Comments for Why am I dizzy? Is it BPPV? http://clearwaterclinical.com/blog from the doctors at Clearwater Clinical Sun, 15 Aug 2010 03:21:06 +0000 http://wordpress.org/?v=2.9.2 hourly 1 Comment on Epley Maneuver – How many times should it take? by admin http://clearwaterclinical.com/blog/2009/04/epley-maneuver-how-many-times-should-it-take.html/comment-page-1#comment-42 admin Sun, 15 Aug 2010 03:21:06 +0000 http://clearwaterclinical.com/blog/?p=37#comment-42 Thanks for the comment. As usual you should be evaluated by your own physician for a diagnosis. In general, vertigo related to BPPV occurs while both laying down AND when sitting up. Most people comment on the laying down part, but you usually get dizzy on the sitting up part as well. It is unusual to get it only when sitting up. In some cases low blood pressure can cause what is called "postural hypotension". In this condition you get light headed when sitting up or standing up suddenly. Having someone look in your eyes when sitting up might help you to identify nystagmus - this would confirm BPPV. Have your doctor perform a Dix-Hallpike maneuver to diagnosis you situation. Regardless, using a repositioning maneuver is essentially harmless but symptoms which do not fit the usual picture should be evaluated by your physician. Headache can can be migraine associated vertigo. Usually there is vertigo lasting hours with this condition, so that might not fit. Best of luck. Thanks for the comment. As usual you should be evaluated by your own physician for a diagnosis. In general, vertigo related to BPPV occurs while both laying down AND when sitting up. Most people comment on the laying down part, but you usually get dizzy on the sitting up part as well. It is unusual to get it only when sitting up. In some cases low blood pressure can cause what is called “postural hypotension”. In this condition you get light headed when sitting up or standing up suddenly. Having someone look in your eyes when sitting up might help you to identify nystagmus – this would confirm BPPV. Have your doctor perform a Dix-Hallpike maneuver to diagnosis you situation. Regardless, using a repositioning maneuver is essentially harmless but symptoms which do not fit the usual picture should be evaluated by your physician. Headache can can be migraine associated vertigo. Usually there is vertigo lasting hours with this condition, so that might not fit. Best of luck.

]]> Comment on Epley Maneuver – How many times should it take? by Karla http://clearwaterclinical.com/blog/2009/04/epley-maneuver-how-many-times-should-it-take.html/comment-page-1#comment-41 Karla Thu, 12 Aug 2010 21:46:29 +0000 http://clearwaterclinical.com/blog/?p=37#comment-41 HI, what if the vertigo is when you sit up? I have had bppv many many times, once lasting about 4 months. I am aware of how to do the at home epleys, but i have tested both sides and I am only dizzy when I sit up. Sever foggy and unsteadiness along with sinus headaches.... thanks! HI, what if the vertigo is when you sit up? I have had bppv many many times, once lasting about 4 months. I am aware of how to do the at home epleys, but i have tested both sides and I am only dizzy when I sit up. Sever foggy and unsteadiness along with sinus headaches…. thanks!

]]> Comment on Epley Maneuver – How many times should it take? by admin http://clearwaterclinical.com/blog/2009/04/epley-maneuver-how-many-times-should-it-take.html/comment-page-1#comment-33 admin Sat, 22 May 2010 03:34:22 +0000 http://clearwaterclinical.com/blog/?p=37#comment-33 You can, in fact, try one side followed by the other. It would make sense that doing the reverse maneuver might undo the first maneuver - but due to the anatomy of the inner ear it is unlikely that this would happen. With this said, we generally recommend that people do one side first for a week then do the other side the next week. This is so it becomes clear what side you had BPPV on and which maneuver worked for you. If you do both sides in the same sitting you will never discover which side is the bad one. Some people can't tell which side they have BPPV on because they might have it on both sides. This happens about 10% of the time. However, in general you can detect the affected side by laying down flat (or with your head hanging over the end of the bed) and turning one ear down toward the floor and waiting for a bout 30 seconds. If you get dizzy in that position then you have BPPV in that ear. Try on each side and see which side has BPPV. Hope that helps. As always it is important to discuss your condition with your own physician and follow their advice. You can, in fact, try one side followed by the other. It would make sense that doing the reverse maneuver might undo the first maneuver – but due to the anatomy of the inner ear it is unlikely that this would happen. With this said, we generally recommend that people do one side first for a week then do the other side the next week. This is so it becomes clear what side you had BPPV on and which maneuver worked for you. If you do both sides in the same sitting you will never discover which side is the bad one. Some people can’t tell which side they have BPPV on because they might have it on both sides. This happens about 10% of the time. However, in general you can detect the affected side by laying down flat (or with your head hanging over the end of the bed) and turning one ear down toward the floor and waiting for a bout 30 seconds. If you get dizzy in that position then you have BPPV in that ear. Try on each side and see which side has BPPV. Hope that helps. As always it is important to discuss your condition with your own physician and follow their advice.

