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Causes and treatment of vertigo

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This is the cause and treatment of vertigo

What is vertigo?

Vertigo is a condition where the patient feels as if the surrounding environment is rotating or floating. This condition will also cause the patient to lose balance, making it difficult to stand or even walk. The best way to describe vertigo is to rotate your body several times and feel the resulting condition.

Keep in mind, vertigo is not the name of the disease. However, collection of symptoms can occur suddenly or withstand for a certain period of time. 

What are the symptoms of vertigo?

The common symptoms of the disease are dizziness, spinning head sensation or clan head, and loss of balance. These symptoms will induce the sufferer to experience nausea, vomiting, excessive sweating, headache, sometimes accompanied by nystagmus (abnormal eye movement), ringing in the ear (tinnitus) and fall sensation. Usually, this condition will disappear and can last for a few minutes, hours, or even days.

Doctors will usually ask for your symptoms, do an easy check, and suggest further examination. Especially if the frequency you are experiencing the disease is often included.

Reason

What are the causes of vertigo?

The actual cause of vertigo depends on the type of vertigo experienced. In general, there are two types of vertigo that are collected by reason. Each situation also has its own cause.


1. Vertigo peripheral

These are the types of vertigo most commonly experienced by most people. The cause of peripheral vertigo is caused by inner ear disorders that function to control body balance.

When you move your head, the inside of the ear will tell you where your head is and then send the signal to the brain to maintain its balance. However, if there is a problem in the inner ear, you will feel sick and dizzy. This can be due to inflammation in the inner ear or due to viral infections.

In addition, this type of vertigo is caused by several other things such as:

  • Centered paroxysmal vertigo (BPPV)
BPPV is the most common cause of vertigo, the condition in which the inner vestibular ear is interrupted and triggered by sudden changes in head position and motion. For example:

  • Change the position of the head from the upright position to the arc abruptly
  • Wake up suddenly from sleep
  • Head search movements

The condition of BPPV is also more susceptible to people with surgeries in their ears, have a history of head injuries, have ear infections, and now in healing and bedrest periods.

Experts suspect that BPPV occurs due to the presence of chrysanthemum crystals fragment released from the inner ear canal walls. So this way, in the middle ear, there is a carbonate crystal that works to create the illusion of motion. When the change in head position occurs suddenly, this crystal will enter into the ear portion containing the residual liquid.

The inclusion of this crystal stimulates the movement of abnormal liquids when you move a particular head. Now, this is what makes a person unbalanced and the world around him spins.

This condition usually occurs in a short time and is often experienced by people over 50 years of age.

However, it is also possible that young people may experience this condition.
  • History of head injuries
Another cause of peripheral vertigo is due to the historical impact of head injuries. People with previous head injuries may experience an internal ear disorder that then causes a vertigo.
  • Experiencing labyrinthitis
Labyrinths are inflammation and infections that occur in the inner ear, especially in perforated and liquid channels. This inner ear plays an important role in controlling one's hearing and balance. Internal ear infections are usually caused by viruses and bacteria, for example in people with colds or colds.

If you suffer from this disease due to labyrinthine, other symptoms that also arise are nausea, vomiting, loss of hearing, ear pain, and fever.
  • vestibular neuronitis
The vestibular neuronitis is the inflammation that occurs in the nerve portion of the ear that is directly connected to the brain. Inflammation is caused by a viral infection that usually occurs suddenly without accompanying signs or other signs, and there is no problem with hearing abilities.

This condition may take several hours a day. Symptoms of loss of balance, headache, nausea, and even munta. Although this inflammation occurs in the nerve section of the ear, this condition usually does not make the patient suffer from hearing loss.
  • Ménière disease
Ménière disease is a rare disease that attacks the inner ear. Although Ménière's disease is rare, this condition can be a cause of severe vertigo. Even in some cases, symptoms include ringing in the ears, and hearing loss within a period of time.


If you have Ménière's disease, the symptoms appear to be experienced for several hours or even days. This disease is also accompanied by severe nausea and vomiting symptoms. Although it is quite dangerous, experts can not determine what causes Ménière's disease.


2. Middle vertigo

Unlike peripheral vertigo caused by ear disorders and balance organs, central vertigo occurs due to problems in the brain. The brain most affected by the disease is cerebellum or cerebellum.

Here are some of the conditions that cause vertigo:
 
  • Migraine, which is a headache that can not be borne by accompanied by pulsed pain and often experienced by young people. Migraine is usually experienced by the young and is considered one of the causes of the disease. Avoiding triggers and treating migraines can usually relieve this disease.
  • Multiple sclerosis, is a nerve signaling disorder that occurs in the central nervous system - the brain and spine - caused by errors in one's immune system.
  • Acoustic neuroma is a benign tumor that grows in the vestibular nerves, the nervous system that connects the ear to the brain. So far the acoustic neuroma is caused by genetic disorders.
  • Brain tumors that attack the cerebellum or cerebellum, resulting in the coordination of the body's movement.
  • Stroke, which is a blockage of blood vessels that occur in the brain.
  • Take some medicines that can cause vertigo side effects.

Diagnosis

How to diagnose vertigo?

Just like the initial diagnosis of the disease in general, the doctor will ask for anything related to the headache you feel in detail. Starting from an experienced vertigo sensation (floating, shaking, or rotating), vertigo trigger, appearance frequency, duration, and so on.

