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I am a new member here and very happy to find such a fantastic and encouraging forum!
I am a 23 year old male. On the Saturday 2 weeks ago, I woke up with an intense spinning sensation. I noticed that the vertigo only happened when I rolled to the left on bed, got out of the bed quickly (also to via left), looked up or bent over. After the spinning was triggered, it only lasted around 20 seconds (I also noticed that fixing my eyes on certain object terminated the vertigo). Rolling to the right caused no problem at all. In addtion, repeated "triggering" the vertigo with the above positions did seem to reduce the intensitiy of rotation over time. In addition, I didn't have any headache or change in hearing and vision. The vertigo made me a bit dizzy but didn't cause any vomitting.
I freaked out and rushed to the primary care physician the next Monday. He diagnosed me with benign paroxysmal positional vertigo, provided some Meclizine and recommened me to work on the Epley maneuver myself. During each Epley, the nygstamus was invoked with my head down to the left, but diminished upon sitting. I did two Epley on two consecutive days, and was completely cured (no more vertigo sleeping on left side or looking up/down). To confirm, any Epley afterward failed to induce vertigo and nystagmus (Yay!!!)
However, I do still have some concerns. The primary care physician never used the Dix-Hallpike to "formally" diagnose me. Instead, he just told me with my typical symptoms, it must be BPPV. So apparently, I had Epley and I am cured now, I must be happy! But...
As a graduate student in health science, I get full access to the medical literature of BPPV. From what I have read, some "deeper" conditions (like brain damage, brain tumor, malformation etc.) can mimic BPPV! That possibility has been making me worry sick the past few days. I have been foolishly torturing myself with a lot of "what if" questions, like what if it was not just an ear problem, and what if the vertigo comes back... I am super hyperchondriac in nature, and these thoughts gave me serious panic attack. I found it quite ironic that the vertigo itself didn't make me feel sick as much the afterward anxiety and hypochondria!
I just want to seek some advice from you, vertigo/dizziness warriors and experts :
1/ Are my symptoms typical for BPPV?
2/ The fact that my vertgio went away quite fast with Epley Maneuver, does it confirm that what I had was merely caused by the inner ear, not anything "deeper" ?
3/ Am I too young for BPPV (23 year old)?
4/ Based on your experience, can you tell me if BPPV can return after successfully treated?
5/ How should I deal with anxiety and panic attack?
Thanks so much for your help!!!
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