Comments for Why am I dizzy? Is it BPPV?

Comment on Epley Maneuver – How many times should it take? by Clearwater Clinical

Clearwater Clinical — Mon, 14 Nov 2011 01:05:29 +0000

We’re glad your son is feeling better. Although the nausea associated with BPPV can last for quite a while it is unusual for the spinning to last for more than a couple of minutes. I would again confirm the diagnosis you have with your physician.

To clarify BPV is Migraine related. However, BPPV is the one more commonly found in adults for which the Epley maneuver is useful. If your son has BPV then the Epley maneuver will not likely have any impact. You should perhaps speak with your physician to clarify.

Comment on Epley Maneuver – How many times should it take? by Clearwater Clinical

Clearwater Clinical — Mon, 14 Nov 2011 01:02:44 +0000

We’re glad you are feeling better. There is no way for us to judge what is safe for you to do at this stage. Our best recommendation is to seek local medical advice, which it appears you have done already. BPPV, if that is indeed what you have, normally only comes on with motion such as sitting up, rolling over, bending under etc. Other forms of vertigo can come on at any time like Meniere’s disease.

Comment on Epley Maneuver – How many times should it take? by jimlynch

jimlynch — Sun, 13 Nov 2011 20:18:08 +0000

After reading the many comments by your readers I think I understand a little more what is happening to me. I woke up with vertigo when I got out of bed. The room spinning sweating and nausea. I performed the Epley. Didn’t seem to work. I went to the doctor and I was seeing double. I went to the E-room and had an MRI everything is OK. I’m a have been off work for 4 days. Unfortunately I drive a crazy Interstate for 37 miles to work. I think I’m in the lightheaded stage because the room didn’t spin after the first day. Is it safe to drive in this lightheaded stage or should you wait until you feel completly normal?

Comment on Epley Maneuver – How many times should it take? by Aarthy

Aarthy — Sun, 13 Nov 2011 09:40:39 +0000

Today my son( 12 years) is again attacked by vertigo. Before this, the attack continues for 24 hours. Today only we are trying Epley Manuver on watching http://www.youtube.com/watch?v=2L-wjO7Njio. After trying Epley Manuver , first stomach ache gone. After 15 minutes, he is completely recovered from vertigo.

We are very happy and thank you for your answer. In your comment, you are asking “Is it a BPV or BPPV?” to our son . In his report, it says BPV. Now we are confused if he is attacked by BPPV or BPV?

Thanks again for your kind reply.

Comment on Epley Maneuver – How many times should it take? by Clearwater Clinical

Clearwater Clinical — Fri, 11 Nov 2011 21:36:19 +0000

Thanks for your comments. BPPV in a child is quite uncommon. So-called “Benign Paroxysmal Vertigo” (BPV) of childhood is actually different than BPPV. The disorder in children is more often related to migraine. You will have to clarify what your doctors told you. BPPV or BPV? They are different. Treatment for BPPV is with positioning maneuvers like the Epley. Treatment of BPV is the same as for migraine.

In answer to your questions:
1) The side on which you get vertigo when you lie down is the ear in which you have a problem.
2) No there is no seasonal variation.
3) Vertigo is a broad terms encompassing many different problems. First you need to find out what his problem is before you find a solution
4) Yes food can certainly trigger migraine and some foods (alcohol, caffeine) can make vertigo worse. You might like to try a food log so you can correlate diet and symptoms.

Comment on Epley Maneuver – How many times should it take? by Clearwater Clinical

Clearwater Clinical — Fri, 11 Nov 2011 21:30:08 +0000

Yep smoking often makes vertigo worse. Log rolls only work for horizontal canal BPPV rather than the more common posterior form. You can expect that a correct maneuver for BPPV will come with vertigo (short lived) as you move the crystals back into the place where they don’t cause vertigo.

Comment on Epley Maneuver – How many times should it take? by Minda Johnson

Minda Johnson — Fri, 11 Nov 2011 17:04:12 +0000

I have just been diagnosed with this debilitating disorder. I tried the Epley and symptoms continue, if not worse. I am petrified to try it again as it had me screaming in discomfort. I’m going to try log roll you suggest. I see you think caffeine aggravates it and I’m wondering if nicotine does as well? What a nightmare, my sympathies to fellow sufferers and thanks for any help on this website.

Comment on Epley Maneuver – How many times should it take? by Aarthy

Aarthy — Thu, 10 Nov 2011 05:33:27 +0000

My son has BPV for 3 months. He is 12 years old . It occurs once in a week. He couldn’t do anything during attack. Left ear is affected. He feels dizziness, vomiting and stomach ache. First 2 months the physicians are confused with migrine. He is given tablets for migrine. It didn’t work. We went to Neurologist . He found that he had BPV. After taking vertigo tablets, vomiting stopped. But now also vertigo continues in a severe way. we are decided to try Eplley Maneuver for our son.
My questions are

1, In which side he do Eplley Maneuver for affected left ear?
2. Is it a winter seasonal disease?
3. How should we protect him from vertigo?
4. Is there any food diets?

Because he is good in studies . He couldn’t go to school on an attack. Please help him.
Thanks for your time.

Comment on Epley Maneuver – How many times should it take? by Boyd Pebsworth

Boyd Pebsworth — Wed, 12 Oct 2011 05:32:23 +0000

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Comment on Can I prevent BPPV? by Clearwater Clinical

Clearwater Clinical — Sun, 09 Oct 2011 14:58:02 +0000

Thanks for posting your story. Obviously you have a complicated history. I can only comment in generalities since you should speak with your own doctor about your healthcare needs. With that said, the “off” feeling you describe is not uncommon after successfully treating an episode of BPPV. Fortunately is lasts only 1-2 weeks while you get used to the post-treatment state. You are also correct in that BPPV is recurrent and may come back again in up to 50% of people.

With respect to the question of prevention – there is very little evidence that you can prevent it from coming back. However, it would make sense that it could be prevented given what is known about it being due to crystals building up in the posterior canal. We believe that BPPV is due to a critical volume of crystals collecting in the posterior canal. If you empty these out daily I would imagine that you would never get a full-on recurrence, although you might get the off balance feeling.

As above I always suggest you speak with your own doctor about specific questions. In answer to, ‘Can I prevent BPPV?’, I would suggest yes – by daily Epley maneuvers, however, there is no scientific evidence to that effect to date. If you prefer there are assistive devices to ensure you do a correct maneuver. I do not suggest post procedural precautions (sleeping upright etc) as they appear in effective when all current literature is reviewed – there is a blog post to that effect elsewhere.

Thanks again for your comments.