In addition, your doctor will also ask about your medical history, including the history of migraine, head injury or ear infection in the near future, and medicines you often eat.

If required, the doctor will undergo further physical examination. This examination aims to see the function of the hearing, the motion of the eyeball, and the function of the brain. Among the inspection methods include:
  • Head impulse tests
The patient is asked to focus on the tip of the doctor's nose when the head moves quickly to one side. If the patient's eye remains focused on the nose of the doctor during this movement, the test results are negative rather than vertigo.
  • Romberg test
The patient was asked to stand with both legs tightened, his eyes first open then the doctor would tell him to close his eyes for 20-30 seconds. The test results are positive if the patient loses balance or falls after closing his eyes.
  • Unterberger test
The patient stands with both feet straight forward and walks in place with a raised knee as high as possible for 30 seconds with eyes closed. If he is positive for vertigo, he will rotate the sides, towards the problem.
  • Nystagmus test
Examinations are performed to determine uncontrolled eye movements (nystagmus) by ordering patients to perform rapid maneuvers that can cause vertigo. When the test occurs, the patient will be monitored using the Electronystagmography (ENG) and Videonystagmography (VNG) device that works to record eye movement using a special glass.
  • Hearing examination
This test uses fork test and audiometric tests performed by ENT doctors, especially if you have tinnitus (hearing loss) or hearing loss.
  • Investigation
In addition to some of the tests mentioned above, to ensure that the next doctors will also carry some other support tests such as blood and urine tests, x-rays, CT scan, and MRI.


Medicine

How to treat vertigo?

Often symptoms of vertigo will improve over time even without treatment, one of which is rest. This happens because your brain can adjust to the inner ear changes, to maintain the balance of the body.
However, there are various treatments determined based on the causes and severity of vertigo experienced by the patient, including:

1. Vertigo caused by Benign Paroxysmal Positive Vertigo (BPPV)

Following some easy head movements can be a way to handle the dizziness sensation you are experiencing.

Manuel Epley
 
  • Sit tight on the edge of the bed with suspended feet. Rotate your head 45 degrees to the left. Place the pillows below you, so when you lie down, the pillows will rest between your shoulders and not under your head.
  • Immediately lie down toward the bed (still at 45 degree angle). Pillows must be under your shoulders. Wait 30 seconds.
  • Turn the head 90 degrees to the right without lifting it. Wait 30 seconds.
  • Back the head and body from the left to the right, so you can see the floor. Wait 30 seconds.
  • Slow down again, but stay in bed for a few minutes.
  • Repeat movement instructions from different parties and do this movement three times before going to sleep every night, so you do not get dizzy for 24 hours.

Foster / Half Somersault Maneuver
 
  • Sit and tilt your head on the ceiling for a while.
  • Touch the floor with the head (prostration). Remove the chin onto the chest so the head touches or enters the knee. Wait about 30 seconds.
  • Still in the position of prostration, turn your head towards the distressed ear (if you feel dizzy on the left, turn off your face to the left). Wait 30 seconds.
  • Then with a quick movement, lift your head until it is aligned horizontally with your back. Keep your head fixed at a 45 degree angle. Wait 30 seconds.
  • Afterwards with a quick movement also lift your head and sit straight, but keep your head facing the shoulders in the same position as the problematic ear. Then, slowly wavering.

You can repeat it several times to reduce dizziness. After the first round, relax for 15 minutes before continuing in the second round.

After performing some of the above mentioned movements, try not to move your head too far up or down in seconds.

If you do not feel better for a week after trying the exercises, talk to your doctor right away, and ask what you need to do next. You may not exercise properly, or there may be others that cause your headache.

2. For vertigo caused by Ménière disease

If vertigo is caused by this disease, there are several things you can do to help alleviate the two symptoms, namely:
  •  Limit the use of salt and diuretics to reduce the amount of fluid stored in the body
  • Avoid caffeine, chocolate, alcohol, and cigarettes
  • Perform physiotherapy to overcome the balance of disorders
  • Acupuncture and acupressure for some people can reduce both symptoms, but until now there is no scientific evidence that this is effective.

3. Take certain drugs

To minimize the symptoms, the doctor can give vertigo medication to make you feel more comfortable. Some medicines commonly used to relieve symptoms of these diseases include headache, nausea and vomiting include: meclizine, promethazine, diphenhydramine, dimenhydrinate, and lorazepam.

Doctors will also consider giving antibiotics or steroids that work to reduce swelling and healing infections. For Ménière's disease, diuretics (water pills) can be set to reduce stress from fluid formation.

Information about doses and other types of medicines, always consult your doctor or pharmacist before starting treatment.

4. Vibratory recovery therapy (VRT)

This therapy is performed if the complaints are dizzy and difficult to maintain body balance. This is a type of physical therapy to strengthen the vestibular system. Functionalally, the vestibular system plays a role in maintaining balance, coordination, and control of body movements.

5. Operation

If vertigo is caused by a more serious basic problem, such as a tumor or injury to the brain or neck, surgery can be performed to help ease and cure this disease.

Hopefully vertigo sufferers can find the best solution for their recovery, always consult your personal doctor.

Also read information about how to naturally treat acne, or the benefits of life insurance.

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1 Response to "Causes and treatment of vertigo"

  1. They are little muscles however fundamental for a solid shoulder joint. These muscles keep running under and over different muscles and one of them, the supraspinatus muscle, even keeps running under the neckline bone.symptoms of shoulder instability

    ReplyDelete

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