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A medication called betahistine works in a similar way to antihistamines. It has been used to treat Ménière's disease and may also be used for other balance problems. It may have to be taken for a long period of time. The beneficial effects vary from person to person. Safety If you have vertigo, there are some safety issues to consider.
You should avoid driving if you've recently had episodes of vertigo and there's a chance you may have another episode while you're driving. It's your legal obligation to inform the Driver and Vehicle Licensing Agency (DVLA) about a medical condition that could affect your driving ability. Visit the GOV.UK website for more information on driving with a disability.
Diagnosis and Tests With advances in medical technology, BPPV can easily be diagnosed and treated. The diagnosis can usually be made in the office based on medical history and a physical exam. Treatment also involves a short, simple in-office procedure known as the particle repositioning maneuver. (See the treatment section).
These actions shift the otoconia out of the semicircular canals and back into their proper location in the utricle. The particle repositioning procedure begins with the patient sitting up and then lying down on a treatment table. The procedure is very easy to perform. Patients should wear comfortable clothing that will allow them to move freely.
: Without raising your head, turn your head quickly in the opposite direction so that your “good” ear is parallel with -- but slightly over the edge of -- the table or bed. Wait about a minute or until you stop having symptoms. : Roll onto your side. Continue to turn your head another 90 degrees in the same direction as step 3 so that your nose is now facing the floor.
Keep your head down until you reach the end of the bed and are kneeling or standing on the floor. Slowly bring your head backward into an upright position. (Hold on to the bed at all times.) Another method is to sit toward the foot of the bed, leaving enough room to lay back with your head resting comfortably at the end of the bed, slightly extended.
If your symptoms are severe, you may need assistance to complete the maneuver. Without treatment, the symptoms of BPPV may persist. However, with time (usually within 6 weeks), the otoconia dissolve on their own. Until then, the number and severity of episodes may be reduced simply by paying careful attention to head position.
The flow of fluid gives the body a sense of motion. : An organ located in the inner ear that helps control balance. The utricle contains hair cells, which are covered with otoconia. The otoconia sway with gravity, sending signals to the brain about the position of the head and body (upright, tilted, etc.).
: The “snail-shell” sense organ of the inner ear that translates sound into nerve impulses that are sent to the brain.
Connecting with others might be just what you need to cope with your vertigo episodes. Ve, DA’s website helps you find support groups in your area. Or, you can join an online group. This free app demonstrates how vestibular disorders happen in the body. It was designed as a teaching tool for college-level students and medical professionals, but the information could help laypeople, too.
The American Academy of Neurology's annual meeting covers some of the latest breakthroughs for neurological disorders. You can browse the program here..
Treatment for vertigo depends on the diagnosis and may include medications or surgery, as well as physical therapy to improve stabilization, retrain the brain and relieve symptoms.
The utricle is a nearby part of the ear. It contains calcium crystals (canaliths) that help it detect movement. Sometimes these crystals detach from the utricle and end up inside the semicircular canals. When these crystals move inside the canals, they may send incorrect signals to your brain about your position.
This is called vertigo. Dr. John Epley designed a series of movements to dislodge the crystals from the semicircular canals. These movements bring the crystals back to the utricle, where they belong. This treats the symptoms of vertigo. The original Epley maneuver was designed to be done with a healthcare provider.
These are a series of movements that you can do without help, in your own home. Why might I need the home Epley maneuver? You may need to try the home Epley maneuver if you have symptoms of BPPV. In BPPV, vertigo may come on with certain head movements. It may last for up to a minute.
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