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Vertigo - Symptoms, Causes, Risk, Prevention & Treatment
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What is vertigo?

Vertigo is a medical condition characterized by a spinning sensation or feeling of dizziness. It is often associated with a sense of imbalance and can be a distressing experience for those who suff..

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Vertigo is a medical condition characterized by a spinning sensation or feeling of dizziness. It is often associated with a sense of imbalance and can be a distressing experience for those who suffer from it. The word "vertigo" is derived from the Latin word "vertere," which means "to turn." It accurately describes the sensation that individuals with vertigo experience - a spinning or whirling sensation that makes daily activities difficult.

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Symptoms of vertigo

Vertigo symptoms can differ from person to person, but some common signs to watch out include:

  • Dizziness: A feeling of being lightheaded or unsteady, as if the world around you is spinning.
  • Nausea and vomiting: Many individuals with vertigo experience these symptoms due to the overwhelming sensation of dizziness.
  • Loss of balance: Vertigo can make it challenging to maintain stability and coordination, leading to unsteady movements.
  • Tinnitus: Some individuals may also experience ringing in the ears, which can accompany episodes of vertigo.

It is essential to note that these symptoms may occur suddenly and can last a few minutes to several hours. 

Causes of vertigo

Various factors can cause vertigo, such as:

  • Benign Paroxysmal Positional Vertigo (BPPV): This is the most common type of vertigo and develops by tiny calcium crystals within the inner ear that become dislodged. These crystals can interfere with the normal fluid movement in the ear, leading to a spinning sensation.
  • Meniere's Disease: This condition develops when fluid builds up in the inner ear, resulting in episodes of vertigo, hearing loss, and tinnitus.
  • Vestibular Migraine: Migraines can sometimes cause vertigo, alongside severe headaches and sensitivity to light and sound.
  • Labyrinthitis: The inner ear inflammation, often caused by a viral infection, resulting in vertigo and hearing loss.

Risk

A number of factors can increase the possibility of developing vertigo. These include: 

  • Age: Vertigo becomes more common as individuals get older, with the risk increasing significantly after age 60.
  • Head injuries: Trauma to the head, such as concussions or skull fractures, can damage the inner ear and lead to vertigo.
  • Certain medications: Some medications, such as anti-seizure or antihypertensives, can cause dizziness and vertigo.
  • Family history: There may be a genetic component to vertigo, as certain conditions that contribute to its development can run in families.

Prevention

While it may not always be possible to prevent vertigo, you can take some preventive steps to reduce your risk and minimize the consequences of episodes. Some preventive measures include:

  • Maintaining good hydration: Dehydration can contribute to dizziness, so drinking sufficient water throughout the day is essential.
  • Avoiding sudden head movements: Rapid head movements can trigger vertigo in some individuals, so it is advisable to move slowly and deliberately.
  • Taking breaks during activities: If you engage in activities requiring constant head movement, such as gardening or cleaning, regular breaks can help prevent dizziness and reduce the risk of vertigo.

Treatment

Treatment options for vertigo can vary depending on the underlying cause and severity of symptoms. Here are some common treatment modalities:

1. One common treatment option for vertigo is the use of medications that help manage symptoms. These medications may include:

  • Antihistamines: These medications can help reduce dizziness and nausea associated with vertigo.
  • Anti-anxiety medications: In some cases, anxiety can worsen vertigo symptoms. Anti-anxiety medications can help alleviate anxiety and reduce the impact of vertigo.

2. Another approach to treating vertigo is vestibular rehabilitation therapy (VRT), which focuses on exercises and techniques to improve balance and reduce dizziness. VRT may include:

  • Gaze stabilization exercises: These activities involve focusing on a stationary object while moving the head, helping to train the brain to adapt to head movements and reduce dizziness.
  • Balance training: Various exercises can help improve balance and stability, benefiting vertigo.

You should perform VRT under the guidance of a physical therapist or healthcare professional experienced in vestibular rehabilitation.

3. Epley manoeuvre: For individuals with benign paroxysmal positional vertigo (BPPV), doctors may recommend a specific treatment called the Epley manoeuvre. It involves a series of head movements tailored to reposition the displaced calcium crystals in the inner ear. By doing so, it can alleviate the symptoms associated with BPPV.

4. Surgery: In some cases, doctors may advise surgery to address the underlying cause of vertigo. For example, if Meniere's disease is causing severe and persistent vertigo episodes, a surgical procedure called endolymphatic sac decompression may be recommended. This surgery aims to reduce the fluid buildup in the inner ear and attenuate the symptoms of vertigo. Surgeons typically consider surgery a last resort when other treatment options have been unsuccessful or when the vertigo is significantly impacting the individual's quality of life.

FAQs

Can vertigo be cured permanently?

The possibility of a permanent cure for vertigo depends on the underlying cause. Treatments like the Epley manoeuvre can provide long-lasting relief in some cases, such as BPPV. However, for conditions like Meniere's disease, vertigo may be a chronic ailment that requires ongoing management.

Are there any exercises that can help alleviate vertigo symptoms?

Specific exercises can be beneficial in managing vertigo symptoms. These exercises are often included in vestibular rehabilitation therapy and aim to improve balance and reduce dizziness. It is essential to consult a doctor or physical therapist experienced in vestibular rehabilitation to receive guidance on the appropriate exercises according to your specific condition.

How long do vertigo episodes typically last?

The duration of vertigo episodes can vary from person to person. Some episodes may last only a few minutes, while others can persist for several hours or even days. The frequency and duration of episodes can also depend on the underlying cause of vertigo.

Dr. Poonam Gautam
ENT, Head and Neck Surgery
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