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Yes a vestibular neuritis can affect how the brain processes sensory information, including sound, but what you're describing seems like dizziness is being triggered by loud noises. Typically with migraines you will have a migrainous episode and will have light/sound sensitivity during the episode (not always, can have light/sound sensitivity outside of episodes). When someone describes that loud noises are triggering their episodes I usually think of perilymphatic fistual or semi circular canal dehiscence. When sounds trigger your dizzy episodes, what do you experience/feel, how would you describe the dizziness? Spinning, lightheadedness, head up in the clouds, etc...

@@VertigoRecoveryDr At first the dizziness was triggered by visual stimulus and caused an imbalance, falling to the left, nausea, light headed and a spinning sensation. After VRT this has resolved. Then I noticed environments with white noise or loud background noise triggered a disorientation, a quick spin sensation but not repeatedly just like everything quickly spun to the left, and like my brain was scrambled. Trouble concentrating. Not light headed from sound. If I lay down it resolved within 60-90 mins. I then have intense left eye fatigue for a day or so. Vision is clear but my eye and temple area get very sore inside like a spot I can’t reach. Not a headache. Thank you so much for your response. 🙏🏻

typically dizziness from a semicircular canal dehiscence will last just as long as the noise is happening for, as for a perilymphatic fistula it may be possible that there are prolonged symptoms, but also very possible that it's triggering a migraine. I would definitely recommend you find an ENT that specializes in vestibular disorders. Ask about VNG, oVemp, and cVemp testing, which may help to rule in or out some of these disorders.

@@VertigoRecoveryDr thank you for this advice. I’m going to see my ENT next week and they are doing more tests.

Welcome!

sure! I'll put it on the list!

I completely agree!

So sorry, not sure why it isn’t. It’s working on my end.

Sometimes you have to tap the video to unmute

haha I love the description of "bouncy-house floor feeling"! I may use that... Covid can definitely affect how the body and brain process sensory information. Have you tried vestibular physical therapy? Are your symptoms improving? Any other covid symptoms still lingering? I hope you're feeling better!

@@VertigoRecoveryDr I haven't actually heard of vestibular physical therapy. This whole field is very new to me. Thank you for personally answering comments! I appreciate the help and direction very much.

@loriebrown9378 I’m glad it was helpful! Reach out if you have any other questions!

not as common after BPPV as it is after vestibular neuritis or with migrianes but any kind of disruption to the vestibular system can trigger 3PD and difficulty for the brain to process all of the sensory information going to it. With the right exercises it will get better! Keep working on it!

Thank you for your advice. We need drs like you to hear our frightening experiences and give some hope. . God bless you.

I have a lot of patients that are able to get to where their symptoms aren’t bothering them with day to day activities, but there are some people that continue to have persistent symptoms. The vestibular system has connections throughout the body (vestibular spinal reflex is one example), while x1 viewing may still be a good option, think about incorporating whole body activities like balancing on something while doing the exercise or yoga poses like bird-dog, etc. As a disclaimer, consult your physical therapist before doing any new exercises as I am not aware of any other conditions you may have.

You’re welcome! Thanks for your kind words!

Thank you!

Thanks for your kinds words! It can be very difficult to discern between migraine and meniere’s. It may be worth it for you to see an ENT who specializes in vestibular disorders and have an audiogram and VNG test done. Meniere’s typically has low frequency hearing loss in the affected ear. You can also ask the ENT if they do oVEMP and cVEMP testing which may help differentiate. I would probably lean towards vestibular migraines but let me know what your vestibular therapist finds! I hope you feel better soon!

Thank you so much. It is knowing what tests need to be done and to advocate for myself to see an ENT. I'll definitely let you know how I go. Thank you kindly for your time to write a response, Warmest regards to you from second year RN 🙏

What is vertigo and floating feeling laying down but sitting up straight in bed without head movement like a violent drop feeling in the matress and in my head that wakes me up​@@VertigoRecoveryDr

It’s possible! There’s also the possibility of having overlapping diagnoses like vestibular migraines with cervicogenic dizziness and 3PD. Grab my ebook on the 5 most common causes of vertigo and what to do about them here: www.vertigorecoverydr.com/5-causes-of-vertigo-form Let me know if you need further help!

Low iron/borderline and b12 deficiency should be something your physician can supplement you with. If your iron is borderline it is important to find out why (ie: diet/pathology) it's something that is important to continue to get regular check up and or a second opinion. The word Dizzy is subjective and to have the best chance imo to begin to be treated properly getting on top of any mineral and or vitamin deficiencies are key.

