[70F] Experiencing pronounced dizziness with positional changes

Patient Description

A 70-year-old female has been experiencing a spinning sensation described as dizziness for over a week. The symptom is particularly pronounced when lying down and turning the head to the right, lasting several seconds, with lying still providing some relief. There is no specific time of day when the dizziness occurs more frequently, and no additional new symptoms have been noted. The patient has a medical history of hypertension and acid reflux, both conditions being managed for approximately 20 years. Current medications include Prilosec, Lisinopril, Hydroxyzine, Flexeril, Ambien, Oxycodone, and Trazadone. The patient has allergies to PCN, erythromycin, and tetracycline.

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Arora's Assessment

What might be happening

Based on your symptoms, the most likely diagnosis is:

  • Benign Paroxysmal Positional Vertigo (BPPV): This condition is characterized by brief episodes of mild to intense dizziness, usually triggered by specific changes in the position of your head. This might occur when you tip your head up or down, when you lie down, or when you turn over or sit up in bed. It's caused by tiny calcium particles clumping up in the inner ear canals, causing brief episodes of mild to intense dizziness.
    • Treatment for BPPV may include maneuvers performed by a doctor to help dislodge the calcium deposits in your inner ear. Medications are also sometimes used but are not as effective as the maneuvers.

What you can do

You should seek medical attention to confirm this diagnosis and to discuss treatment options. In the meantime, here are some things you can do:

  1. Be careful of sudden changes in your body position.
  2. Sit down as soon as you feel dizzy.
  3. Use good lighting if you get up at night.
  4. Walk with a cane for stability if you're at risk of falling.

What you should look out for

If you experience any of the following symptoms, seek medical attention immediately:

  • A new, different, or severe headache
  • Fever
  • Double vision or loss of vision
  • Hearing loss
  • Trouble speaking
  • Leg or arm weakness
  • Loss of consciousness
  • Falling or difficulty walking

Remember, while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare professional 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 disorder arising from a problem in the inner ear, characterized by brief episodes of dizziness triggered by changes in head position. Treatment often involves specific head maneuvers performed by a healthcare professional to move the calcium particles out of the ear canal. Medications are sometimes used but are generally less effective.


Can medications for hypertension and acid reflux contribute to dizziness?

While medications for hypertension and acid reflux are not typically known to cause dizziness, some medications can have dizziness as a side effect. It's important to review all medications with a healthcare provider to rule out any potential interactions or side effects.


What are the risks of untreated BPPV?

Untreated BPPV can lead to an increased risk of falls, which is particularly concerning for older adults. It can also cause persistent discomfort and affect daily activities. Seeking treatment can help alleviate symptoms and reduce these risks.


How can I manage dizziness at home before seeing a doctor?

To manage dizziness at home, avoid sudden movements, sit or lie down when feeling dizzy, ensure good lighting when moving around, especially at night, and consider using a cane for stability if needed. These measures can help prevent falls and manage symptoms until you can see a doctor.


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