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What Causes Recurrent Vertigo?
I have had vertigo on and off for about 2 years, and was seen by an ENT doctor, which told me I have the beigne vertigo....He said I had a lot of wax build up, and tried to clean it out, and was unsuccessful due to the pain in my ear.....he told me to do exercises, which I did, and it did subside, but is now back, and with no warning....just turned over in bed and was extremely dizzy....I know it has to do with the crystals in the ear canals, and was wondering, since allergy season is coming, could that also aide in why it is back after quite a period of being gone....Thank you.
Sat, 20 Oct 2018
Hi,
After reviewing your health query I'm of the following opinion:
1. As you were checked/examined by an ENT Doctor, thus wax could be one possible cause of your vertigo, along with BPPV [benign paroxysmal positional vertigo] since it occurs with certain movement and because lab investigations or imaging is rarely needed thus it needs a medical diagnosis and is rarely serious unless it increases risk of falling.
2. As I'm unable to examine you directly, thus my approach in your case would be:
i. As the age advances cervical spondylitis is the commonest cause, even then:
ii. If symptoms are severe or associated with any neurological sign, consult a Neurologist.
iii. Check with your blood pressure, neck movements and look for pallor and murmur [Cardiologist opinion], and ask for cochlear symptoms [deafness and tinnitus] and vestibular symptoms [vertigo and nystagmus.]
iv. If the symptoms are not promptly controlled, ask for Hb%, X-ray cervical spine [AP & Lateral], ENT and ophthalmic checkup till then:
- bed rest, avoid movements if symptoms are severe.
- tablet Cinnarizine till symptoms are controlled.
- capsules B complex.
PS. Check baseline investigations like serum electrolytes, thyroid, and cholesterol profile and blood sugar level.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Munish Sood,
Ayurveda Specialist
After reviewing your health query I'm of the following opinion:
1. As you were checked/examined by an ENT Doctor, thus wax could be one possible cause of your vertigo, along with BPPV [benign paroxysmal positional vertigo] since it occurs with certain movement and because lab investigations or imaging is rarely needed thus it needs a medical diagnosis and is rarely serious unless it increases risk of falling.
2. As I'm unable to examine you directly, thus my approach in your case would be:
i. As the age advances cervical spondylitis is the commonest cause, even then:
ii. If symptoms are severe or associated with any neurological sign, consult a Neurologist.
iii. Check with your blood pressure, neck movements and look for pallor and murmur [Cardiologist opinion], and ask for cochlear symptoms [deafness and tinnitus] and vestibular symptoms [vertigo and nystagmus.]
iv. If the symptoms are not promptly controlled, ask for Hb%, X-ray cervical spine [AP & Lateral], ENT and ophthalmic checkup till then:
- bed rest, avoid movements if symptoms are severe.
- tablet Cinnarizine till symptoms are controlled.
- capsules B complex.
PS. Check baseline investigations like serum electrolytes, thyroid, and cholesterol profile and blood sugar level.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Munish Sood,
Ayurveda Specialist
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