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Benign paroxysmal positional vertigo
What should I do if vertigo causes uncontrollable vomiting?
When symptoms of benign paroxysmal positional vertigo (BPPV), such as persistent vomiting, occur, the first step should be to perform a repositioning treatment of the otoliths, which can gradually lead to improvement. BPPV is a common and frequently occurring disease in the field of otolaryngology, generally caused by the movement of otoliths in the semicircular canals. This condition may lead to the patient experiencing repeated episodes of vertigo, typically triggered by rolling over or getting out of bed. The vertigo is intense, feels like the world is spinning, and lasts no more than one minute. It is also accompanied by severe nausea and vomiting, but there is no hearing loss or tinnitus. To diagnose BPPV, detailed examinations with an electronystagmograph, audiometry, and videonystagmography at a hospital are necessary. For treatment, otolith activation and repositioning treatments are required and are generally effective. Additionally, after treatment, it is important to adjust sleeping patterns, take sufficient rest, avoid overexertion and staying up late, to gradually improve, and prevent recurrent episodes.
Precautions for sleeping posture with otolithiasis
Benign positional vertigo is a relatively common ENT disease. It is advised not to sleep on the affected side, as this may trigger an acute episode of the condition, leading to temporary dizziness, nausea, and vomiting. Some patients may also experience palpitations, increased blood pressure, and accelerated heart rate. Most patients need to visit an ENT department after the onset, where a repositioning test can be conducted to identify the specific location of the lesion in the semicircular canals. Once identified, targeted manual repositioning treatment can be administered. After this treatment, the condition generally improves gradually.
How to prevent and pay attention to otolithiasis
Otolithiasis is a relatively common clinical disease, and prevention mainly focuses on the following aspects. First, it is suggested to avoid vigorous exercise and to prevent the head from being subjected to severe impacts or stimulations, as these factors may cause otolithiasis. Second, it is advisable not to stay up late, excessively use mobile phones or computers, or overwork, as these factors might also lead to otolithiasis. Third, if there is a history of otolithiasis, it is recommended to regularly visit an otolaryngologist for follow-up to check the recovery status. If there is a recurrence of the condition, timely manual repositioning treatment is necessary.
What should I do if I have vomiting due to vestibular neuritis?
Otolithiasis is a relatively common otolaryngological disease. Clinically, symptoms such as nausea and vomiting may occur. When vomiting occurs, it is essential to ensure rest, avoid external stimuli, and refrain from vigorous exercise. Many patients find their symptoms gradually alleviating after rest. Additionally, a positional test can be conducted to determine the specific location of the lesion in the semicircular canals, followed by targeted manual repositioning treatment. If the condition is severe, with prominent symptoms of dizziness, nausea, and vomiting, oral anti-vertigo medications may be considered to help control the condition and alleviate symptoms. (The use of medications should be under the guidance of a professional doctor.)
How to check and confirm otolithiasis
The examination for otolithiasis is usually based on the patient's chief complaint symptoms, as well as by performing positional changes to diagnose. The onset of otolithiasis is caused by the detachment of the otoliths from the utricular macula, falling into the horizontal or superior semicircular canals, thereby triggering vestibular stimulation symptoms. Patients may experience vertigo, nausea, vomiting, and cold sweats among other related symptoms. Patients with otolithiasis usually have a short duration of illness, with the vertigo disappearing within 30 seconds to two minutes. After diagnosing otolithiasis, manual repositioning is typically required to move the otoliths from the semicircular canals back to the normal utricular macula position, thereby improving the patient's symptoms such as vertigo.
How to reposition otoliths in benign paroxysmal positional vertigo?
Otolithiasis is a common ENT disorder that causes vertigo in patients and is also known as benign paroxysmal positional vertigo. The condition occurs when otoliths detach from the utricular macula and enter the horizontal and anterior semicircular canals, leading to symptoms of irritation in the semicircular canals, causing nausea, vomiting, spinning vision, and cold sweats among other related symptoms. The primary treatment for otolithiasis involves manual repositioning. This method requires the patient to lie flat on a bed, where the position of the Eustachian tube and the fallen otoliths are assessed to facilitate movement and allow the otoliths to return to the normal utricular macula position, thereby improving the patient's symptoms.
Can young people get otolithiasis?
Benign Paroxysmal Positional Vertigo (BPPV) can occur in anyone, regardless of time or age. There are many causes of BPPV, which are generally related to staying up late, fatigue, poor rest, and high mental stress. It can suddenly cause dizziness, usually triggered when turning over or twisting the head. It is clinically known as benign paroxysmal positional vertigo. During an episode, patients may experience severe dizziness, along with severe nausea and vomiting, but there is no hearing loss or tinnitus. The duration of dizziness does not exceed one minute and often resolves on its own. If dizziness recurs, it is necessary to visit a hospital for detailed examinations like electronystagmography, caloric tests, and glycerol tests for diagnosis. For treatment, BPPV requires provocatory and repositioning maneuvers to gradually improve. Regular physical exercise can also help prevent recurrent episodes.
What should be paid attention to in daily life with otolithiasis?
Patients with ear stone disease should pay attention to the following aspects in daily life: The first is to avoid staying up late and excessive fatigue; The second is not to look down at the phone or computer for long periods to avoid cervical spine disease; The third is to avoid external impacts to the head or substantial external pressure, as these could potentially cause a recurrence of ear stone disease; The fourth, even after treatment has ended, regular follow-ups are essential to monitor any changes in the condition; The fifth suggestion is to undergo an MRI of the head to check for any intracranial abnormalities. Overall, most patients with ear stone disease respond well to timely treatment.
Can you exercise with otolithiasis?
Patients with otolithiasis should avoid strenuous exercise during their episodes, as such activities may trigger an acute attack, leading to symptoms like dizziness, nausea, and vomiting, which can be severe in some cases. Therefore, it is crucial to rest after the onset of symptoms and then visit an otolaryngologist as soon as possible to determine the specific condition. In terms of treatment, most patients may consider manual repositioning therapies, which can gradually improve symptoms. However, there is also a possibility of recurrent attacks, so regular long-term follow-ups are essential to monitor recovery.
Can otolithiasis heal by itself?
Otolithiasis is a relatively common ENT disease, clinically known as benign paroxysmal positional vertigo. The main clinical manifestation is vertigo related to changes in body position, but the duration of vertigo is relatively short. Generally, once the head position is stabilized, the vertigo symptoms quickly disappear, and there is no tinnitus or hearing loss. In terms of treatment, a small portion of patients can recover on their own, especially when the symptoms are not particularly noticeable and the condition is not particularly severe, allowing for possible self-recovery. However, if self-recovery is not possible or if clinical symptoms are more severe, timely manual repositioning treatment is recommended. After manual repositioning treatment, most patients can quickly recover and relieve their vertigo symptoms.