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What Causes Dizziness At Night While Turning The Head?

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Posted on Wed, 27 Apr 2016
Question: When i lay down in bed at night i get very dizzy when i turn my head from one side to another. this just happened over night and i have had it for 4 days now,also my sinuses are real bad and i feel very wobbly when walking, i am 64 years old please help.
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Answered by Dr. Michelle Gibson James (40 minutes later)
Brief Answer:
may be combination of BPPV and sinusitis

Detailed Answer:
HI, thanks for using healthcare magic

Dizziness would be most commonly related to ear. The three most common inner ear conditions are BPPV (benign paroxysmal positional vertigo), meniere's disease and vestibular neuronitis.

Based on the fact that it worsens when you turn from one position to the other, it may be BPPV.
This causes dizziness that can vary with position.

Your doctor would diagnose this by performing certain examination techniques in the office.
Would be treated with the Epley manuever, which can be done at home.
There are images of this maneuver online.

With a history of sinus disease, this would also be contributing to the dizziness.
This would be treated with decongestants, antihistamines and topical steroid nasal sprays (eg nasonex, nasocort, rhinocort, flonase)

Summary: (a) may be a combination of BPPV and sinusitis
(b)BPPV is diagnosed by performing certain maneuvers and treated with the epley maneuver which can be found online
(c)Sinusitis is treated with antihistamines, decongestants and nasal sprays

I hope this helps,feel free to ask any other questions
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. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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What Causes Dizziness At Night While Turning The Head?

Brief Answer: may be combination of BPPV and sinusitis Detailed Answer: HI, thanks for using healthcare magic Dizziness would be most commonly related to ear. The three most common inner ear conditions are BPPV (benign paroxysmal positional vertigo), meniere's disease and vestibular neuronitis. Based on the fact that it worsens when you turn from one position to the other, it may be BPPV. This causes dizziness that can vary with position. Your doctor would diagnose this by performing certain examination techniques in the office. Would be treated with the Epley manuever, which can be done at home. There are images of this maneuver online. With a history of sinus disease, this would also be contributing to the dizziness. This would be treated with decongestants, antihistamines and topical steroid nasal sprays (eg nasonex, nasocort, rhinocort, flonase) Summary: (a) may be a combination of BPPV and sinusitis (b)BPPV is diagnosed by performing certain maneuvers and treated with the epley maneuver which can be found online (c)Sinusitis is treated with antihistamines, decongestants and nasal sprays I hope this helps,feel free to ask any other questions