Hi, I am Dr. Atul Kumar Nimawat MS ENT.
you’ve been experiencing vertigo for the past 3 months. Chronic vertigo can be distressing and may stem from various causes. Since you’ve already consulted multiple ENT specialists and neurologists with limited relief, it’s important to consider a comprehensive evaluation to determine the underlying issue.
Common causes of persistent vertigo include:
• Benign Paroxysmal Positional Vertigo (BPPV)
• Vestibular Migraine
• Ménière’s Disease
• Vestibular Neuritis/Labyrinthitis
• Cervical Spondylosis
• Central causes (neurological disorders)
• Anxiety-related dizziness
Next Steps
1. Accurate Diagnosis: A detailed clinical evaluation including videonystagmography (VNG), audiometry, MRI (if not done), and vestibular function tests may be required.
2. Vestibular Rehabilitation Therapy (VRT): If the cause is peripheral (inner ear related), VRT has shown excellent long-term results.
3. Lifestyle & Dietary Modifications: For conditions like Ménière’s disease or vestibular migraine, reducing salt, caffeine, and stress can help.
4. Follow-up with a Vertigo Specialist: Some ENT specialists or neurologists focus specifically on vertigo/balance disorders — visiting one may provide clarity.
Health Tips
A combination of accurate diagnosis, physical maneuvers (like Epley for BPPV), therapy, and appropriate medication usually yields good results.