]]> Comment on Epley Maneuver – How many times should it take? by Debbie http://clearwaterclinical.com/blog/2009/04/epley-maneuver-how-many-times-should-it-take.html/comment-page-1#comment-32 Debbie Fri, 21 May 2010 18:36:08 +0000 http://clearwaterclinical.com/blog/?p=37#comment-32 Thanks for being there. I am 41 with no classic causes for BPPV and can only guess that it was due to severe seasonal allergy symptoms this past month. The MD I sought care for this was absolutely of no help other than giving my the name, BPV. This is my query: I am unsure which is the affected side, left or right. Can I do the modified Epley on both sides during the same treatment time or does the second maneuver invalidate the first? Thank you for your time. Thanks for being there. I am 41 with no classic causes for BPPV and can only guess that it was due to severe seasonal allergy symptoms this past month. The MD I sought care for this was absolutely of no help other than giving my the name, BPV. This is my query: I am unsure which is the affected side, left or right. Can I do the modified Epley on both sides during the same treatment time or does the second maneuver invalidate the first? Thank you for your time.

]]> Comment on Epley Maneuver – How many times should it take? by admin http://clearwaterclinical.com/blog/2009/04/epley-maneuver-how-many-times-should-it-take.html/comment-page-1#comment-31 admin Mon, 17 May 2010 02:09:02 +0000 http://clearwaterclinical.com/blog/?p=37#comment-31 BPPV can be highly recurrent, so having it back after it going away is not unusual. Unfortunately no medicines really work for BPPV. The only treatment is the Particle Repositioning Maneuver (Epley Maneuver). There is no limit to the number of times you can perform the Epley maneuver but it does "fatigue" meaning if you repeat it time after time (right after each other) the symptoms will go away for a few minutes but it isn't really treated more by repeated again and again. Most people recommend only 1-2 per day so you can track what is actually happening. On a day to day basis some people find they need to do it once daily to keep the symptoms away. There are no side effects from repetition specifically. However, there only thing which can happen is that you convert one kind of BPPV into another. This other kind, called horizontal BPPV feels worse, but actually goes away much quicker. Also you should keep in mind that if you are having strange symptoms and the treatment is not working that you may not have BPPV. You should discuss these types of questions with you own doctor who can properly examine you. In general terms anything which causes stress makes dizziness worse. Some of the symptoms you describe like, headache, light and noise sensitivity and symptoms before a store sound a little like migraine associated vertigo (MAV). There is lots to read about that on the web. Again - ask your doctor if this could be the cause. BPPV can be highly recurrent, so having it back after it going away is not unusual. Unfortunately no medicines really work for BPPV. The only treatment is the Particle Repositioning Maneuver (Epley Maneuver). There is no limit to the number of times you can perform the Epley maneuver but it does “fatigue” meaning if you repeat it time after time (right after each other) the symptoms will go away for a few minutes but it isn’t really treated more by repeated again and again. Most people recommend only 1-2 per day so you can track what is actually happening. On a day to day basis some people find they need to do it once daily to keep the symptoms away. There are no side effects from repetition specifically. However, there only thing which can happen is that you convert one kind of BPPV into another. This other kind, called horizontal BPPV feels worse, but actually goes away much quicker. Also you should keep in mind that if you are having strange symptoms and the treatment is not working that you may not have BPPV. You should discuss these types of questions with you own doctor who can properly examine you. In general terms anything which causes stress makes dizziness worse. Some of the symptoms you describe like, headache, light and noise sensitivity and symptoms before a store sound a little like migraine associated vertigo (MAV). There is lots to read about that on the web. Again – ask your doctor if this could be the cause.

