Hey Scottish
Treatment of acute vertigo consists of bed rest (1 to 2 days maximum) and vestibular suppressant drugs such as antihistaminics (meclizine, dimenhydrinate, promethazine), tranquilizers with GABA-ergic effects (diazepam, clonazepam), phenothiazines (Compazine Suppositories), or glucocorticoids. If the vertigo persists beyond a few days, most authorities advise walking in an attempt to induce central compensatory mechanisms, despite the short-term discomfort to you. Chronic vertigo of labyrinthine origin may be treated with a systematized vestibular rehabilitation program to facilitate central compensation.
Vertigo is often self-limited but, when persistent, may respond dramatically to specific repositioning exercise programs designed to empty particulate debris from the posterior semicircular canal. One of these exercises, the Epley procedure, is graphically demonstrated on a website for use in both physician's offices and self-treatment (
Vorträge).
Prophylactic measures to prevent recurrent vertigo are variably effective. Antihistamines are commonly utilized but are of limited value. Ménière's disease may respond to a diuretic or, more effectively, to a very low salt diet (1 g/d). Recurrent episodes of migraine-associated vertigo should be treated with antimigrainous therapy. There are a variety of inner ear surgical procedures for refractory Ménière's disease, but these are only rarely necessary.
Meniere’s disease is a disorder that is characterized by recurring attacks of vertigo, hearing loss in one ear, and tinnitus (ringing in the ear). It is thought to be caused by an imbalance of fluid that is normally in the inner ear. The fluid is constantly being secreted and reabsorbed to maintain a constant amount. If there is a problem with maintenance of the fluid level the cause is currently not known.
Symptoms of Meniere’s include sudden unprovoked attacks of severe vertigo, nausea, and vomiting; these symptoms usually last 2-3 hours but may last as long as 24 hours. You may feel a fullness or pressure in the affected ear and the hearing tends to fluctuate but will progressively get worse over the years. The ringing in the ear may be worse before the vertigo, during or after.
I would recommend you see a Ear, Nose and Throat doc if you do have these symptoms and get a hearing test along with an MRI to rule out other causes. Maintain a low salt diet and when attacks do occur the vertigo can be temporarily with the use of ANTIVERT (brand name), lorazepam and scopolamine. The nausea may be relieved by Compazine suppositories.
Please let me know if you have any other questions but I do recommend that you do see an ENT doctor for a full evaluation.
Marty