Vertigo Treatment

Treatment of vertigo depends on the cause and severity. Nausea and spinning sensations may be reduced by lying quietly in a dark room. You are also encouraged to take the medicine at the same time. Avoiding situations that trigger stress also will help because it will aggravate the anxiety vertigo.



Benign Paroxysmal Positional Vertigo (BPPV)

Benign Paroxysmal Position Vertigo (BPPV) is often healed within a few weeks or a few months without treatment. Experts estimate that healing occurs due to debris in the ear canal that cause vertigo already melted or attached to other parts.
But sometimes BPPV may recur. During BPPV has not healed completely, you should wake up slowly and avoid activities that require you to look up, such as painting, decorating, or looking for something on the top shelf. This disease can also be treated with the Epley maneuver.


1.Treatment of vertigo symptoms with Epley maneuver
The procedure is also called kanalit repositioning technique has proved effective in treating the symptoms of vertigo. Epley maneuver includes four different head movements to move the debris causes of vertigo to other parts. Each position of the head will be retained for at least 30 seconds. You may experience vertigo during the procedure.
Your condition will generally improve shortly after Epley maneuver, but it takes time for a maximum of two weeks for a full recovery. This procedure usually does not need to be repeated. Consult a doctor if there is no change in your condition after four weeks.
Instructions that patients do not lie straight for 48 hours after the procedure are also considered to be no longer needed. In general, this treatment is not a treatment with permanent effects and may need to be repeated at a time.



2.Treatment of vertigo symptoms with exercise Brandt-Daroff
If you have a problem on the neck or back, Epley maneuver is less suitable for you. Therefore, you should try to exercise Brandt-Daroff. This procedure is a series of movements BBPV reliever you can do it yourself at home.
But you are encouraged to learn in advance of a doctor. Do it 3-4 times in a row for 1-2 days. Your condition will usually improve within a maximum of two weeks.



3. Suggestions for BPPV
If the Epley maneuver is not effective for you, your condition does not improve after four weeks, or you have any unusual symptoms, the doctor will usually refer you to a specialist Ear, Nose, and Throat (ENT).
Although uncommon, vertigo can last for months or even years. This may be caused by a blockage of the channel which is full of fluid in the ear. ENT specialist will explain it to you and may recommend surgery if necessary.



Triggering migraine Vertigo

If migraines are diagnosed as the cause of vertigo, patients can undergo treatment at home and using medicines similar to migraine, such as triptans.



Infection labyrinthitis

Labyrinthitis is an infection that causes inflammation of the labyrinth, the sensitive structure located in the deepest part of the ear. 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 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.
In addition, the disease can be treated with vestibular rehabilitation therapy. Although this type of therapy is still very rare in Indonesia, further you can ask your doctor.



Nerve inflammation Due to Virus

Is one of the vestibular nerve in the balance mechanism located in the ear. Vestibular neuritis is inflammation of the vestibular nerve that is usually caused by a viral infection.
Although this disease can indeed be cured within a few weeks without treatment, you may have to continue to lie down if you experience severe vestibular neuritis. Get to the doctor if your condition does not improve after one week. This disease can also be treated with vestibular rehabilitation therapy and medication.
Your balance may also be affected if you consume alcohol, fatigue, and have other diseases. Be on guard for your health and avoid the consumption of liquor.



Suggestions for Vertigo Central

Problems in the cerebellum which is located just above the brain stem or in the stem of the brain connected to the spinal cord can cause central vertigo. In addition to the main cause of migraine is so central vertigo, brain tumors also includes the cause, though very rarely.
Your doctor will refer you to the neurologist, ENT specialist, or specialist audiovestibular if suspect you are having a central vertigo.



Meniere's disease Rare

Meniere's disease is a rare disease that attacks the inner ear. If your vertigo is caused by this disease, there are some effective steps to simultaneously handle both. That is:

- Drugs to prevent attacks of Meniere's disease.

- Drugs to treat Meniere's disease.

- Suggestions for 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), for example, sound therapy can reduce the difference between the noise of tinnitus with other sounds that tinnitus disturbance was reduced.

- Treatment for secondary symptoms of Meniere's disease, such as stress, anxiety, and depression.



Step Vestibular Rehabilitation Therapy

Therapy commonly called Vestibular Rehabilitation Exercises (Vestibular Rehabilitation Training / VRT) include specific exercises to encourage the brain to adapt to a trigger signal from the ear. The brain is stimulated to rely on signals from other parts of the body, such as eyes and feet, rather than the inner ear. If it is used, the brain will minimize the symptoms of vertigo and joined maintaining body balance. 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.
- Vertigo caused by vestibular neuritis or Meniere's disease.
- Central vertigo.
- Vertigo without an obvious cause.


Duration taking medicine that the doctor depending on the severity of vertigo, but usually for half to two weeks. The drugs are generally given is:

Prochlorperazine

Prochlorperazine will block the effect of a brain chemical called dopamine. This drug helps relieve severe nausea and vomiting as a result of vertigo.
The side effects of prochlorperazine are tremor (shaking), the movement of the body or face uncontrolled, and drowsiness.



Antihistamines

Antihistamines will block the effect of a chemical compound called histamine. These drugs can be used to relieve nausea, vomiting, and vertigo symptoms milder. type of antihistamine that would normally be granted a doctor is cinnarizine, cyclizine and promethazine theoclate.
In addition to sleepiness, these drugs also may cause side effects such as headaches and stomach aches.
Betahistine used to treat Meniere's disease and other balance disorders also have a similar way of working with antihistamines. This medication is usually given for long-term, but their effectiveness varies in each person.



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