Why do I feel dizzy when I turn in bed? (BPPV)

Does the whole room suddenly spin when you get up in the morning or turn over in bed at night? Even if it settles in a few seconds, the fear can stay all day. A very common cause of this is BPPV (Benign Paroxysmal Positional Vertigo).

Why does BPPV happen?

The inner ear contains tiny calcium crystals that help with balance. With age, after a head injury, after long bed rest – or sometimes for no clear reason – these crystals slip out of place into the balance canals of the ear. When the head moves, they move too and send a false "spinning" signal to the brain.

Main symptoms

• Short spells of spinning when turning in bed, lying down or getting up
• Dizziness when looking up (for example, at a high shelf) or bending down
• Nausea and brief unsteadiness

Is it dangerous?

BPPV is not a dangerous disease. But the spinning can cause falls – especially in older people. That is why a proper check-up matters.

How is it diagnosed and treated?

The doctor moves your head into specific positions while watching your eyes. VNG video goggles show clearly which ear and which canal is involved. Gentle head movements called "repositioning manoeuvres" are then used to move the crystals back into place. Many people get good relief with this treatment.

Things to remember at home

• Do not get out of bed suddenly – sit up first, wait a moment, then stand.
• Switch on a light if you get up at night.
• Avoid copying exercises from videos on your own – without knowing which ear and canal is affected, they may not help.

If dizziness comes with slurred speech, weakness in an arm or leg, a severe headache or double vision, it may not be BPPV – go to an emergency hospital immediately.