#MedicalCase

BPPV (Otolaryngology (E.N.T))

Dr. Isaac Gana., CARDIOLOGY SPECIALITY

 

Medical Case Details:

Hello, I have been diagnosed with BPPV last month. I have persistent lightheadedness, which improved significantly with higher doses of Stemetil. I relapse while using a lower dose. Please advise what to do.

 


    Discussions


    Dr. Mustafa Ibrahim Abdelaziz Emara
    Psychiatrist

    First of all you should do some investigations such as measuring blood pressure, an ECHO and an ECG to exclude any diseases.You can withdraw Stemetil and take Betahistidine di-Hcl 24 mg.

    04.Apr, 09:24pm

    Dr. Isaac Gana
    Cardiologist

    Thanks Dr. Mustapha for your reply. I have been diagnosed of high blood pressure for over 8years well controlled. Echo and ECG are both within norm. Can I take the beta histamine only at night? Because I work during the day. Won't it affect me?

    04.Apr, 09:51pm

    Dr. Mustafa Ibrahim Abdelaziz Emara
    Psychiatrist

    You can take Betahistidine 24 mg twice per day half an hour before meals : half a tablet before breakfast and half a tablet before dinner for 3 days ,then one tablet before breakfast and one tablet before dinner.

    05.Apr, 06:29pm

    Dr. Udaya Nath Sahoo
    General Practitioner

    Please take medications as suggested and do specific exercise for it ,4 times everyday.
    Thanks,
    Dr sahoo (Icliniq)

    08.Apr, 10:48am

    Dr. Deepti Agarwal

    Hi Dr Gana, how are you now? Your case is a month old but I'm responding because I have seen patients going round n round without a proper diagnosis.
    In your case, diagnosis of BPPV was made. So was any canalolith repositioning maneuver carried out?
    If not, then that needs to be done, because that is the definite treatment of bppv and not vertin or stemetil. they're just addons.


    20.May, 07:17pm



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