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Old 06-04-2009, 10:38 AM   #21
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I don't understand how the maneuvers w*rk.
Basic idea is to get the loose stone to roll out of the area where banging around and stimulating the hair cells. Think of a pearl in a big syrup-filled snail shell. You shift it around, and work it out.

I've heard that this kind of stuff is the #1 cause of doctor visits for people over 50. My bass player had this, and it never went away -- he just got used to it.
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Old 06-04-2009, 10:45 AM   #22
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I don't understand how the maneuvers w*rk.
Is it a method of getting the fluid in the inner ear to shift around and hopefully dislodge something? Or an equalizing method ?
There are tiny calcium carbonate stones (same kind that sometimes comprise kidney stones). The idea is to nudge them into a small pocket of tissue that doesn't affect balance, from which the stone will eventually be reabsorbed.

Remember those toys when we were kids where you tilt the little plastic case to make the metal ball go into a hole?
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Old 06-04-2009, 10:59 AM   #23
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I guess we shouldn't tell the forum about the cuisine we shared.......
it's not the meat, it's the motion...
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Old 06-04-2009, 11:50 AM   #24
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Oh that is WEIRD - - yesterday I had to come home from work because the room was spinning, and I didn't want to wait until I was too dizzy to drive.

This morning I still don't feel too good so I stayed home again. I seem to be OK as long as I am sitting in my easy chair and dozing.

Maybe it's some kind of weird bug going around? In my case, it never got bad enough that I felt like throwing up. Yesterday I thought maybe it was bad chicken, but the chicken looked and smelled fresh and I never had any digestive symptoms. Today I am not back to normal yet so I guess it wasn't the chicken.
OK, I am starting to feel a little feverish. Ugh. For me, it looks like this was the beginning of another "flu-like illness" or some such thing. I haven't tried "the maneuver", though I am sure it would work. Just don't feel up to it.

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it's not the meat, it's the motion...
That's even less sexy to contemplate when you are feeling dizzy and feverish to begin with!
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Old 06-04-2009, 12:15 PM   #25
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There are tiny calcium carbonate stones (same kind that sometimes comprise kidney stones). The idea is to nudge them into a small pocket of tissue that doesn't affect balance, from which the stone will eventually be reabsorbed.

Remember those toys when we were kids where you tilt the little plastic case to make the metal ball go into a hole?
Thanks Rich and Al.
Inquiring minds are satisfied.
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Old 06-04-2009, 01:01 PM   #26
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Well I got up to the nursing home to visit my aunt. I did ok but my head still feels a little woozy. Almost feel like my blood pressure is up. Maybe a nap will help. Sitting up though.
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Old 06-04-2009, 01:41 PM   #27
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Glad you are doing a little better.

I just took a nap, myself. Naps are good.
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Old 06-04-2009, 02:13 PM   #28
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Well I got up to the nursing home to visit my aunt. I did ok but my head still feels a little woozy. Almost feel like my blood pressure is up. Maybe a nap will help. Sitting up though.
Dawg, are you OK?
Please see what your pulse rate is, just to be sure.
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Old 06-04-2009, 02:59 PM   #29
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Dawg, get well soon.

I just had a sip of my water.

Are we Twittering yet?
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Old 06-04-2009, 04:58 PM   #30
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Yep, benign paroxysmal positional vertigo or BPPV. Bing it.

The maneuvers cure it. When I went to my doctor, he just pulled out a sheet of paper and said, "This is it. Do these exercises and it cures most folks in less than 2 days." The fact that he had multiple copies of the instructions confirmed to me that it was quite common.

I believe I got my BPPV from doing lots of sit-ups. I had worked up to about 60 sit-ups every morning and I was sometimes letting my head lightly bang the carpet. Any other blow to the head can also knock the "rocks" loose. I don't think the rocks dissolve. They need to be there to interact with the hairs in your inner ear canals to give you a sense of balance. It's just that they are hitting the hairs that you don't expect them to.

Since the cure is mechanical, I don't think there is any way to over do it. So if you get your rocks to move, you are cured.
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Old 06-04-2009, 07:04 PM   #31
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If you're still doing sit-ups, you might consider crunches instead:

http://en.wikipedia.org/wiki/Sit-up_(exercise)
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Old 06-04-2009, 09:15 PM   #32
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I think. Woke up this morning, rolled to my right, and the bed just starting spinning and spinning. Didn't throw up but came close. Got up and felt better by just being upright but still a little unsteady. Yesterday morning I had an abbreviated version but but much worse today. I had this problem 10 years ago or so but by time I got an appointment with the ear doc, it had faded away.

Any of you guys ever have this problem? Any home remedies to help? I'm not getting out this morning, don't need this while driving.
If the spinning occurs only when you change position of your head with respect to gravity (i.e. like you said, laying down and turning head to one side) and doesn't last long, the most likely cause is indeed BPPV (benign positional paroxysmal vertigo).

