by benign paroxysmal positional vertigo (BPPV)also report the onset of tinnitus(the perception of noise or ringing in the ears) shortly before or in association with the positional vertigo.

About 50% of dizziness in older people is due to BPPV.

Small crystals of calcium carbonate break loose from their correct position in the balance organ and collect as debris within another part. With head movements, these crystals move, sending false signals to the brain about how you are moving.


Tests for BPPV are a form of positional testing where you are asked to lay flat on a clinical bench and the tester will observe your eyes for a phenomenon called nystagmus (which is an involuntary eye movement).

Treatment is usually by returning the debris to its correct location with a particle-repositioning manoeuvre. These include the Epley and the Semont-liberatory manoeuvres and Brandt Daroff exercises.These are very effective in treating BPPV. Some are performed in hospital balance clinics and others as a set of home exercises.

You may take Tablet Meclizine-it will help in symptomatic relief of vertigo .

If you experience dizziness associated with benign paroxysmal positional vertigo (BPPV) be aware of the possibility of losing your balance, which can lead to falling and serious injury,sit down immediately when you feel dizzy,use good lighting if you get up at night.


Hope this answers your question.I would be happy to answer if you have any follow-up questions.Take care.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Riddhi Shah 1 hour later
Those tests were done on me already, my eyes didnt move at all, I didnt feel dizzy either, its just my right ear, i hear the ringing, I hear my voice inside my ear as well, and things get loud. My ear feels stuffy.

I want to thank you so much for looking into this for me, I am concerned because I am by myself and I must depend on me, I am scared to drive at times, but I must work. Tank you again so much.
doctor
Answered by Dr. Riddhi Shah 16 hours later
Brief Answer:
You will need some other tests as mentioned in the answer

Detailed Answer:
Hi,thank you for reply.

There can be some few other probable possibilities like Menier's disease,or any other inner ear pathology.

Meniere's disease is a disorder of the inner ear that causes recurrent episodes of vertigo, fluctuating hearing loss with a progressive, ultimately permanent loss of hearing, tinnitus and feeling of fullness or pressure in your ear as a result of abnormally large amounts of a fluid called endolymph collecting in the inner ear. In most cases, Meniere's disease affects only one ear.
Avoiding trigger substances (eg, salt, chocolate, caffeine) is required in Meniere's disease.

It would be advisable to have other tests to reach a diagnosis:
MRI temporal bone with brain:to find out any growth or other pathology in the inner ear
Electrocochleography:it is diagnostic for Menier's disease,
Pure tone Audiogram to know the level of hearing loss.

Treatment will depend upon the diagnosis.

Hope this answers your question.Take care.


Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. Riddhi Shah

ENT Specialist

Practicing since :2008

Answered : 518 Questions

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