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What Causes Dizziness While Bending Down?

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Posted on Fri, 18 Sep 2015
Question: Last two days I feel dizzy and head spins when I bend down. Like I did so when I wanted to look into the refrigerator. There is a lightness in my head too. Please advice what could be the reason.
doctor
Answered by Dr. Prasanna Heijebu (2 hours later)
Brief Answer:
Possible BPPV

Detailed Answer:
Hello, Sir.

I understand your concern.

You possibly seem to have benign vertigo.

This shows positional variations with head tilt.

The onset of benign paroxysmal positional vertigo (BPPV) is typically sudden.

The propensity for positional vertigo may extend for days to weeks, occasionally for months or years. In many, the symptoms periodically resolve and then recur.

Classic BPPV is usually triggered by the sudden action of moving from the erect position to the supine position while angling the head 45° toward the side of the affected ear (as in case of looking into your refrigerator).

Merely being in the provocative position is not enough.

The head actually must move to the offending pose.
After reaching the provocative position, a lag period of a few seconds occurs before the spell strikes.

In 40% of cases, the cause is usually not found.In the remaining either a brain or ear disease is responsible.

Sometimes inactivity, acute alcoholic intake can also contribute to BPPV.

In a majority of cases, it resolves spontaneously without treatment.

Investigative work up is needed only if it worsens or does not resolve in 1-2 weeks or when there is coexistent risk factors as mentioned above.

I generally recommend to my patients a short course of oral tablets of Betahistine.Please check with your doctor if he can prescribe the same to you.

Post your further queries if any.
Thank you.



Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Prasanna Heijebu (42 hours later)
Thank you. I have been prescribed Prochiorperazine Maieate by a GP.

Is this ok.

Thanks
doctor
Answered by Dr. Prasanna Heijebu (10 hours later)
Brief Answer:
Yes ,its a good drug.

Detailed Answer:
Hello, Sir.

I understand your concern.

This is a good drug for your symptoms.

It offers quick and effective relief.

Thank you.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Prasanna Heijebu (20 hours later)
Thank you do I need a vitamin intake with the above tables

Regards.
doctor
Answered by Dr. Prasanna Heijebu (24 hours later)
Brief Answer:
Not needed.

Detailed Answer:
Hello, Sir.

I understand your concern.

Vitamin supplementation is not necessary with this drug.

Thank you.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
Answered by
Dr.
Dr. Prasanna Heijebu

General & Family Physician

Practicing since :2010

Answered : 1422 Questions

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What Causes Dizziness While Bending Down?

Brief Answer: Possible BPPV Detailed Answer: Hello, Sir. I understand your concern. You possibly seem to have benign vertigo. This shows positional variations with head tilt. The onset of benign paroxysmal positional vertigo (BPPV) is typically sudden. The propensity for positional vertigo may extend for days to weeks, occasionally for months or years. In many, the symptoms periodically resolve and then recur. Classic BPPV is usually triggered by the sudden action of moving from the erect position to the supine position while angling the head 45° toward the side of the affected ear (as in case of looking into your refrigerator). Merely being in the provocative position is not enough. The head actually must move to the offending pose. After reaching the provocative position, a lag period of a few seconds occurs before the spell strikes. In 40% of cases, the cause is usually not found.In the remaining either a brain or ear disease is responsible. Sometimes inactivity, acute alcoholic intake can also contribute to BPPV. In a majority of cases, it resolves spontaneously without treatment. Investigative work up is needed only if it worsens or does not resolve in 1-2 weeks or when there is coexistent risk factors as mentioned above. I generally recommend to my patients a short course of oral tablets of Betahistine.Please check with your doctor if he can prescribe the same to you. Post your further queries if any. Thank you.