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Vertigo is a symptom of an underlying disease. Treatment of the underlying condition often results in treatment of vertigo.
In mild cases symptoms of vertigo may resolve without treatment.
In patients with Benign paroxysmal positional vertigo (BPPV) treatment options include (1, 2) –
However, these drugs may not relieve all symptoms of vertigo. It will not prevent vertigo attacks.
The exercise involves sitting on the edge of the bed and turning the head 45 degrees to one side. This is followed by lying down quickly on the other side. The patient waits till the vertigo spell stops and sits up.
Exercise on the other side is repeated. Five times on each side for around 10 minutes is advised thrice each day.
The manoeuvre involves performing four different head movements that move the fragments to a place where they cannot cause symptoms.
Each of the positions are held for at least 30 seconds. Around two weeks of the manoeuvre may be needed for complete recovery.
Specific management of vertigo includes (1-4):
Betahistine is a medicine that can help to prevent vertigo caused by Ménière's disease.
For tinnitus or ringing of the ears sound therapy is advised. Hearing aids may be prescribed for hearing loss. Some patients need physiotherapy to deal with balance problems. Surgery may be required in some patients.