Vertigo

[kuchee]

Siblings, having strong vertigo and is unable to stand and walk without holding walls. Help needed to gt some strengths for legs and vertigo. Please!

[springlove]

Betahistine & physical therapists

[Veteran250 in reply to springlove]

Kuchee. I have Vertigo quite often, I find the best cure for it is to go to bed, and sleep!

Its normally clear after four or five hours sleep..... truly! 😀👍

[kuchee in reply to Veteran250]

Don, what if it is still there? I go to office and afraid of falling all the time and not standing up frm my chair. I keep control but occasionally it is too much. Wish i cud sleep any time but only take an hour break during the day.

[Veteran250 in reply to kuchee]

Sadly Kuchee, I can only tell you how it is for me, and how I get rid of it. I am retired from work many moons ago, and know nothing of the cause, nor the medicines to cure it. 🤨☹️

[kuchee in reply to Veteran250]

Thanks for you input Don.

[kuchee in reply to springlove]

thanks springlove for your input i will speak to my GP on it next week when i see him.

[wobblybee]

🙂 BPPV

BPPV is the commonest cause of vertigo. It is Benign as although it can be quite disabling, it is not due to serious disease; Paroxysmal because it occurs in short bursts of up to one minute; Positional as it is provoked specifically by movement to or from certain positions; Vertigo – dizziness defined as an illusion of movement.

Who is affected by BPPV?

BPPV is estimated to affect roughly 50% of all people at some time in their lives and becomes progressively more common with age.

Symptoms of BPPV

The vertigo is generally rotational (like getting off a roundabout) but sometimes sufferers, on lying down, will feel that they are falling through the bottom of the bed or, on getting up, that they are being thrown back onto it. The classic provoking movements to induce BPPV are: lying flat, sitting up from lying flat; turning over in bed; looking up (e.g. hanging washing) or bending down, especially if also looking to the side. The duration of the vertigo is brief; usually five to 30 seconds but very occasionally lasts up to two minutes.

What causes BPPV?

BPPV is caused when loose chalk crystals get into the wrong part of the inner ear. These microscopic crystals should be embedded in a lump of jelly. The crystals weigh the jelly down and make that part of the ear sensitive to gravity. The crystals are constantly being re-absorbed and re-formed and over time fragments come loose. Lying flat can then occasionally cause some of the loose debris to fall into one of the semi-circular canals; the parts of the ear responsible for sensing rotation. Movement in the plane of the affected canal causes the crystals to move along the canal, stimulating it and giving the sensation of rotation.

How is BPPV diagnosed?

During periods when attacks are not occurring, the diagnosis is made from the characteristic history and by the exclusion of other disorders that can cause similar dizzy symptoms. When attacks are occurring, the Hallpike positional test is diagnostic. In the commonest form of BPPV the Hallpike test is positive (i.e. induces vertigo and nystagmus) when the affected ear is down most. Up to 10% of cases may involve both ears.

How is BPPV treated?

At least a half of all cases will get better without treatment though this may take months. As BPPV is basically a mechanical disorder, drugs have no effect and should be avoided. Most cases that do not resolve rapidly can now be relieved by the appropriate Particle Repositioning Manoeuvre; of which the most commonly performed is the Epley manoeuvre which offers instant relief of symptoms in nine out of 10.

It is possible to watch demonstrations of the Epley Manoeuvre on YouTube and attempt it yourself at home. But, some people have an unsettling reaction (it happened to me), so it’s almost always best to ask your doctor or a physiotherapist to do it for you.

[kuchee in reply to wobblybee]

I have had tested my ears also. hey are absolutely fine but vertigo doesn't go 100%.

Thanks for advice, i will again speak to my neurologist to come up with recovery of some extend. Hope to get some solution.

[wobblybee in reply to kuchee]

😏 Despite repeated Epley Manouvres I haven’t had a solution either. Earlier this year I was prescribed Flunarizine, which I was told is primarily given for Migraine. It did help somewhat with BPPV, but had side effects, so I discontinued it. But, there are other medications to try. Although it has to be said that dizziness itself can be a constant feature for many of us.

[ConfusedAtaxian]

I think you should visit the GP 🤗

[kuchee]

I will. thanks