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What causes dizziness despite taking medication for BPPV?

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Patient's Query

Hi doctor,

My mother has been suffering from BPPV for the past year. At the start, it was severe, but with the time, it became less. It has been ten months, but still, she feels dizziness like her body is slowly moving, and while walking, she complains that floor is getting high and low. Her MRI, four Vessel Doppler scan, and hearing tests were all fine. She has been taking tablet Betahistine dihydrochloride Serc 16 mg twice a day for the last ten months. She is much better but still not recovered fully. Tell me whether it is normal, or should we go for another medication. Thanks.

Answered by Dr. Sandeep Shrestha

Education:

MS Otorhinolaryngology

Professional Bio:

Dr. Sandeep Shrestha is an experienced ENT Specialist with extensive years of clinical practice. He is skilled in diagnosing and treating a wide range of ear, nose, and throat conditions. Dr. Shrestha is committed to providing personalized and effective care through advanced medical and surgical techniques, ensuring the best possible outcomes for his patients while promoting their overall ear, nose, and throat health.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

As your mother is having BPPV (benign paroxysmal positional vertigo), it is a disease of the posterior semicircular canal in inner ear. Try to know which side of the ear is affected. It gets aggravate while moving head laterally. Epley maneuver is one of the standard methods of treatment done in the hospital. Self-performing exercise like, the Brandt-Daroff maneuver is performed in the same manner for right and left-sided posterior canalithiasis. The seated patient begins by rapidly lying on one side and then waits until any provoked vertigo subsides. The patient then sits up again and waits once more for vertigo to subside. The next move is to rapidly lie on the other side, wait for any vertigo to decline, and then sit up again. The sequence is repeated 10 to 20 times, up to three times a day, until the patient is asymptomatic. The symmetry of this maneuver makes it appropriate for either left or right-sided pathology. It also makes this maneuver useful when one is uncertain as to the side of the canalithiasis. Try this maneuver seeing on net. I hope this will help you. Thank you.

Medically reviewed by Dr. Preetha. J
Published At October 4, 2020
Reviewed At August 10, 2024

Education:

MS Otorhinolaryngology

Professional Bio:

Dr. Sandeep Shrestha is an experienced ENT Specialist with extensive years of clinical practice. He is skilled in diagnosing and treating a wide range of ear, nose, and throat conditions. Dr. Shrestha is committed to providing personalized and effective care through advanced medical and surgical techniques, ensuring the best possible outcomes for his patients while promoting their overall ear, nose, and throat health.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Preetha J. is a proficient Dental Surgeon with expertise in cosmetic dentistry, restorative procedures, root canal treatments, and oral surgery. She is known for her gentle approach, precision, and commitment to patient comfort. Dr. Preetha combines advanced dental techniques with personalized care to ensure optimal oral health and aesthetic results, helping patients achieve confident, healthy smiles. Currently, she contributes her expertise as a valuable member of the medical reviewer team at iCliniq.com. 

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MS Otorhinolaryngology

Professional Bio:

Dr. Sandeep Shrestha is an experienced ENT Specialist with extensive years of clinical practice. He is skilled in diagnosing and treating a wide range of ear, nose, and throat conditions. Dr. Shrestha is committed to providing personalized and effective care through advanced medical and surgical techniques, ensuring the best possible outcomes for his patients while promoting their overall ear, nose, and throat health.

This doctor is not available for online consultations on the platform anymore.

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