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Suggest Treatment For Vertigo

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Posted on Mon, 7 Jul 2014
Question: This is related to my vertigo. I first suffered it in January 2009 which continued for some days. Then it came back in October 2010, 2012 and now in XXXXXXX 2014. Every time when I change my head position suddenly the whole world rotates for a brief amount of time, e.g., when I bend backward, sleep or change head position in sleep.

It stays for 7-10 days, some times less than that. This period is always very uncomfortable and fearful. I tried Vertin, stematil etc.

Is there any way to permanently stop this disease?
doctor
Answered by Dr. Rajkishori Godhi (23 minutes later)
Brief Answer:
BPPV

Detailed Answer:
Hello sir and thanks for using healthcaremagic,
from your symptoms I feel that you are probabaly suffering from BPPV - Benign paroxysmal positional vertigo. It can only be confirmed by examination. A test called as Dix Hallpike test is done to confirm. Please meet your ENT doctor for the same.

BPPV is the most common cause for vertigo.
It tends to recur and each recurrence lasts for a few days.
Do not worry.
Generally we give a course of labyrinthine sedatives for every recurrence.
You can try Brandt Daroff exercises. Talk to your doctor about it. You can even get details of these exercises from youtube or even on google search.

Epleys manouvre helps to control symptoms . Talk to your ENT doctor about it.

Regards,
Dr Rajkishori Godhi.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Rajkishori Godhi (2 hours later)
Thanks Madam.

In 2009 I went through ENG test followed by Brain MRI in a very premium hospital of XXXXXXX Finally I was given Vertin 8 mg thrice a day and some ear exercises. I went through them for six months. Next two times of attack I did not went through any medicine.

My question is, what causes labyrinthine. In my case as it is repeating, so is there any particular reason for it? How can I prevent it again in future? (My question may be silly, as after getting fever once it is very unlikely that some one will not get again.)

The feeling is very much uncomfortable and hampers my day to day activity.

Kindly help.
doctor
Answered by Dr. Rajkishori Godhi (3 hours later)
Brief Answer:
labyrinthine sedatives

Detailed Answer:
Hello sir,

Infection of the labyrinth, injury to the labyrinth can disrupt the delicate physiology of the labyrinth thereby triggering giddiness.

In BPPV, there will be debris floating in your labyrinth and with movement of head the debris gets dislodged giving rise to giddiness.

I cannot honestly tell you how your symptoms can be prevented because I do not have a diagnosis. I will have to examine you to diagnose your condition. See an ENT for a diagnosis. Only when there is a diagnosis can we consider treatment.

From your symptoms I can make a fair guess, since your doctor has put you on vertin and ear exercises I guess that your ENG and MRI have not revealed anything.
This makes me feel that you are suffering from BPPV. Also since you have no others symptoms like hearing loss and tinnitus, BPPV becomes even more probabale. But it is wrong to speculate.
Please see a doctor to confirm the diagnosis.


If it indeed turns out to be BPPV then epley's manouvre can be done to prevent relapse.

When you have symptoms you can take labyrinthine sedatives like prochlorperazine. Again talk to your doctor about it.

Regards,
Dr Rajkishori Godhi.
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. Yogesh D
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Answered by
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Dr. Rajkishori Godhi

ENT Specialist

Practicing since :2003

Answered : 708 Questions

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Suggest Treatment For Vertigo

Brief Answer: BPPV Detailed Answer: Hello sir and thanks for using healthcaremagic, from your symptoms I feel that you are probabaly suffering from BPPV - Benign paroxysmal positional vertigo. It can only be confirmed by examination. A test called as Dix Hallpike test is done to confirm. Please meet your ENT doctor for the same. BPPV is the most common cause for vertigo. It tends to recur and each recurrence lasts for a few days. Do not worry. Generally we give a course of labyrinthine sedatives for every recurrence. You can try Brandt Daroff exercises. Talk to your doctor about it. You can even get details of these exercises from youtube or even on google search. Epleys manouvre helps to control symptoms . Talk to your ENT doctor about it. Regards, Dr Rajkishori Godhi.