Dr. Vinay. S. Bhat
Otolaryngology (E.N.T)
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Patient's Query
Hello doctor,
I am a 20-year-old student and I work on computers for a longer in a sitting position for hours with headphones on. No history of any illness in the family or my past. The first time when I felt sick, I had a buzz in my ears, tinnitus that lasted for a minute, and it sorted out itself after a few minutes of dizzy feeling. The next day I felt lightheaded, and the sound in my ear was still there, and I could not focus. In the following days, I could not focus and woke up due to vertigo attacks every time. I started taking Betaserc and Sturgeon, which make me more sleepy and unbalanced when I walk and talk while climbing stairs, and I feel weakness all over my body. My local doctor indicated that the crystals in my ears might have got triggered by my sudden movement of getting up from my seat as I do programming and use my computer, and this happens as the crystals got dis-placed. Currently, I am sleeping a lot and following steps like drinking a lot of water, eating almonds, resting, avoiding coffee or tea and salty food, and taking medicines except for doing the exercises. I was diagnosed with BPV and taking medications for the same.
Hello,
Welcome to icliniq.com.
After analyzing your symptoms, there are two possible diagnoses, and it does not look like a straightforward case of BPPV. In BPPV (benign paroxysmal positional vertigo), we do see severe rotatory giddiness triggered by head motion. In BPPV, patients do not complain of the heaviness of the head or feeling of pressure between the episodes. Otherwise, the person will be normal when he does not move his head. If it is BPPV, it is very simple to treat. A simple particle repositioning maneuver will cure it immediately. There is a condition known as vestibular migraine, where we see the heaviness of the head, persistent dizziness worsened by head motion, and inability to concentrate. Routinely we suggest an MRI (magnetic resonance imaging) scan of the brain when BPPV is ruled out after examining the patient. Once MRI is normal, we start treatment for vestibular migraine, which is very simple and effective. You can ask your specialist about this condition and request him to consider it for evaluation and treatment if required.
Patient's Query
Hello,
Thank you for the reply, doctor. The heaviness of the head has almost completely vanished. Currently, I am suffering from 1. Consistent imbalance (even when I sit, I feel it). 2. Ring in my ears (buzz sound). 3. Overall weakness, especially when I walk. 4. Lack of attention. The most severe two are overall weakness and feeling dizzy and imbalanced. I almost cannot walk without feeling ill and weak. I am currently taking Betaserc two pills a day. The ring in my ears started at the same time when I started feeling sick. If the first diagnosis is correct, should I keep taking my medications or focus on something else?
Hello,
Welcome back to icliniq.com.
Ringing in the ear is never seen in BPPV. BPPV will vanish immediately, and for three days, patients will have a bit of a floating sensation. We generally do not give any anti-vertigo medications for more than five days as it delays recovery. Your symptoms seem to be much severe to be called BPPV. Other conditions need to be ruled out, and you will definitely need a specialist doctor's consultation.
Patient's Query
Hello,
Thank you for your reply, doctor.
I have been feeling the floating sensation doctor for about two days. Even when I sit down and I feel relatively weak and dizzy, especially weak when I take Sturgeon and Betaserc. Do these two medicines have lasting side effects of feeling tired even when you are just waking up? And how long do such side effects last after quitting a medication that relaxes the muscles like Sturgeon?
Hello,
Welcome back to icliniq.com.
Betaserc will not make you sleepy or weak. It has got minimal action on acute giddiness. Stugeron can cause mild sedation and weakness in susceptible individuals. After stopping Sturgeon, the effects may last for a couple of days. I hope I have cleared your doubts. Thank you.
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Otolaryngology (E.N.T)
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