Definition of Vertigo
Vertigo is a symptom with a sensation of oneself or round was spinning that occurs suddenly. There is a condition of mild vertigo and not too pronounced and there are severe that disrupt the routines.
Vertigo attacks can range from mild dizziness and appears periodically until severe and long lasting. Severe attacks can continue for several days so that the sufferer can not move normally.
Other Accompanying symptoms Vertigo
Other symptoms associated with vertigo is a loss of balance. These signs will trigger vertigo sufferers have difficulty standing or walking, nausea, vomiting, sweating, sometimes with nystagmus (abnormal eye movements) and dizziness.
Please consult a doctor if your vertigo does not heal. Your doctor will ask your symptoms, do a simple inspection, as well as encourage further examination. Especially if the frequency of vertigo including often experienced, so that the diagnosis of vertigo can be ascertained.
Various Causes of Vertigo
Vertigo is usually caused by disorders of the inner ear. This disturbance will trigger the body's balance mechanism problem. While other common causes include:
- Benign Paroxysmal Position Vertigo or terms Benign Paroxysmal Positional Vertigo generally (BBPV) - vertigo triggered by certain changes in head position.
- Migraine - headache is unbearable.
- Meniere's disease - a disorder that attacks the inner ear.
- Vestibular neuronitis, which is inflammation of the vestibular nerve in the inner ear.
- Disorders of the brain, such as a tumor.
- Certain drugs that cause ear damage.
- Trauma or injury to the head and neck.
Vertigo itself including symptom and not a disease. Therefore, how to cope with vertigo depends on the disease that causes it.
Most cases of vertigo can be cured without treatment. This may occur because the brain successfully adapt to changes in the inner ear.
There are also some causes of vertigo that require specific treatment steps. Among others are:
- Epley Maneuver to handle BBPV.
- Drugs such as prochlorperazine and antihistamines. However, these drugs are usually only effective for early stage and should not be used long term.
- Vestibular rehabilitation therapy to help the brain to adapt to the confusing signals from the ear that cause vertigo, so the frequency is reduced.
- Avoid sudden movements to keep from falling.
- Immediately sit down if vertigo attack.
- Use several pillows so that the position of the head during sleep becomes higher.
- Move your head slowly.
- Avoid head movement up, squatting, or a body bent.
- Know your triggers vertigo and do exercises that can trigger your vertigo. Your brain will become accustomed and even lower the frequency of recurrence of vertigo. Perform this exercise by asking for help from others.
- For those of you who are also suffering from Meniere's disease, limit consumption of salt in the daily menu.
Sometimes vertigo do not require special treatment and can heal by itself. However, there are various methods of treatment for vertigo.
Step symptomatic treatment is determined based on the cause and severity of vertigo experienced by the patient. For example, nausea and spinning sensation may be reduced by lying quietly in a dark room, avoiding situations that trigger anxiety and stress thus reducing the severity of vertigo, as well as the consumption of drugs.
Benign Paroxysmal Position Vertigo (Benign Paroxysmal Positional Vertigo / BPPV)
Benign Paroxysmal Position Vertigo (BPPV) has the potential to recover without specific treatment. This process usually takes a few weeks or a few months. It is estimated that, at this recovery occurs due to debris in the ear canal causes of vertigo has been melted and absorbed by the body, or attached to another part. Nevertheless, there remains the possibility of relapse.
During BPPV has not healed completely, you should wake up slowly and avoid activities that require you to look up. This step serves to reduce the percentage of recurrence of vertigo.
If necessary, your doctor may recommend some specific measures to deal with BPPV. Among these include:
Treatment of vertigo through the Epley maneuver
The procedure is also called kanalit repositioning techniques have been proven effective for treating vertigo. Epley maneuver includes four different head movement, and every position of the head should be held for at least 30 seconds. You may experience vertigo during the procedure.
Your condition will generally improve after Epley maneuver, but complete recovery can take up to two weeks. This procedure effects are usually short-term and needs to be repeated, but consult your doctor if you continue to experience vertigo after four weeks.
Treatment of vertigo with Brandt-Daroff exercises
This procedure is a series of movements BBPV reliever to relieve vertigo. Although it can not cure, Brandt-Daroff exercises can reduce the symptoms of vertigo in the long term.
This exercise you can do yourself at home, but you are encouraged to learn in advance of a doctor. Do it at least twice a day.
Triggering Migraine Vertigo
If migraines are diagnosed as the cause of the vertigo, the patient can undergo treatment at home. The drugs used are also generally the same as migraine, eg triptan.
infection labyrinthitis
The disease is usually caused by a viral infection and can recover without treatment. Although rare, a bacterial infection also may cause labyrinthitis and is usually treated with antibiotics.
Your doctor may refer you to a specialist in Ear, Nose and Throat (ENT) specialist or doctor audiovestibular (doctors who specialize in disorders of hearing and balance) if your hearing loss. You may need emergency treatment to restore your hearing.
Labyrinthitis can also be treated with vestibular rehabilitation therapy. Although this type of therapy is still very rare in Indonesia, you can ask more of your physician.
Vestibular neuronitis
This disease can indeed be cured within a few weeks without treatment, but you may have to continue to lie if you experience severe vestibular neuritis. Get to the doctor if your condition does not improve after seven days. This disease can also be treated with vestibular rehabilitation therapy and medication.
Meniere's disease is Rare
If your vertigo is caused by this disease, there are some effective steps to simultaneously handle both. Among others are:
- Drugs to prevent and treat attacks of Meniere's disease.
- Improve diet, especially low in salt.
- Physiotherapy to overcome balance disturbances.
- Treatment for hearing loss, such as hearing aids.
- Treatment for tinnitus (ringing in the ears), such as sound therapy to reduce the difference between the noise of tinnitus with other sounds that tinnitus disturbance noticeably reduced.
- Treatment for secondary symptoms of Meniere's disease, such as stress, anxiety, and depression.
VRT includes a series of specific exercises to encourage the brain to adapt to a trigger signal from the ear vertigo. The brain is stimulated to rely on signals from other parts of the body, such as eyes and feet, rather than the inner ear.
When it is used, the brain will minimize the symptoms of vertigo and balance to defend the body. This therapy is done with the guidance of specialist audiology or physiotherapist.
Drugs that Can Be Used
An attack of vertigo can be treated with drugs are:
- Vertigo is caused by vestibular neuritis or Meniere's disease.
- Central vertigo.
- Vertigo without an obvious cause.
- Prochlorperazine. These drugs block the effects of dopamine will thus help relieve nausea and vomiting due to severe vertigo. The side effects include tremor (shaking), the movement of the body or face uncontrolled, and drowsiness.
- Antihistamines block the effects of compounds that serve histamine. These drugs can be used to relieve nausea, vomiting, and vertigo symptoms milder. Type of antihistamine that would normally be given by the doctor is cinnarizine, cyclizine, and promethazine theoclate. In addition to sleepiness, these drugs may also cause side effects such as headaches and stomach aches.
- Betahistine. The drug is used to treat Meniere's disease and other balance disorders. Its performance is similar to antihistamines and are usually given for the long term.
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