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BPPV tends to come and go for no apparent reason. You may have attacks of vertigo for a few weeks, then a period of time with no symptoms at all. Usually, BPPV affects only one ear. Other names for BPPV include benign postural vertigo, positional vertigo and top-shelf vertigo because you get dizzy looking up. Getting out of bed or rolling over in bed are movements that often trigger dizziness, vertigo, light-headedness, imbalance or nausea.

Some people feel dizzy when they tip their head back to look up. Symptoms are usually intermittent, stopping for several weeks or months at a time and then coming back for a longer or shorter period. BPPV can be caused by: head injury degeneration of the vestibular system in the inner ear due to ageing damage caused by an inner ear disorder. Diagnosis of BPPV Diagnosis of the condition may be made based on: your medical history answers to questions about when and where the symptoms occur a physical examination results of special balance tests.

Where to get help Your GP doctor Specialist physiotherapist or audiologist. Give feedback about this page. Was this page helpful? Yes No. View all ear nose and throat. Related information. Many women in the survey linked nausea with dizziness. Balance problems were also common, but these tended to worsen during the second and third trimesters.

The authors suggested that during pregnancy, hormonal changes bring about alterations in the inner ear. They proposed that as time goes on, the woman gets used to the new balance in the ear, and the symptoms of nausea and dizziness improve. The worsening of balance problems could be due to the changes in body weight and posture that occur during pregnancy.

In , scientists published research involving four case studies. The authors suggested that hormonal changes may lead to BPPV during pregnancy and that estrogen , specifically, may play a role.

Drug treatment may be available for reducing nausea, dizziness, and other vertigo-related symptoms during pregnancy, but a woman should ask her doctor for advice. Some treatments may not be suitable to use at this time. Vertigo itself is not necessarily hereditary, but it is commonly a symptom of various conditions and syndromes.

Some of these appear to involve specific genetic factors and may run in families. If a person has recurrent vertigo, it may have a hereditary or genetic component. Scientists have been looking into the genetic profile of various conditions that involve vertigo.

Vestibular migraine can involve vertigo. Find out more about this condition here. Some types of vertigo resolve without treatment, but a person may need treatment for an underlying problem.

A doctor may, for example, prescribe antibiotics for a bacterial infection or antiviral drugs for shingles. Medications are available that can relieve some symptoms. These drugs include antihistamines and anti-emetics to reduce motion sickness and nausea. Surgery may be necessary if other treatments are not effective.

BPPV and acoustic neuroma are two conditions for which this may be appropriate. Antihistamines are available over the counter or to purchase online. These may include meclizine, glycopyrrolate, or lorazepam, which can help relieve dizziness due to this condition. Steps that can help reduce the effects of vertigo include :. These include :. There is not enough evidence to confirm that herbal remedies can relieve vertigo. However, a clinical trial is currently underway to investigate the effects of Gongjin-dan.

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Learn what you should wear, drink, eat, avoid, and…. Being dehydrated can negatively affect your body and brain. Here are 7 evidence-based health benefits of drinking water. Health Conditions Discover Plan Connect. Medically reviewed by Deborah Weatherspoon, Ph. Causes See a doctor Treatment Prevention We include products we think are useful for our readers. What is lightheadedness? There is usually no known cause for BPPV, but it can sometimes be caused by a minor to severe blow to the head, damage to the inner ear or prolonged lying down.

BPPV is often triggered by tipping the head a certain way. Or, calcium carbonate crystals which are normally part of the body's balancing mechanism may come loose and bounce around in the inner ear, triggering the balancing mechanism incorrectly, according to the University of Iowa.

Common inner ear problems that produce vertigo are vestibular neuritis, which is usually a viral infection of the nerve that is most important in regulating your balance; and Meniere disease, which is a disorder that may result from a change in fluid pressure and salt concentrations in the inner ear, said Dr. There are many other causes of vertigo. Problems affecting the brainstem, which is where the body's balance center is located, can also result in dizziness, said Dr.

Howard Derman, a neurologist with Houston Methodist hospital. Dehydration, motion sickness, certain medications and sudden drops in blood pressure can also cause vertigo.