]]> Comment on Epley Maneuver – How many times should it take? by wendy http://clearwaterclinical.com/blog/2009/04/epley-maneuver-how-many-times-should-it-take.html/comment-page-1#comment-30 wendy Mon, 17 May 2010 01:01:51 +0000 http://clearwaterclinical.com/blog/?p=37#comment-30 I've been diagnosed with BPPV and have been dealing with it for 6 weeks. After a week of meds it was 85% gone and then came back worse. This all happened after a severe allergy seasonal time of year. I've had the Epley done each time with some improvement noticed. I've done it at home (up to 8 repetitions) and have gotten some temporary improvement, but nothing long lasting. How many times (in a row) can you do the Epley? Also, I've noticed that loud music and bright lights really aggravate things and my head seems to be pounding. Is this common to BPPV? I've noticed my ears popping and had issues before a storm front came through. I've already spent a lot of $$ for the GP, ENT, and now PT. Are these symptoms also assoc with BPPV? I'm trying to figure out whether to do more therapy or ask for a 2nd opinion if these things are not commonly associated with BPPV. thanks. I’ve been diagnosed with BPPV and have been dealing with it for 6 weeks. After a week of meds it was 85% gone and then came back worse. This all happened after a severe allergy seasonal time of year. I’ve had the Epley done each time with some improvement noticed. I’ve done it at home (up to 8 repetitions) and have gotten some temporary improvement, but nothing long lasting. How many times (in a row) can you do the Epley? Also, I’ve noticed that loud music and bright lights really aggravate things and my head seems to be pounding. Is this common to BPPV? I’ve noticed my ears popping and had issues before a storm front came through. I’ve already spent a lot of $$ for the GP, ENT, and now PT. Are these symptoms also assoc with BPPV? I’m trying to figure out whether to do more therapy or ask for a 2nd opinion if these things are not commonly associated with BPPV. thanks.

]]> Comment on Epley Maneuver – How many times should it take? by admin http://clearwaterclinical.com/blog/2009/04/epley-maneuver-how-many-times-should-it-take.html/comment-page-1#comment-28 admin Sat, 13 Mar 2010 04:40:55 +0000 http://clearwaterclinical.com/blog/?p=37#comment-28 Great question. Tinnitus can be associated with a number of ear and brain related problems. In order to sort out the cause of the tinnitus your husband should be evaluated by his physician. With that said tinnitus is not normally associated with BPPV, but they can both be present at the same time. Most commonly tinnitus is a result of some high frequency hearing loss. Great question. Tinnitus can be associated with a number of ear and brain related problems. In order to sort out the cause of the tinnitus your husband should be evaluated by his physician. With that said tinnitus is not normally associated with BPPV, but they can both be present at the same time. Most commonly tinnitus is a result of some high frequency hearing loss.

]]> Comment on Epley Maneuver – How many times should it take? by Laura http://clearwaterclinical.com/blog/2009/04/epley-maneuver-how-many-times-should-it-take.html/comment-page-1#comment-27 Laura Fri, 12 Mar 2010 16:18:36 +0000 http://clearwaterclinical.com/blog/?p=37#comment-27 My husband has been diagnosed with possible bppv. Is tinitus a symptom? He has been dealing with vertigo and ringing in his ears for many years. Thank you. My husband has been diagnosed with possible bppv. Is tinitus a symptom? He has been dealing with vertigo and ringing in his ears for many years. Thank you.

]]> Comment on Epley Maneuver – How many times should it take? by admin http://clearwaterclinical.com/blog/2009/04/epley-maneuver-how-many-times-should-it-take.html/comment-page-1#comment-25 admin Mon, 01 Mar 2010 04:40:00 +0000 http://clearwaterclinical.com/blog/?p=37#comment-25 Thanks for the comments. What I can tell you is that the best treatment for BPPV is a particle repositioning maneuver. This can be done by yourself, with your doctor or by using a <a href="http://www.dizzyfix.com" rel="nofollow">home BPPV treatment device</a>. Good Luck. Thanks for the comments. What I can tell you is that the best treatment for BPPV is a particle repositioning maneuver. This can be done by yourself, with your doctor or by using a home BPPV treatment device. Good Luck.

]]> Comment on Epley Maneuver – How many times should it take? by Robin http://clearwaterclinical.com/blog/2009/04/epley-maneuver-how-many-times-should-it-take.html/comment-page-1#comment-24 Robin Tue, 15 Dec 2009 15:10:55 +0000 http://clearwaterclinical.com/blog/?p=37#comment-24 Hello!! I have recurring spontaneous vertigo due to a head trauma during my teen years. I am now almost 43. Right now, perhaps brought on by a bad head cold/virus, I have a powerful bout of BPPV. I wonder if the Epley Manuever and/or log rolls are appropriate treatment methods for my type of vertigo. I hope you can answer! Thank you, Robin Hello!! I have recurring spontaneous vertigo due to a head trauma during my teen years. I am now almost 43. Right now, perhaps brought on by a bad head cold/virus, I have a powerful bout of BPPV. I wonder if the Epley Manuever and/or log rolls are appropriate treatment methods for my type of vertigo. I hope you can answer!

Thank you,

Robin

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