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Suggest Treatment For Severe Vertigo
I have had severe vertigo for 17 months. Been to several doctors. Some say I have fluid in my ears, some say I don't. I seen an ENT specialist, he said I did not. That he thought it was anxiety. Went back to my pcp. He said I still had fluid and then more.
Gets so bad at times, I cant leave my home, and while at home. I cant get up and do anything.
Do you have any advise, or opinion?
Gets so bad at times, I cant leave my home, and while at home. I cant get up and do anything.
Do you have any advise, or opinion?
Thu, 20 Mar 2014
Thank you for asking!
Vertigo has thousands of etiologies with fluid in inner ear AKA Meniere's disease one of them. A complete clinical correlation with detailed work up is advised to sort out the etiology whether it is central or peripheral vertigo and then managed accordingly. Simple prokinetics like prochlorperazine and betahistines will help. Diet and lifestyle modifications with salt intake restriction to less than 2 gm a day is recommended.
Take care
Vertigo has thousands of etiologies with fluid in inner ear AKA Meniere's disease one of them. A complete clinical correlation with detailed work up is advised to sort out the etiology whether it is central or peripheral vertigo and then managed accordingly. Simple prokinetics like prochlorperazine and betahistines will help. Diet and lifestyle modifications with salt intake restriction to less than 2 gm a day is recommended.
Take care
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User's Response
HI
Thank for asking to HCM
I really appreciate your concern I think it is better to treat the symptoms alone in such cases when you did not find any cause for this and I actually do the same things in my patients if ever come with such situation, and the best option in medicine would be " Tab Betahistine 16 mg three times in day" Tab Diphenhydramine 10 mg three times in day" hope this information helps you take care and have good day.
Thank for asking to HCM
I really appreciate your concern I think it is better to treat the symptoms alone in such cases when you did not find any cause for this and I actually do the same things in my patients if ever come with such situation, and the best option in medicine would be " Tab Betahistine 16 mg three times in day" Tab Diphenhydramine 10 mg three times in day" hope this information helps you take care and have good day.
I find this answer helpful
Dear i have read ur query. If i were your treating doctor i would have asked the following points-
1- what is the duration of vertigo
2. Any nausea or vomiting or pain during this.
3 any special factor that increases or initiates this.
4.blood pressure .
5. History of any medicines or current medicines.
Investigations required
CT SCAN head (cochlear , labyrinthine apparatus ) .
Peak tone audiometry
Blood electrolyte
Blood glucose - fasting , postprandial
Till then u can the following medicines-
PROCHlORPERAZINE 10 mg thrice a day after meal
Betahistine 8 mg after brkfast n dinner
Avoid alcohol n smoking , start yoga
Come back to me with these reports n hope this has helped u.....if anything is remaining that u want to say pls dont hesitate....i will be happy to help u.see u ...thanks
1- what is the duration of vertigo
2. Any nausea or vomiting or pain during this.
3 any special factor that increases or initiates this.
4.blood pressure .
5. History of any medicines or current medicines.
Investigations required
CT SCAN head (cochlear , labyrinthine apparatus ) .
Peak tone audiometry
Blood electrolyte
Blood glucose - fasting , postprandial
Till then u can the following medicines-
PROCHlORPERAZINE 10 mg thrice a day after meal
Betahistine 8 mg after brkfast n dinner
Avoid alcohol n smoking , start yoga
Come back to me with these reports n hope this has helped u.....if anything is remaining that u want to say pls dont hesitate....i will be happy to help u.see u ...thanks
I find this answer helpful
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