Your inner ear has a small apparatus (about the size of a dime) that is called the vestibular apparatus. It has 3 canals: one circles up, one circles down, and one goes horizontally. All three canals are connected to a base. The canals are filled with fluid. Normal functioning of the apparatus: you move your head, the fluid in the canals move, and this stimulates little nerve endings (called hair cells) that are located at the base of the apparatus. This bending of the hair cells creates a message that goes to the brain and an automatic reflex is sent out. Part of that reflex arc goes to the eyes - the eyes move to help you keep your vision focused despite head movement. The is called the vestibular ocular reflex.

Now, there are little crystals that are located at the base of the vestibular apparatus. Sometimes they break off (can be due to head trauma, but usually just occurs for no known reason and incidence increases with age). When they come loose, they drop into one of the canals...usually they drop in once you've laid down and turned your head....well, this is like dropping a rock into a pool of water...it makes the fluid in the canal move...the hair cell is stimulated...and wa-la...your vestibular ocular reflex moves in and you get nystagmus (eyes moving back and forth) and the oh-so uncomfortable room spins. Once the "rock" stops moving in the canal, the reflex stops and the spinning stops. However, you will often feel "off" for some time after this.

The maneuvers work by trying to get the crystal out of the canal and back into the base, where it is thought it is eventually resorbed by the body. The Epley is usually successful (but you must start it on the involved side). Sometimes, the crystals are in the horizontal canal, though...and in this case different maneuvers are needed. Luckily, the majority of the time they are in the anterior or posterior canals, and these are much easier to tx.

I first started getting BPPV when I was in my mid 20's. I get repeat attacks maybe 2 or 3 times a year. The Epley has fixed me probably 90% of the time. I do it once, try not to lay completely flat for a day or two, and especially avoid laying on the involved side for a day or two.

If you are not successful treating yourself, get a referral to a PT who is vestibular rehabilitation specialist...if there is one in your area.
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Old 06-04-2009, 10:05 PM   #33
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I've suffered from inner ear problems off and on for years. <snip>
While you were passing gas (@H A) or after? Just curious.
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Old 06-04-2009, 10:19 PM   #34
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While you were passing gas (@H A) or after? Just curious.
After. Long after...
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Old 06-04-2009, 11:19 PM   #35
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After. Long after...
Thought it musta been.

I was taught in general avaition instruction (by an older B-47 instructor -- who later moved on to bigger and better things there (Full Bird Colonel)) -- if any kind of E.N.T. problems, DO NOT GO. I have generalized his advice and applied it to my life and I think it has worked well for me.

Thank you Colonel Al Miller! You have saved countless people and their families from the results of get-home-itis and other stuff!

He had lots of stories, most of which I still remember 34 years later.
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Old 06-04-2009, 11:56 PM   #36
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The maneuver must have worked. Got to feeling much better this afternoon. Good thing, had to take my aunt to emergency room because of an infection. But emergency room boots her out after a few hours saying nursing home should never have sent her there for this problem anyway. Said they could have treated her. So back to the nursing home. No wonder medicare is so screwed up.

Now you know why I have vertigo and take med's.
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Old 06-05-2009, 10:45 AM   #37
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The maneuver must have worked. Got to feeling much better this afternoon.
Wonderful! Like others here, I was concerned about you.

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Good thing, had to take my aunt to emergency room because of an infection. But emergency room boots her out after a few hours saying nursing home should never have sent her there for this problem anyway. Said they could have treated her. So back to the nursing home. No wonder medicare is so screwed up.

Now you know why I have vertigo and take med's.
Hope she can beat this infection. At least you are well enough that you can be there for her, to take her to the ER and sit with her there.
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Old 06-05-2009, 10:53 AM   #38
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Dawg, you are a saint for taking care of your aunt. Have a med on me.

W2R, I hope you're feeling better even if your ailment is the flu and not an inner-ear thingie.

I wonder if the Epley maneuver might work on ringing in the ears--probably no calcium deposits involved there.
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Old 06-05-2009, 11:01 AM   #39
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Dawg, you are a saint for taking care of your aunt. Have a med on me.

W2R, I hope you're feeling better even if your ailment is the flu and not an inner-ear thingie.

I wonder if the Epley maneuver might work on ringing in the ears--probably no calcium deposits involved there.
My dizziness is completely gone, now, thanks! I feel a lot better. In fact, I probably don't have the flu but just the latest bug plus sinus congestion. I have been napping on and off and that seems to help a lot.

I agree that Dawg is a saint! One can only dream that some kind person would take such good care of us when that old, as he does for his aunt.
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Old 06-05-2009, 01:41 PM   #40
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Dawg, you are a saint for taking care of your aunt. Have a med on me.
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I agree that Dawg is a saint! One can only dream that some kind person would take such good care of us when that old, as he does for his aunt.
Please....hold the applause down. I told my niece, who just graduated from nursing school, that I was very proud of her and hope she becomes very proficient in changing adult diapers over the next few years. Because her favorite uncle, who plans to will her some inheritance, would be calling on her down the road.
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