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Vertigo Management

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Suggest ENT opinion to diagnose cause of chronic vertigo . BPPV usually responds to EPLEY'S meneuvre, betahistin , and rest . Miniere's also can be managed by intermittent rest ,betahistin, other labyrinthine sedatives like sturgeon or stemetil, B1 B6, B12, Vertigo due to cervical spondylosis or VBI or cerebellar ischemia needs Ortho / Neuro management.
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Vertigo in itself is not disease rather a manifestation of underlying cause But nonspecific is classified as benign paroxymal vertigo what we know is BPVV Treatment is targeted to it rest cause is considered Rx tab betahistamine 16mg tds for 5to7days than 1od on maintenance dose for a month or so Tab stemetil 5mg 1tds for 7days and withdrawn Sos sturgeon can be added Usually in a weeks time pt settles down than maintenance has to follow Autotxic drugs Any h/o ATT Diabetes Hypertension Atherosclerotic changes Csom Seminal tubule sclerosis Cervical spondylitis in itself is not cause but neck stiffness and movements do induce So each factor to be adressed
Thanx dr Akhilesh Singh
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Suggest ENT opinion to diagnose cause of chronic vertigo . BPPV usually responds to EPLEY'S meneuvre, betahistin , and rest . Miniere's also can be managed by intermittent rest ,betahistin, other labyrinthine sedatives like sturgeon or stemetil, B1 B6, B12, Vertigo due to cervical spondylosis or VBI or cerebellar ischemia needs Ortho / Neuro management.
Thank you doctor
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A viral infection of the vestibular nerve, called vestibular neuritis, can cause intense, constant vertigo. If you also have sudden hearing loss, you may have labyrinthitis. Meniere's disease. This disease involves the excessive buildup of fluid in your inner ear.
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Ask for CBC ESR Blood SUGAR X-RAY CERVICAL Spine AP and Lateral, refraction test EAR check up, ECG and find out cause of vertigo. Further symptomatic treatment may give Tab Vertin 8 mg one tds, Tab Stemetil MD 5 mg one bd
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ShiroDhara treatment for 7 days and Swarnasutshekhar Ras+Saptamrat loh +brami vati +Vomitab syp
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Tb vertine 16 mg bd Tb stuzerone hs Tb optinerone
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