Hello doctors, he has been feeling vertigo since this morning. It only happens when he lies flat or on sides, but not when he lie in the opposite position. He has taken DSR medication, but it hasn’t helped. Could this be related to a nerve issue or something to do with gas?
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Can help you with the next course of action and treatment plan. Would like to discuss in details. Kindly consult via whatsapp on nine zero two nine six zero zero four seven zero.
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No ,its not due to gas or any nerve issues.
It is probably BPPV, you can consult an ENT doctor for the best treatment. Need not worry, not a serious issue.
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consult a doctor ,better consult offline. You will be alright.
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Avoid positions in which it aggravates the severity of dizziness/vertigo.
Certainly! Here’s a modified version of the response that includes a consultation offer:
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Diagnosis Consideration:
- Given the positional vertigo (only when lying flat or on sides), it suggests benign paroxysmal positional vertigo (BPPV).
- Other differentials could include vestibular neuritis or Ménière's disease, though these typically present with more prolonged symptoms and associated auditory issues.
Management Approach:
1. Confirm Diagnosis:
- A clinical examination can be done, particularly using the Dix-Hallpike maneuver to assess for BPPV. This involves positioning the patient in a way that elicits the vertigo and looking for nystagmus.
2. Medications:
- Consider using betahistine 16 mg twice daily or cinnarizine 25 mg as needed for symptomatic relief.
- Stugeron Plus contains cinnarizine and dimenhydrinate, which is effective for vertigo and can be continued.
3. Non-Pharmacological:
- The Epley maneuver is the first-line treatment for BPPV and can be done in the clinic or taught to the patient for home use.
- avoid sudden head movements or lying flat until symptoms improve.
4. Referral:
- If symptoms persist despite initial management, consult with an ENT specialist for further evaluation and vestibular function testing.
5. BPPV is a common, benign condition and often resolves with proper maneuvers or treatment.
Next Steps
Next Steps:
If the symptoms continue or if further clarification is needed regarding treatment, feel free to consult with mefor a detailed discussion and personalized advice.
Symptoms point to peripheral vertigo due to middle ear issues.You should consult with a ENT specialist.Till you fix an appointment,take stugeton plus twice daily.
Hello , Kindly consider having a Tele-Consultation with me on PRACTO App since adequate patient history is required for proper treatment and further follow up . Thank You
Try ginger, vitamin B6, essential oils, hydration, rest, Epsom salt baths, yoga, and avoiding triggers like caffeine and stress to help alleviate vertigo symptoms at home.
Next Steps
Remember, if your vertigo persists or worsens, consult a healthcare professional for proper diagnosis and treatment.
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
It sounds like the vertigo could be positional, possibly related to Benign Paroxysmal Positional Vertigo (BPPV), which is common and linked to inner ear issues rather than nerves or gas. However, if symptoms persist or worsen, consult a doctor for a proper evaluation and treatment, which may include physical maneuvers or medications.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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