[KRSMAC09]

Hello. My fiencee has been extremly dizzy sense wedensday. Does anyone know what could be wrong? He fell coming up the stairs and later fall off one of the stairs (because of the dizziness). I am really worried. we dont know whats wrong.. o yeah he had the cochlear implant surgery dec. 03 of 09 but this is his second time so its not that....he was at work feeding cows and all of a sudden he got really dizzy. he said he feels drunk... we went to see the doctor who did his surgery and his ears are fine no infection or anything. The doctor put him on a pill for dizziness and prednisone. The pill for dizziness has not helped at all. I dont know how long it takes for prednisone to work maybe it will help... His blood pressure and everything is normal..The doctor said if this prednisone does not work we need to call him..I wish I could find some kind of answers.. How long should we wait for the prednisone to work(so i know how long to wait before calling doctor if its not working) Please helpThanks
Keisha

[spin-dr]

It will probly slow down and go away,once his inner ear gets use to it being in there, plus it may have loosened some crystals.

if it continues let the dr know

[KRSMAC09]

He is use to his implant.We do not belive it is that..

[spin-dr]

he him self may be use to it but his senses or his inner ear or brain may not be it like swimmers ear you may get water in your ear on mon and you get use to the fullness then thurs you get dizzy
its because your brain can't figure what it is so it starts to figure it out on its own


Does that make since at all

[KRSMAC09]

Yes it does make sense. It just we dont understand why it would take over a month for this to happen his surgeon does not even think it has to do with his implant. I really dont know what is going on...It does not seem to be getting any better so I guess I will be calling his Dr./surgeon tomorrow morning...

[spin-dr]

there might be some wax build up could be a sinus infection
little fluid in his inner ear

see if he can reset his crystals he can try this on his own it will either work or it wont

stand next to the bed like your going to sit down,then in one motion sit down swing your legs up so your laying flat turn your head to the left the straight then sit up then swing your legs over the bed and get up and do it 3 time every night it helped me out a little you will need to help him so he can do it easy don't need to raise his blood pressure try and make it easy for him

[spin-dr]

I'm trying to get pics let me just give you the site name
http://www.tchain.com/otoneurology/disorders/bppv/bppv.html
there is pics to help u do this














HOME TREATMENT OF BPPV:

BRANDT-DAROFF EXERCISES Brandt-Daroff Exercises for BPPV
Click here for an animation

The Brandt-Daroff Exercises are a method of treating BPPV, usually used when the office treatment fails. They succeed in 95% of cases but are more arduous than the office treatments. These exercises are performed in three sets per day for two weeks. In each set, one performs the maneuver as shown five times.

1 repetition = maneuver done to each side in turn (takes 2 minutes)
Suggested Schedule for Brandt-Daroff exercises
Time Exercise Duration
Morning 5 repetitions 10 minutes
Noon 5 repetitions 10 minutes
Evening 5 repetitions 10 minutes

Start sitting upright (position 1). Then move into the side-lying position (position 2), with the head angled upward about halfway. An easy way to remember this is to imagine someone standing about 6 feet in front of you, and just keep looking at their head at all times. Stay in the side-lying position for 30 seconds, or until the dizziness subsides if this is longer, then go back to the sitting position (position 3). Stay there for 30 seconds, and then go to the opposite side (position 4) and follow the same routine..

These exercises should be performed for two weeks, three times per day, or for three weeks, twice per day. This adds up to 52 sets in total. In most persons, complete relief from symptoms is obtained after 30 sets, or about 10 days. In approximately 30 percent of patients, BPPV will recur within one year. If BPPV recurs, you may wish to add one 10-minute exercise to your daily routine (Amin et al, 1999). The Brandt-Daroff exercises as well as the Semont and Epley maneuvers are compared in an article by Brandt (1994), listed in the reference section.
Home Epley Left
Home Epley (for the left ear).


HOME EPLEY MANEUVER

The Epley and/or Semont maneuvers as described above can be done at home (Radke et al, 1999; Furman and Hain, 2004). We often recommend the home-Epley to our patients who have a clear diagnosis. This procedure seems to be even more effective than the in-office procedure, perhaps because it is repeated every night for a week.

The method (for the left side) is performed as shown on the figure to the right. One stays in each of the supine (lying down) positions for 30 seconds, and in the sitting upright position (top) for 1 minute. Thus, once cycle takes 2 1/2 minutes. Typically 3 cycles are performed just prior to going to sleep. It is best to do them at night rather than in the morning or midday, as if one becomes dizzy following the exercises, then it can resolve while one is sleeping. The mirror image of this procedure is used for the right ear.

There are several problems with the "do it yourself" method. If the diagnosis of BPPV has not been confirmed, one may be attempting to treat another condition (such as a brain tumor or stroke) with positional exercises -- this is unlikely to be successful and may delay proper treatment. A second problem is that the home-Epley requires knowledge of the "bad" side. Sometimes this can be tricky to establish. Complications such as conversion to another canal (see below) can occur during the Epley maneuver, which are better handled in a doctor's office than at home. Finally, occasionally during the Epley maneuver neurological symptoms are provoked due to compression of the vertebral arteries. In our opinion, it is safer to have the first Epley performed in a doctors office where appropriate action can be taken in this eventuality.

sitecdWe offer a home treatment DVD that illustrates the home Epley exercises.