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1253991 tn?1300992064

Dizziness this morning Please Help

Ok so I woke up this morning with dizziness, every time I rotate my head in bead to a new position the room will spin for a minute or so before going back to normal. Then if I move my head to a new position again it starts all over. I didn't have this last night, is this something to worry about? I do have fluid in my middle ears I don't know if that has something to do with it. I'm 18 could I get vertigo?

Thanks
Nate
Best Answer
152264 tn?1280354657
BPPV (benign paroxysmal positional vertigo). Look it up--tons of info on the Web. Usually easily cured with canalith repositioning maneuvers (aka the Epley maneuver). See especially www.dizziness-and-balance.com, and look for the BPPV page. Tons of expert info there.

The short-lived room-spinning when you turn over in bed is CLASSIC for BPPV.

You should go back to your ENT and tell them about the spinning. (But better not to tell them you've "diagnosed" yourself from the Internet--some doctors are real sensitive about that. Just describe what happens.)

I would believe the ENT rather than your family physician about "fluid" in the ears. Family doctors usually know little to nothing about ears and tend to ascribe everything vaguely to "fluid" or "Eustachian tube dysfunction" when sometimes it's something else entirely that's going on.

The ENT MAY want to do additional testing to see why you are having BPPV. It is not a serious problem by itself, but I think it's unusual in a person as young as you. Mostly it's older people that get it. Sometimes it goes along with other ear problems.

Have you had a hearing test--a real one done by an audiologist?

BTW, vertigo is a SYMPTOM, not a DIAGNOSIS in itself. If you feel the room spinning, you DO have vertigo. That's what the symptom is called. But your DIAGNOSIS is going to be BPPV (and/or something else).
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152264 tn?1280354657
Good luck with everything, Be sure to tell the ear doctor about the off-balance feeling as well as the BPPV. (They will do a test in the office called the Dix-Hallpike maneuver where they lay you back with your head hanging a bit off the table, to try to provoke BPPV, but they know that even if that doesn't provoke spinning at the time, you can still have it--they will know by your description of the symptoms and when they occur.)

As Londres said, make sure your ENT SPECIALIZES in the inner ear. See the American Neurotology  Society Web site and scroll down for the membership list by state; and/or ask the doctor if they have a certificate in otology/neurotology. Otherwise you may be wasting your time.

I hate that "best answer" feature and the "stars" that Medhelp introduced awhile back. I pay no attention to them. You do NOT have to choose a "best answer" if you don't want to--you can just ignore that e-mail where they ask you to choose one.

Best of luck with a diagnosis. Just make sure you see a NEUROTOLOGIST (also spelled neuro-otologist). Regular ENTs often know little about the inner ear.
Helpful - 0
1253991 tn?1300992064
Thanks for the advice Londres70 i'll be sure to stay active and I've made an appointment with an ENT so I will hopfullly have some answers soon.

You guys have been real helpfull, too bad I have to pick only one best answer :(

Thanks again.
Helpful - 0
Avatar universal
Oh yes I did.  I would not wish an inner ear problem on my worst enemy.  It is terrible.  I know just how you feel.  I was worried when I was out and about that I would fall over onto the floor.  I am going to give you a word of advice, PLEASE, PLEASE, KEEP AS ACTIVE AS YOU CAN OR ELSE YOUR BALANCE CAN GET WORSE.  If you don't listen to anything else I tell you, please take this piece of advice.

Keep in mind all ENT Specialists are NOT competent with dealing with inner ear disorders, so, make sure whoever you see IS.      

Helpful - 0
1253991 tn?1300992064
Thanks, i'm going to schedule an appointment soon and see what I can figure out.

One last question, you said you have experienced BPPV before I was wondering if you also experience or used to experience chronic balance problems? Such as being slightly unsteady or uncoordinated while walking? I have this all the time and it is by far the most annoying and sometimes worrisome symptom I have.

I don't mind about the short posts, you've been very helpful, Thanks.
Helpful - 0
Avatar universal
He/she can diagnose BPPV based on history, symptoms, physicial assessment and testing; mine was.  He/she probably will do some maneuvers with you to try to induce the BPPV.

Short version again.  :)  

I don't give long and lengthy posts
a.  I don't have the time.
b.  I think people retain more information when it is short and to the point.  
c.  Hope you don't mind.  


Helpful - 0
1253991 tn?1300992064
Thank You guys for all the info. I looked BPPV up and it sounds exactly like what I experienced. So I will go see my ENT or a new one about that soon. I was wondering can an ENT detect BPPV or an inner ear problem when i'm not actually experiencing BPPV? Cause I only experience it intermittently. For the past two days its been completely gone except for my usual off balance feelings.

Thanks again, its nice to know I can come to this forum for help.
Helpful - 0
Avatar universal
Yes, there is, it is BPPV and I have had this.  Scared me to death the first time I experienced it.  I thought it was my bp at first.  

I would recommend getting vestibular testing done by an ENT Specialist who can diagnose, manage/treat inner ear disorders.  I do not know if your ENT Specialist is competent with inner ear disorders.  

I gave you the short version.  :)  
Helpful - 0
152264 tn?1280354657
Oh, and just to add to the fun, allergies are thought to make inner-ear problems worse, too. :)
Helpful - 0
152264 tn?1280354657
One more thing--I read some of your earlier posts and see you've had a feeling of being off-balance and pressure/congestion in your nose area along with headaches, but sinus problems were apparently ruled out with CT.

Most self-diagnosed "sinus" headaches are actually migraine. The symptoms you are describing could all be consistent with migraine activity--even if you don't get severe headaches. Migraine can affect the ears and make people dizzy, as well as have a feeling of a stuffy nose and pressure in the areas you describe. Weather changes often make people with ear problems feel worse.

I would suggest that you look for an ENT who SPECIALIZES in the inner ear (hearing and dizziness). These are called neuro-otologists, also spelled neurotologists. For geographical listings, check the Web sites of the American Neurotology Society and the Vestibular Disorders Association. Good luck getting your problems sorted out!

(You could go back to the ENT you saw earlier, but if he isn't able to solve your problems, ask to be referred to an inner-ear specialist.)
Helpful - 0
1253991 tn?1300992064
Thanks for responding,

It seems to have subsided for the most part except I still feel a little wobbly. It helped to get up and walk around and after about two hours it went away. I've been to my family physician several times this summer and the latest visit was about five days ago when she said I still had fluid in my middle ears, almost completely full so I think I would still have it. Its kind of a chronic problem, she suspects i've had it for a year. She prescribed me a nasal spray (Rhinocort) about two months ago but it doesn't seem to be helping much. I was hoping to just get rid of the fluid by getting tubes in my ears but when I went to my ENT the day before my GP he said my ears had no fluid and wouldn't attempt to put tubes in my ears. So i'm getting kind of contradicting information but I trust my GP cause she has seen it every time I go there and has even seen slight improvement such as some bubbles etc so it seems it has to be there.

I was wondering is it classic for vertigo to only occur when you change the position of your head or is there a certain name for this kind of vertigo? For example I would be laying down with my head facing right and it would be fine until I turned my head left then the room would spin for awhile until it slowly went away. Same thing happens when I move my head back to the previous position then it slowly fades away.

Thanks for reading all this and helping out.
Nate
Helpful - 0
Avatar universal
This is vertigo you are experiencing.  Do you have fluid in the middle ears now?
I would recommend consulting your family physician if it has not subsided yet.  
Sounds like the problem with your middle ear is affecting your inner ear.  

And yes, you can have vertigo at 18.  
Helpful - 0
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