Dizziness is one of the symptoms that in addition to the pain that follows for the affected person, it may also confuse doctors in assessing and diagnosing the cause.
Benign paroxysmal positional vertigo or BPPV according to doctors, is the most common cause of true vertigo.
If you also have BPPV, join us.
In the following, we will talk more about benign paroxysmal positional vertigo treatment.
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What do doctors mean by true vertigo?
In these cases, the person with the headache clearly states that he or she revolves around the room and the environment, or that the environment revolves around the head.
BPPV
We said that it is the most common cause of True vertigo and dizziness occurs in a certain position and situation, dizziness is not permanent, the person will have a dizziness attack and after resolving the dizziness, the dizziness will be asymptomatic until the next attack.
A sudden onset of dizziness in the elderly, drivers, pilots, climbers, can be really catastrophic.
Who gets BPPV the most?
The following people are more likely to develop BPPV:
- People fifty years and older
- Women
- People with a history of head injuries
- People with damage to the balance parts of their inner ear
But in general, BPPV can occur at any age and gender.
A brief look at the symptoms of BPPV
Let’s take a brief look at the bppv symptoms:
- True vertigo
- Nausea
- Vomiting
- Dizziness
Doctors believe that the type and severity of symptoms vary from person to person and the only thing that people have in common is that almost always the onset of this vertigo is accompanied by a change in head and neck position.
How do doctors explain the cause of this type of dizziness?
This is how doctors describe the cause of this dizziness: There are three cochlear semicircular canals in the human inner ear.
Sediments are located in the posterior semicircular canal that trigger a dizziness attack. When you change the position of your head and neck, these sediments settle due to gravity. , The inner wall cells of the semicircular canals receive this deposition and you become dizzy, the semicircular canals of the inner ear are responsible for assessing the position of the body to maintain your balance.
BPPV diagnosis
- Accurate biography
- Clinical examination
- And Dix Hallpike test performed by a physician
Sometimes doctors use other diagnostic aids to rule out other differential diagnoses.
BPPV treatment
How is this common vertigo treated?
Physicians consider one of the following two treatment brochures to be effective in treating most bppp cases:
- Epley maneuver
- Semnot maneuver
- Epley maneuver:
- Sit on the edge of the bed.
- Slowly change position on the bed with the arch open.
- Turn your head forty-five degrees to the right.
- Stay in this position for fifteen to twenty seconds.
- Now return the head to the midline.
- Now turn your head forty-five degrees to the left and stay in this position for fifteen to twenty minutes.
The next step is to place the head at a ninety degree angle so that the ear is in contact with the bed. Now the doctor will ask you to move your body by moving the head. Now stay in this position for fifteen to twenty seconds.
Now go back to sitting on the edge of your bed and this time finish this maneuver lying down on the left.
- Semantic maneuver:
Sit on the edge of the bed so that your feet are hanging from the knees.
The doctor or audiologist turns your head forty-five degrees in the opposite direction of the involved side.
Your audiologist or doctor, while holding your head in his hand, quickly moves you to a lying position of the involved side. In this case, you can see the ceiling of the room and know when dizziness occurs you stay in this position until the dizziness goes away.
Now the audiologist changes your position to a sitting position and you quickly rotate in the other direction so that you can see the floor of the room. In this position, You stay in this state of dizziness, until your dizziness goes away.
After the dizziness is gone, the audiologist will return you to a sitting position.
If this maneuver is successful, your dizziness will go away in a day or two. If your vertigo persists for more than this period, the doctor will decide again to repeat the semont maneuver or perform the Epley maneuver for you.
You may also feel dizzy after the semont maneuver, so it is better to have someone with you, and stay immobile until dizziness is relieved in the clinic or doctor’s office. You can leave the office when the dizziness is relieved. It is recommended not to drive on the day of the maneuver.
After discharge and arrival at home, it is better to stay in a fixed position for a few hours and avoid sudden and rapid positions.
Lie on your back and do not turn your head and neck towards the involved side.
Under your head must be forty-five degrees above the horizon.
Avoid rapid head and neck movements for forty-eight hours.
If the problem persists after a maximum of four days, see a doctor
Your doctor is the only person who, after your examination, will determine the appropriate type of maneuver and the direction of involvement.
The very important point is that both of the above maneuvers should be performed by an experienced audiologist. Performing both of the above maneuvers by a person without expertise and skills will make the situation worse.
The above maneuvers will help the sediments (canaliths) mentioned above to come out of the semicircular canals and can no longer cause dizziness by stimulating the balance receptors in the semicircular canals.
The sum of these techniques is called Canalith repositioning procedures.
These above stages are sometimes referred to as vestibular rehabilitation.
Drugs in the treatment of bppv
Medications can help reduce nausea and vomiting.
Affected individuals will receive standard conventional medicine therapy even before the maneuvers:
Standard conventional medicine therapy
For example:
- Meclizine
- Lorazepam
- Diphenhydramine
- Ondansetron