New to Vertigo / BPPV : which ear?
Posted , 7 users are following.
Six days ago I started feeling vertiginous. After two days I went to the hospital and the doctor looked in my eyes to confirm that it was BPPV and gave me betahistine 48mg daily.
I've read up on Epley Maneuver and have been practicing it several times daily. The vertigo has gone from a 6/10 to a 3/10 since that first few days - though I don't know what combination of meds, exercises and compensation that is.
I'm perfectly fine sitting, even computing; it's when I stand that I have trouble balancing. It's not that the room spins (that seems to have passe), I just waver and stumble a lot.
What I don't know is how to tell which ear it's in. Moving my head side-to-side doesn't really induce vertigo, though tilting my head down does.
The Epley maneveurs do not induce any vertigo. I would have thought they would definitely do so, considering how much I'm moving my head around.
Can I be sure this is BPPV?
0 likes, 36 replies
patty818 DaveC426913
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When I had bvvp when I layed on my right side it felt like I was dizzy. Also looking up I got the spinning feeling. But only the ENT can say what side it was, they do a hall pike test in the office and they can see your eyes moving and you can tell them when they put you back with your head off the end of the table and your head to one side you will fell it and they will see your eyes moving. They usually can do the eply once and then put a foam neck brace on you so you can't move your head up and down for 2 days and that usually takes care of it.
RD13 DaveC426913
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DaveC426913 RD13
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Which would be great, if they would see me. No help in the ER. My followup appointment with an ENT was scheduled a month from now. I had to beg them to get it moved up to next week.
So, I'm on my own till then.
Waffalobill DaveC426913
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Sochima822 DaveC426913
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What side are you focusing on when doing the Epley maneuver?
You can find what side is bothering you by doing this:
Lay down face up and turn your body to the right side, and put your head down close to your chin, and see if you feel any spin or any off balance sensation, do the same turning to the left side of your body. Which ever side feels like you're off balance or spinning that's the side affected.
DaveC426913 Sochima822
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I don't seem to have any prefernce for a better/worse side.
DaveC426913
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eleftherio33095 DaveC426913
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Eleftherios S. Papathanasiou, PhD, FEAN
Clinical Neurophysiologist
Fellow of the European Academy of Neurology
DaveC426913 eleftherio33095
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Yeah, he saw the jittery eyes. It's the rest of the sympoms that seem off. I guess every patient is unique.
anne05147 DaveC426913
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DaveC426913 anne05147
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Dizziness in bed is minimal and does not favour a side. It's standing and walking that gets me.
Waffalobill DaveC426913
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Lol. Its hard but you do have to learn to sit up slow. Wait a minute or so before standing to.
anne05147 DaveC426913
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I have BPPV in my left ear, it's very pronounced when I roll over. I also have MAV. I thought the two were one thing, BPPV until the consultant told me that my balance problems were due to MAV. Now I know the difference and take medication for MAV (silent migraines) which has made a world of difference.
Waffalobill anne05147
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anne05147 Waffalobill
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I had a tendency of jumping out of bed, those days are gone. Now it's a slow rise and turn outwards. When this first started I swung myself out of bed as usual and fell straight to the floor. I crawled around for a while until i got some sense of balance back.
Waffalobill anne05147
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anne05147 Waffalobill
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I agree that all other episodes have never been as bad as that particular one, I had to take a month off work, couldn't walk through a door without gripping onto the side of it, staggered about like the drunken sailor, fell over when i went from light to dark and basically, felt spaced out and couldn't focus my eyes properly. Everything seemed strange. I thought I had something much more serious wrong with me like MS.
Since then I am told that my brain has been retraining itself and has plasticity so that it can adapt to the changes i need to make. I have also cut out certain food that cause the silent migraines and found these to be mostly cheese and chocolate. I was told by the consultant that as it took so long to be diagnosed it would take longer to heal and i have been on medication for over a year which i am now being weaned off.
DaveC426913 anne05147
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I am pretty much asymptomatic in bed. Sure, a little disorientation if I roll over, but meh. In the morning I'm fine getting out of bed. Until the moment I'm standing. Then I tend to stumble. In fact, my symptoms are almost only when I'm standing and walking. Lucky for me I sit for a living and can work from home.
I went for a drive today to test my abilities. It is exactly like driving wth a buzz. l probably wouldn't handle an emergency with my normal perceptive ability.
Sochima822 DaveC426913
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Waffalobill Sochima822
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Sochima822 Waffalobill
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Depending on how much you complain you'll get a pill for every condition. One to turn your head left, one to turn your head right, one for the dizziness, one for the vertigo and one for the spaciness, lol.
You must not complain much, lol.
Waffalobill Sochima822
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DaveC426913 Sochima822
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Ya. 48mg Betahistine daily.
I took it for 6 days. No idea if it's doing anything, so I've stopped taking it for a bit to see if there's any backsliding. So far, no.
I read that it's essentially uber-Gravol, which means it's doing nothing for my condition, just damping the vertigo.
Worse, apparently, taking it tends to extend the time required to compensate/learn to cope with BPPV.
DaveC426913 Waffalobill
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Here in 'We The North' it's not so bad.
Waffalobill DaveC426913
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Sochima822 Waffalobill
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You would think the pharmaceutical industry would be happy to have people on controlled substances. I worked for a Neurologist years ago, and he rarely ever gave out an rx for a controlled substance unless the patient had parkinson's or ALS. Where ever you're at, it sounds as if they're coming down on the doctors for giving out those rx's.
Waffalobill Sochima822
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Waffalobill Sochima822
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Sochima822 DaveC426913
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I'm not sure what medical report you read, but I just read the efficacy of the drug and it's highly recommended for acute Meniere's disease.
Sochima822 Waffalobill
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That sounds like a bit too much. Every 30 days I can understand but every week? Yet, I don't understand why you would be tested for randomized drugs & alcohol unless there's doubt that you're clean and sober?
Waffalobill Sochima822
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DaveC426913 Sochima822
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Betahistine? For Meniere's? If you say so.
I don't have Meniere's so...
anne05147 DaveC426913
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I was fine with MAV until I put my feet on the floor to walk, driving was mostly OK as my feet were off the floor, but my perception of space between me and another was affected. Sometimes it felt as though everything moving around me was going faster or slower or moving whilst stationary. It wasn't safe for me to drive at one point so I stopped and took a month off work becasue i drive as a community nurse.
Our feet send impulses I guess to our brain and are part of our balance centre along with our ears and eyes etc.,