Vertigo - causes and symptoms
Most cases of vertigo are of the peripheral type, i.e. a spinning sensation or feeling that is usually caused by disorders of the inner ear. If you have vertigo, you may feel like you are spinning. Check out the full explanation below regarding the causes, symptoms, diagnosis and cure for vertigo.
What is Vertigo?
Vertigo is a condition in which a person experiences a sensation as
if his surroundings are spinning. Does this condition require vertigo
medication? Please note that vertigo is not a disease that stands alone,
vertigo is a symptom of a disease.
Vertigo can last from a few minutes to hours depending on the
severity. If the vertigo experienced is quite severe, it risks making the
sufferer lose balance so that the risk of falling is higher.
Causes of Vertigo
Basically, the causes of vertigo are divided into two, namely
central and peripheral vertigo. Compared to central vertigo, peripheral vertigo
is the most common. The following is a complete explanation of the causes of
vertigo, including:
1. Peripheral vertigo
Peripheral vertigo is the most commonly experienced by many people.
The reason is because there is a disturbance in the inner ear which functions
to regulate the balance of the body. In addition to the feeling of floating,
inflammation that occurs in the inner ear or due to a viral infection, will
cause pain and dizziness.
Some of the most common causes of vertigo, specifically those of
peripheral vertigo are:
• BPPV. BPPV
stands for benign paroxysmal positional vertigo. BPPV occurs when tiny calcium
particles (canaliths) enter the canals of the inner ear. The inner ear sends
signals to the brain about head and body movements relative to gravity. This
process helps the body maintain balance. BPPV can occur for no known reason and
may be age related. The cause of vertigo is quite common.
• Meniere's
disease. This is an inner ear disorder thought to be caused by fluid buildup
and changes in the ear. This can cause episodes of vertigo along with ringing
in the ears (tinnitus) and hearing loss.
• Vestibular
neuritis or labyrinthitis. This is an inner ear problem usually associated with
an infection (usually a virus). Infection causes inflammation of the
the inner ear
around the nerves that are important to help balance the body's senses.
2. Central vertigo
Central vertigo
occurs due to problems with the brain. The part of the brain that has the most
influence on the incidence of this disease is the cerebellum or cerebellum.
The following
are some of the conditions that cause central vertigo, including:
• Strokes. A condition of blockage of blood vessels that occurs in the
brain.
• Take medication. certain types of drugs that can cause vertigo side
effects.
• Brain tumor. This disease attacks
the cerebellum or cerebellum, resulting in impaired coordination of body
movements.
• Migraine. The appearance of migraines or headaches is accompanied by
throbbing pain and is often experienced by young people. Migraine is usually
considered as one of the common causes of this disease.
• Multiple sclerosis. Nerve signal disorders that occur in the central nervous
system (brain and spine) caused by errors in a person's immune system.
• Acoustic neuroma. Benign tumors that grow on the vestibular nerve, which
is the nervous system that connects the ear to the brain. Most cases of
acoustic neuroma occur due to genetic disorders.
Vertigo Symptoms
Keep in mind that vertigo attacks can occur
suddenly and can be long or short. If you have severe vertigo, vertigo symptoms
can last for several days, interfering with your daily activities.
The most common symptom is that your
surroundings feel like they are spinning with a ringing in your ears. As a
result, the urge to vomit is inevitable and makes you unable to stand up.
Other symptoms that may accompany vertigo are:
• Abnormal or
jerking eye movements (nystagmus).
• Headache.
• Sweating.
• Difficult to
concentrate.
Vertigo Diagnosis
Doctors can separate dizziness from vertigo by
asking a simple question: "Do you feel the environment like spinning or
are you dizzy?". If your surroundings seem to be spinning, you can be sure
you have vertigo.
In addition, the doctor will also ask about
your medical history including a history of migraines, inner ear infections,
taking regular medications and head injuries that have been experienced.
If needed, the doctor can perform a further
stage of physical examination. This examination is intended to see hearing
function, brain function, and eye movement. Some of these inspection methods
include:
• Head-thrust test: You look at your own nose, and this will make a quick
head sideways movement and look for correct eye movements.
• Romberg test: You stand with your feet together and your eyes open, then
close your eyes and try to maintain balance.
• Fukuda-Unterberger test: You are asked to line up on the spot with your
eyes closed without leaning from side to side
• Dix-Hallpike test: While at the table, you are quickly lowered from a
seated position to a supine position with your head turned to the right or
slightly to the left. A doctor will watch your eye movements to learn more
about your vertigo.
In addition to some of the tests described
above, supporting tests can be carried out by doctors such as urine and blood
tests, MRI, CT scans and X-rays.
Meanwhile, warning signs of serious
complications include:
• Sudden onset of vertigo is not affected by position changes.
• Vertigo associated with neurological signs such as severe lack of muscle
coordination or new weakness.
• Vertigo associated with deafness and no history of Meniere's disease.
Vertigo Medication
Vertigo medication depends on what's causing
it. In many cases, without having to find a cure for vertigo, vertigo can go
away on its own. This cure without vertigo is due to the brain being able to
adapt – at least in part, to changes in the inner ear.
For some people, vertigo medications may
include:
1. Vestibular rehabilitation
This is a type
of physical therapy that aims to help strengthen the vestibular system. The
function of the vestibular system is to send signals to the brain about head
and body movements relative to gravity. Vestibular rehabilitation may be
recommended if you have recurrent attacks of vertigo. This helps train your
senses to compensate.
2. Canalite repositioning maneuver
Guidelines from
the American Academy of Neurology recommend a specific set of movements for the
head and body in order to treat BPPV. The movement is performed to move calcium
deposits out of the canal into the inner ear space so that they can be absorbed
by the body.
You may have
symptoms of vertigo during the procedure when the canal is moving. A doctor or
physical therapist can guide these maneuvers.
3. Prescription drugs
In some cases,
medication may be given to relieve symptoms such as nausea or motion sickness
associated with vertigo. If the vertigo is caused by an infection or
inflammation, antibiotics or steroids can reduce the swelling and clear the
infection. Vertigo medications for Meniere's disease, such as diuretics (water
pills) may be prescribed to relieve pressure from fluid buildup.
Other vertigo
medications you can use: Antihistamines, such as betahistine. Benzodiazepines,
such as diazepam and lorazepam. Anti-vomiting, such as metoclopramide.
4. Operation
In some cases,
surgery may be needed for vertigo. If the vertigo is caused by a more serious
underlying problem, such as a tumor or injury to the brain or neck, surgery can
help to relieve the vertigo.
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