Brief Answer:
BPPV, vestibular neuritis, Neurologist's opinion

Detailed Answer:
Hi,

Thank you for your query.

1. This is more likely to be BPPV (Benign Paroxysmal Positional Vertigo).

2. In Labyrinthitis, there is hearing loss in addition to vertigo.

3. Positional vertigo (BPPV) will occur every time you lie down or get up, even when you turn in bed. Once you are upright, it should not interfere much in your daily activities.

4. BPPV requires repositioning exercises. Hence, get an ENT Specialist to do a positional check and hearing tests. If this vertigo is not positional, the most probable diagnosis is vestibular neuritis. This too is easily treated with medication and vestibular rehabilitation exercises. It may also be self-limiting with solitary attacks.

5. A neurologist's opinion is also recommended.

Hope I have answered your query. If you have any follow up queries, I will be available to answer them.

Regards.

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Brief Answer:
At least an ER visit.

Detailed Answer:
Hi,

Thank you for writing back.

1. BPPV and Vestibular neuritis can be managed without immediate care. Can you check by whether the vertigo is spinning type on movements against gravity (lying down, getting up or turning in bed) and in which direction (towards the ground or away)?

2. One visit, even to an ER is recommended as certain signs such as nystagmus (abnormal eye movements during vertigo), gait (difficulty in walking) cannot be evaluated on your own. Get your blood pressure checked.

3. A neurological check-up is necessary to avoid missing a stroke or a TIA (Transient Ischemic Attack). Was there any blackout, nausea or vomiting?

Hope I have answered your query. If you have any follow up queries, I will be available to answer them.

Regards.

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