{"id":11505,"date":"2020-06-22T10:00:56","date_gmt":"2020-06-22T14:00:56","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=11505"},"modified":"2021-05-10T12:03:29","modified_gmt":"2021-05-10T16:03:29","slug":"living-with-vertigo","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/living-with-vertigo\/","title":{"rendered":"Going round and round: What it\u2019s like experiencing vertigo"},"content":{"rendered":"

Do you remember being a kid, standing on the front lawn with your arms stretched out wide, and spinning around and around and around until you felt dizzy enough to fall over? It was such a fun feeling. Having that sensation as an adult\u2014while sitting still\u2014is much less exhilarating.<\/span><\/p>\n

One morning last month, I sat up in bed and felt like I was on a Tilt-a-Whirl. It wasn\u2019t a minor disorientation that sometimes comes with sitting up suddenly. It felt like I had consumed a bottle of wine.\u00a0 When I stood up to go to the bathroom, I had to hold on to the walls and furniture around me to walk.<\/span><\/p>\n

When I managed to sit still or lay down in one position for a period of time, the spinning would stop. But as soon as I moved my body\u2014or even my head\u2014the room turned back into a merry-go-round. What\u2019s more, as anyone who has stayed too long on an amusement park ride can attest, the frequent spinning was making me feel nauseated.\u00a0<\/span><\/p>\n

Unable to see my doctor for an evaluation because of the shelter-at-home mandates, I researched online and discovered I had what appeared to be a classic case of vertigo.<\/span><\/p>\n

What is vertigo?<\/b><\/h2>\n

Vertigo is not an illness in and of itself, but a symptom. \u201cVertigo is a spinning sensation or sensation of motion,\u201d says Gary Linkov, MD, the founder and medical director of <\/span>City Facial Plastics<\/span><\/a> and the chief of otolaryngology\/head and neck surgery at the Brooklyn Veterans Hospital in New York.\u00a0<\/span><\/p>\n

Dr. Linkov indicates that episodes of vertigo can last seconds, minutes, hours, or even days, and be caused by something as minor as an inner ear infection to as serious as multiple sclerosis.\u00a0<\/span><\/p>\n

Thankfully, most cases of vertigo are relatively harmless. \u201cIt is usually caused by irritation of the inner ear,\u201d says <\/span>William Buxton<\/span><\/a>, MD, a neurologist and director of neuromuscular and neurodiagnostic medicine and of fall prevention for Pacific Neuroscience Institute at Providence Saint John\u2019s Health Center in Santa Monica, California. \u201cIf the vertigo is solely due to a problem in the inner ear, individuals should not have other symptoms other than [potentially] hearing symptoms.\u201d<\/span><\/p>\n

Dr. Buxton points out the importance of paying close attention during an episode, and of getting a proper diagnosis. \u201cIt needs to be distinguished from other forms of dizziness, such as feeling lightheaded (often caused by cardiac or vascular problems, potentially serious) or wobbly (which can be caused by a wide range of problems from the brain to nerves and muscles in the legs, ranging from mild to serious),\u201d he says. He adds that patients who experience additional symptoms such as double vision, difficulty swallowing, or sudden balance loss particularly if these symptoms are new-onset, should seek urgent medical attention as those combinations can represent a stroke or other serious brain problem.<\/span><\/p>\n

Mercifully, my vertigo manifested solely as the sensation of movement, and my episodes lasted less than a minute each. Unfortunately, my episodes of vertigo came frequently. \u201cMost episodes come and go,\u201d says Dr. Linkov. \u201cIt can also resolve and relapse years later.\u201d<\/span><\/p>\n

What triggers vertigo attacks? How is vertigo treated?<\/b><\/h2>\n

For vertigo caused by inner ear trouble, there are two main causes. The most common is Benign Paroxysmal Positional Vertigo (BPPV). \u201cWe have crystals in our ears that move when we move, telling our brains that we are moving,\u201d says Dr. Buxton. \u201cThese crystals sometimes fall out of place (usually with age or after trauma), causing our brains to think we are spinning when we are not. This usually is triggered by lying down with one’s head turned to one side or the other.\u201d\u00a0<\/span><\/p>\n

To diagnose BPPV, healthcare providers can perform certain maneuvers (like <\/span>Dix-Hallpike testing<\/span><\/a>). If BPPV is diagnosed, there are other maneuvers (like the <\/span>Epley maneuver<\/span><\/a>) that can be done in the provider\u2019s office to dislodge the crystals. Dr. Buxton cautions against doing these maneuvers at home without first speaking to a healthcare provider. \u201cThere are some situations, such as artery or skeletal problems in the neck, in which maneuvers may need to be modified.\u201d In certain cases, your provider may also order a brain CT or MRI scan as well as more advanced tests to make sure there is no other underlying disease presenting as vertigo.<\/span><\/p>\n

Vertigo can also be caused by an infection in the inner ear called vestibular neuronitis. This infection is usually viral and can also cause nausea and vomiting. \u201cTreatment is aimed at managing symptoms with medications for nausea and with <\/span>meclizine<\/span><\/a>, a mild sedative that helps reduce the feeling of spinning,\u201d says Dr. Buxton. \u201cStaying hydrated is essential and sometimes requires intravenous fluids.\u201d<\/span><\/p>\n

Less commonly, vertigo can be caused by Meniere’s Disease, a disorder in which there is excessive fluid in the inner ear. Along with vertigo, it can cause tinnitus (ringing in the ears\u2014typically more of a hum or roar than a high-pitched sound) and hearing loss. With Meniere\u2019s Disease, attacks usually last a few days and can lead to hearing loss over time. A medical examination is needed for a diagnosis of Meniere\u2019s Disease. Treatment begins with a reduction of salt intake, and most patients will need to take a diuretic.<\/span><\/p>\n

RELATED: <\/b>Vertigo treatment and medications<\/b><\/a><\/p>\n

What is it like living with vertigo?<\/b><\/h2>\n

Because it is a symptom not a condition, experiences can vary. For me, the vertigo episodes happened with each head movement for the first week and the spinning sensation was intense. How did I cope with vertigo? <\/span>Dimenhydrinate<\/span><\/a>, a medication for motion sickness, helped lessen the severity of the attacks, but made me feel drowsy. I found that lying down in one position felt most comfortable, but sitting upright for a while lessened the episodes over time.<\/span><\/p>\n

In the month since I first started experiencing vertigo, my episodes have gradually become far less frequent and severe. I can go most of the day without feeling a spinning sensation, and when I do feel it, it is mild and passes quickly.<\/span><\/p>\n

While I still don\u2019t have a definitive answer for what caused my vertigo, I am happy that it finally seems to be settling down. I\u2019ll leave the spinning to the carefree children.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Do you remember being a kid, standing on the front lawn with your arms stretched out wide, and spinning around and around and around until you felt dizzy enough to fall over? It was such a fun feeling. Having that sensation as an adult\u2014while sitting still\u2014is much less exhilarating. One morning last month, I sat […]<\/p>\n","protected":false},"author":93,"featured_media":11826,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8318],"tags":[],"coauthors":[8622],"class_list":["post-11505","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-community","wpautop"],"acf":[],"yoast_head":"\nLiving with vertigo: What it feels like to get an attack<\/title>\n<meta name=\"description\" content=\"The feeling of constant spinning is fun as a kid, but as an adult? It\u2019s not. 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