What is it?
BPPV is one of the most common causes of spinning vertigo. The inner ear contains tiny calcium crystals. Sometimes these crystals slip into the balance canals of the ear. When you move your head, they move too, and the brain gets a wrong signal that you are spinning. It is not a dangerous disease and usually responds well to treatment.
Common symptoms
- Short spells of spinning (usually under a minute) when turning in bed, lying down or getting up
- Dizziness when looking up or bending down
- Nausea during the spell
- Feeling unsteady for some time afterwards
How we diagnose it here
- The doctor moves your head into specific positions while watching your eyes (positional tests).
- VNG video goggles record small eye movements (nystagmus) clearly. This shows which ear and which canal is affected.
Tests used: VNG – Videonystagmography Vestibular Assessment & Rehabilitation
Treatment options
- Repositioning manoeuvres – gentle head movements done by the doctor to move the crystals back to their place
- Home exercises, if advised
- Vestibular rehabilitation (balance exercises) for any remaining unsteadiness
- Medicines only for short-term relief of nausea, if needed
The right treatment for you is decided by the doctor after examination and tests.
When to seek urgent care
If you have sudden severe dizziness with weakness, slurred speech, chest pain or loss of consciousness, go to the nearest emergency hospital immediately.