Suggest Tests To Rule Out Vertigo

Posted on Tue, 5 May 2015

Question: Vertigo for 5 days what should I do next? I went to the ER they said my that I had vertigo. . They didn't do any blood work or mri or anything just sent me home with meclazine

Answered by Dr. Abubakar Siddiqh (48 minutes later)

Brief Answer:
seems to BPPV (benign paroxymal positional vertigo).

Detailed Answer:

Hi,

I had gone through your question and understand your concerns that you are having vertigo. I would like to ask you few more details.

Is there any ear pain or ear discharge or hearing loss ?
Is your vertigo episodic or continuous ?

Kindly get back to me with the details.

Based on your clinical details, it occurs to be BPPV (benign paroxymal positional vertigo) or fluctuation in blood sugar or BP or due to ear infection (labrynthitis).

I suggest you to consult ent surgeon, give detailed history (drug induced), ent examination, otoscopy (status of ear drum), blood tests (blood sugar, serum electrolytes), vestibular tests (to differentiate central from peripheral vertigo), BP monitoring and if necessary ct scan of brain. Depending on the examination findings, treatment can be started.

As such, meclizine do work on vertigo episodes. Before that, one should be evaluated for the cause of vertigo.

Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Abubakar Siddiqh (19 minutes later)

No ear discharge or pain.. pain at the base of my head and back of my neck... vertigo almost gone u til I stand up and walk around a little... I get bursts of I'm going to be okay( 5 mins or so) and then it starts again... so I've spent the past days mostly in bed. Sleeping alot. .which isn't Normal for me. .

Answered by Dr. Abubakar Siddiqh (3 hours later)

Brief Answer:
Cervical spondylosis

Detailed Answer:

Hello again,

Thanks for considering my answer and for your follow up.

Your symptoms are suggestive of cervical spondylosis, need an x-ray cervical spine to confirm.

You need to restrict the neck movements, wear soft neck collar and take pain killers.

Hope, I have answered your query.

Take care.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Abubakar Siddiqh (1 hour later)

Not sure.. but I have had cray on my neck and they showed minimal signs of degeneration.. but that's been a year ago could that change?

Answered by Dr. Abubakar Siddiqh (9 hours later)

Brief Answer:
Yes. Degenerative changes do occur with ageing.

Detailed Answer:

Hello again,

Yes, Degeneration depends on calcium deficiency, age related changes and straining of vertebral column (cervical spine).

Kindly go ahead the instructions and investigations, what I have already mentioned.

All the best. Take care.

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Neel Kudchadkar