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BPPV is one of the most common causes of vertigo relapse. This condition often attacks suddenly and makes the sufferer feel as if the room around him is spinning.

BPPV or b enign paroxysmal positional vertigo is a disorder of the inner ear. This condition is usually triggered by a change in head position that is specific to each person.

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Although generally harmless and lasts a relatively short time, BPPV is recurrent. In some people, this can really interfere with daily activities.

Recognize BPPV Symptoms

When vertigo caused by BPPV strikes, the symptoms they cause can vary from person to person. Even so, there are some common symptoms, including:

  • Dizziness
  • The space around feels like it's spinning or moving
  • Losing balance
  • Nauseous
  • Vomit

In addition to the above symptoms, sometimes BPPV attacks are also accompanied by abnormal eye movements (nystagmus).

The recurrence of BPPV symptoms is triggered by a change in head position. Examples of head position movements that can cause a BPPV attack are:

  • Lie down
  • Reversing body position
  • Rolling on the bed
  • Head lift, lower, or tilt
    • movements
  • Fast head movements
  • Being in the same position for a long time, such as at the office or sleeping at the salon
  • High intensity aerobic exercise movements
  • Shaking the head when riding a bicycle on rough tracks

BPPV can also occur while standing or walking and cause a loss of balance. This can increase the sufferer's risk of falling, which can be dangerous if they occur while doing certain activities.

Various Causes of BPPV

Basically, BPPV occurs due to structural abnormalities in the inner ear. The cause of this disorder is not certain. However, some cases have reported that BPPV can occur after a light to hard blow to the head.

Although rare, BPPV can also be caused by injury to ear surgery. In addition, the following factors can also increase a person's risk of developing BPPV:

  • Age 50 and over
  • Had an accident that resulted in head injury
  • Having a certain type of migraine
  • Have an inner ear disorder, such as Meniere's disease

Multiple Tests to Diagnose BPPV

To diagnose a BPPV condition, a number of examinations by a doctor are required. Before doing the examination, the doctor will ask about your general health and the symptoms you are experiencing.

On a physical exam, your doctor may direct you to perform several movements that change the position of your head. After that, your doctor will observe the reaction you feel, either in the form of nystagmus or a feeling of spinning. This will help the doctor determine a diagnosis of BPPV.

Some additional examinations may also be necessary if the physical examination is not sufficient. These checks include:

  • Magnetic resonance imaging (MRI), to help rule out other possible causes that can also cause vertigo
  • Electronystagmography (ENG) or videonystagmography (VNG), to see how the eye reacts to things that might trigger vertigo symptoms

How to Prevent and Overcome BPPV

After undergoing a doctor's examination, you still need to do several things to prevent or reduce BPPV attacks. Here are what you need to do:

  • Always be careful when walking. Stop if you feel like you've lost your balance so you don't fall.
  • Sit down immediately if you feel your head spin.
  • Use good lighting in case you wake up at night.

If BPPV recurs, you can take the following steps before seeing a doctor:

  • Avoid sleeping on the side that often causes dizziness.
  • Sleep with 2 or more pillows under your head.
  • Raise your head slowly when you get up in the morning and sit by the bed for a moment before standing up.
  • Avoid bending over to pick things up.

Although BPPV is a harmless condition and often goes away on its own, consult a doctor immediately if you experience severe dizziness, repeated for more than a week, or accompanied by fever, double vision, hearing loss, difficulty speaking, difficulty walking , or even pass out.

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