Your Good Health: Seek further treatment if vertigo continues

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Your Good Health: Seek further treatment if vertigo continues
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Vertigo is a common problem. One common cause is displaced crystals in the organ of balance

Dear Dr. Roach: I am an 83-year-old woman. A month ago, I woke up with vertigo, thought it was caused by a plugged ear, and went to the doctor. He cleaned my ear and told me to return if the vertigo did not go away. It did not. So, I began doing the Epley manoeuvre three times a day, and it subsided. But after three or four days, it came back. I stopped driving. The vertigo persists two weeks later.

Acute inflammation of the organ of balance by viruses causes similar symptoms, usually including nausea, vomiting and difficulty walking. The Epley manoeuvre will not be helpful in this case. Vestibular rehabilitation may be necessary. Meniere’s disease may also look similar, although hearing loss and tinnitus will accompany the vertigo. These may be very subtle early on in the disease. A big clue here is if the recurrences are frequent.

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