[70F] Experiencing dizziness with positional changes

Patient Description

A 70-year-old female reports experiencing dizziness, described as a spinning sensation, on and off for over a week. The symptom becomes more pronounced when lying down and turning the head to the right. This may suggest a positional component to the dizziness, such as benign paroxysmal positional vertigo (BPPV). Further evaluation and possibly a Dix-Hallpike test by a healthcare professional could be beneficial in confirming the diagnosis and guiding treatment.

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Arora's Assessment

What might be happening

Based on the information provided, the most likely cause of your symptoms could be:

  • Benign Paroxysmal Positional Vertigo (BPPV): This is a common cause of vertigo, which is a sudden sensation of spinning. It's especially noticeable when you change the position of your head. BPPV is usually harmless and can be treated with certain types of physical maneuvers.

    • Treatment typically involves a series of movements known as the Epley maneuver, which can be performed by a healthcare professional.
  • Meniere's Disease: This is a disorder of the inner ear that can lead to dizzy spells (vertigo) and hearing loss. In most cases, Meniere's disease affects only one ear.

    • Treatment can involve a combination of medications, physical maneuvers, and lifestyle changes such as dietary adjustments.
  • Vestibular Neuritis or Labyrinthitis: These are inflammations caused by an infection, often viral, resulting in dizziness and loss of balance.

    • Treatment typically involves medications to relieve symptoms, such as prescription drugs to reduce inflammation and control nausea and vomiting.

Please remember that while these are possible causes, only a healthcare professional can provide a definitive diagnosis.

What you can do

While waiting for a medical appointment, here are some things you can do to manage your symptoms:

  1. Be careful about changing positions, especially when lying down or turning your head.
  2. Stay hydrated and avoid alcohol, caffeine, and tobacco, which can worsen your symptoms.
  3. Try to rest and avoid sudden movements when you're feeling dizzy.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • A new, severe headache
  • A sudden loss of balance or falling
  • Difficulty speaking or understanding speech
  • Chest pain or rapid heart rate
  • Blurred or double vision
  • Numbness or weakness, especially on one side of the body
  • Persistent vomiting

Remember, I'm an AI and this advice is not a substitute for professional medical advice. Please consult with a healthcare provider for a formal diagnosis and treatment.

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1 yr ago

Top picked over-the-counter products for BPPV (Benign Paroxysmal Positional Vertigo)

People Also Ask


What is Benign Paroxysmal Positional Vertigo (BPPV) and how is it treated?

BPPV is a common cause of vertigo, characterized by a sudden sensation of spinning, especially noticeable when changing head positions. It is usually harmless and can be treated with physical maneuvers like the Epley maneuver, performed by a healthcare professional.


What are the symptoms of Meniere's Disease and how can it be managed?

Meniere's Disease is a disorder of the inner ear that can cause vertigo, hearing loss, and tinnitus. Management may include medications, physical maneuvers, and lifestyle changes such as dietary adjustments to reduce symptoms.


What is the difference between vestibular neuritis and labyrinthitis?

Vestibular neuritis and labyrinthitis are both inflammations of the inner ear, often due to viral infections. Vestibular neuritis affects the vestibular nerve, causing dizziness and balance issues, while labyrinthitis also affects hearing. Treatment involves medications to relieve symptoms and control nausea.


What should I do if I experience severe dizziness or other concerning symptoms?

If you experience severe dizziness, a new severe headache, sudden loss of balance, difficulty speaking, chest pain, blurred vision, or numbness, seek immediate medical attention as these could be signs of a more serious condition.


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