
Suggest Treatment For Vertigo

after returning from Dr visit, my wife had a couple of experiences of vertigo - extreme dizzy and bad headache, and needed assistance to steady enough to stand. the experience lasted about 20 minutes, then dizziness was less - but severe headache remained - not much sleep during the night -
this morning she was not dizzy - had toast and coffee - - had really bad headache, dizziness, sweating, and upset stomach to the extent that she threw up several times - - back to bed for the past two hours -
just picked up prescriptions "zofran" and "meclicine" - any suggestions?
Dick XXXXXXX XXXXXXX 517-294-7136, email " YYYY@YYYY "
usually related to the inner, meds such as meclizine, dimenhydramine
Detailed Answer:
Hi, thanks for using healthcare magic
Vertigo can be due to different causes but inner ear conditions are the most common cause.
These include: (1) vestibular neuronitis- this is the most common cause and may be reason for her symptoms
(2)meniere's disease- another common cause but is normally associated with hearing loss and tinnitus (abnormal noises in the ear eg ringing, buzzing)
(3)BPPV (benign paroxysmal positional vertigo)- in this instance the dizziness last for a few seconds to minutes and it is worse with certain head positions
All three of these are related to the inner ear, which are most common reasons. She may have vestibular neuronitis which is the most common of the three. In most persons symptoms last less than a week though it can go on longer
Other causes , not related to the inner ear are: (1) brain stem stroke
(2)migraines
(3)tumors of the nerve to the ear
Treatment involves:(1)medications for a short period of time eg antihistamines such as meclizine or dimenhydrate- these older antihistamines are very useful for vertigo
Or benzodiazepines such as valium
These meds should be used for a few days at the most because they can delay the body's natural compensation
(2)there is a form of physiotherapy called vestibular rehabilitation therapy which focuses on persons with vertigo/dizziness.
It uses specialized exercises that focus on head movement.
I hope this helps, feel free to ask any other questions

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