Benign Paroxysmal Postional Vertigo

or in short, Vertigo.

I have dat. hahaha. no wonder.

No wodner I'm very clumsy. No wonder I easily muntah n pening. No wonder i feel tired all d time. No wonder I am always lost of words. No wonder I always fumble n mumble. No wonder no wonder. BPV can go away, it could also come back.

Benign Positional Vertigo Overview

Benign positional vertigo (BPV)—or simply vertigo—is a disorder of the inner ear. You feel a sudden sensation of movement or spinning when you move your head or hold it in a certain position.

The inner ear is located within your skull and consists of the cochlea, a chamber shaped like a snail shell, where sound is transformed to nerve signals for the brain, and 3 semi-circular canals that function like a gyroscope, relaying information about head position and movement to the brain.

The semicircular canals contain fluid and special sensors that, when disturbed, inform the brain of a change in head position. It is thought that when you have BPV small particles become dislodged within the inner ear and then bounce around when your head moves, triggering faulty signals that your head is still moving even after it stops. This sensation of movement or imbalance when you are not moving is called vertigo, the primary symptom of benign positional vertigo.

Benign Positional Vertigo Causes

It is seldom possible to determine the cause of BPV. It is unclear why small particles become dislodged within the inner ear in the first place. Some possible reasons include the following:

• Head injuries
• Viral infections (labyrinthitis)
• Nerve inflammation
• Inner ear surgery (more common in older people and women)
• Similar symptoms can be caused by other disorders. A doctor would have to

Benign Positional Vertigo Symptoms

Symptoms are the same ones you experience when you spin around in a revolving chair or on an amusement park ride and then suddenly stop.

• Vertigo - A sensation of spinning or movement when you are still
• Nausea or vomiting - Due to motion sickness caused by the vertigo
• Nystagmus - Involuntary eye movements or twitches accompanying the vertigo

When to Seek Medical Care

Call your doctor any time you experience vertigo and nausea for unclear reasons. The doctor will want to ask some questions and either see you in the office or have you go to your hospital's emergency department.

Go to a hospital if your doctor cannot see you in the office and you have vertigo that is causing repeated vomiting such that you may become dehydrated or cannot take your medications.

• Because driving yourself would be unsafe, you should have a friend or family member take you.
• Other symptoms that should prompt you to go to an emergency department would be the following:

o Headache or ear pain
o Fever
o Stiff neck
o Sensitivity of your eyes to light
o Ringing or rushing noises in your ear
o Speech difficulties
o Weakness or numbness on 1 side of your body or face
o Hearing loss
o Fainting

Self-Care at Home

• Lie down and rest. Take precautions to prevent falls.
• Do not drive, work at heights, or operate dangerous machinery in case you get an attack of vertigo.
• Avoid sudden head movements and body position changes, especially looking up.
• You may try some home therapy exercises that are meant to disburse the inner ear particles that are causing the trouble or desensitize the inner ear nerves that are being stimulated.
• The following are called the positional exercises of Brandt and Daroff. You will feel vertigo while doing these, but with each repetition, the severity and duration should decrease.

1. Sit on the edge of the bed near the middle, with legs hanging down.
2. Turn head 45° to right side.
3. Quickly lie down on left side, with head still turned, and touch the bed with portion of the head behind the ear.
4. Maintain this position and every subsequent position for about 30 seconds.
5. Sit up again.
6. Quickly lie down to right side after turning head 45° toward the left side.
7. Sit up again.
8. Do 6-10 repetitions, 3 times per day.