Ask the Doctor:  Vague dizziness after maneuvers

BPPV maneuvers got rid of my wife’s room spinning vertigo, but immediately after she now has vague non positional dizziness while standing and walking. From what I read, it could be something called residual dizziness caused by the brain changing how it interpreted signals from the affected ear. Supposedly some exercises with head and eye movements – VOR exercises – will help speed up the process of the brain turning back to normal ear signal processing. Is this right?

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Ask the Doctor: Vertigo with nausea

I’ve had several spells of nausea and vertigo. It seemed to come and go, but there was always at least some degree of background nausea. At the worst point I was unable to keep down water and eventually went to the ER and got an IV and some anti-nausea meds. During the worst episode, I spent most of the day lying on the floor and if I tried to lift or move my head at all the nausea would become much worse. At points throughout these weeks, I noticed that my vision seemed to skip if I turned my head or eyes too quickly. A small sense of spinning remained when I moved my eyes to the edges of my field of vision.

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What is PPPD?

One of the many rhyming acronyms in vestibular disorders is PPPD, or Persistent Postural Perceptual Dizziness. Because the diagnosis is based on symptoms only, with no objective signs, it has become overused, and the diagnosis can be given to almost anyone who has anxiety combined with dizziness. Dizziness causes anxiety, so it’s extremely easy to shoehorn people into this category.  There is also no simple treatment, and it tends to be long-lasting, so it has become a favorite way to group (and forget about) difficult or non-responding patients.

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