Multiple antibiotic use can deplete your gut of good bacteria that supports a healthy microbiome.. in my opinion I know it can be frustrating, but you have to continue to strive and seek out those that can help you be your own advocate and get some answers.. may you find the support you seek 🙏 excuse the unsolicited advice

If you're deficient in B12 you can get an injection of B12 if your physician feels it will be beneficial..

I completely agree!

For sure! And stress can affect your Microbiome as well!

Ah I’m so sorry you’re going through this. Meniere’s is diagnosed based on a cluster of symptoms and can be tricky to differentiate from vestibular migraines. Typical meniere’s presentation is with vertigo episodes, tinnitus, pressure/fullness in ear, and low frequency hearing loss on that side. An audiogram can show the hearing loss, and it’s typically done with a VNG test that looks at how responsive the vestibular nerve is which can show if you have a hypofunction. A VNG will also look at any central signs from tracking certain eye movements. Not sure a cavity could trigger dizziness, but probably can refer pain. Sounds like some of you neck may be contributing to your symptoms, has anyone evaluated your neck? I would also follow up with a physician regarding the fever.

@@VertigoRecoveryDr hello Dr. Thank u so much for ur reply. I was in er today and they mentioned it sounds like meniere and that it has to be diagnosed so we can start treatment control ths dizziness and do therapy. Does dental work trigger bppv or actually cause bppv or its only assuming that the position on the chair for a long time might? I mean does getting a tooth filling or extraction cause bppv from the work itself? I can also tell the dentist to adjust the chair. Another q Dr. Lying in bed with or without slighg head tilting if im sleeping upright i get drop sensations and my heart starts racing..does menieres cause weird inner vertigo feeling in the brain and even the spine lying down to the side? I was told my probs are vestibular but it seems its more than 1 diagnosis. And the big disc bulge in my neck can contribute to vertigo but not 24 7

@lararose9106 dental work itself doesn’t usually trigger BPPV, if people have BPPV, then the position the lay in at the dental office may often trigger it so you can ask if they can adjust the chair to accommodate. Glad you got checked out! Vertigo can often trigger a sympathetic nervous system response or trigger anxiety.

@@VertigoRecoveryDr absolutely! Makes anxiety much worse and that increases my vertigo but glad to know that dental work wont cause bppv😅 i definetly will explain to the dentist that i should be extra careful thanks doc!

That could be just migraines, you may want to investigate further into what might be causing your migraines or make some changes to decrease how often you get them. It’s also possible to have 3PD along with migraines that may be contributing to the problem, talk with your medical professional about how to better manage those two! Calming your nervous system and pacing appropriately are going to be important!

Dr. Why do i feel so dizzy if i lock my wheelchair and better moving. I have to make slow movements with the wheelchair i cant sit still. Also as im typing i have severe ear pressure and pain and dizzy even though im not moving my neck and im sleeping upright with pillows. I do have a tooth prob and fever in the ear but its a weird dropping feeling in my brain.

Dr. What can cause violent vertigo in head when in bed without head movements even im sitting up straight its a stramge dtoping sinkimg feeling..it wakes me up whether im still or moving the neck on all sidest​@@VertigoRecoveryDr

Could be a couple of things, either you fixed your BPPV and the dizziness you are experiencing is more due to cervicogenic dizziness (typically the quality of the symptoms in this case would change from a spinning type to a wooziness or different type), or you haven't fixed your BPPV and need a different maneuver. Is the dizziness you are experiencing the same quality as it was before the maneuver, or has it changed? How would you describe your symptoms now?

Have you talked with your physician about what you can do to manage it? So sorry you’re experiencing that!

VNG can help rule things out or look at how much loss someone has had in the case of a vestibular neuritis. It’s helpful when someone’s symptoms aren’t clearly pointing to a specific diagnosis.

Thanks so much! I really appreciate it, please let me know if you have questions or need help!

You can check out my online membership at www.vertigorecoverydr.com/bmembership

I’m in Orange County, CA

Ah I’m so sorry! That sounds awful. When you go back to therapy have them see if your neck is contributing to any of your symptoms as well!

I sure will. I have knots in my neck and I also have TMJ. Thank you

There’s a link between low vitamin D levels and an increased risk of BPPV, possibly because it affects how those crystals are formed and they are more likely to get displaced because of that. Low estrogen can lead to low vitamin D levels so I would say it’s a possibility!

You’re welcome!! Thanks so much for the encouraging words! If you have any questions feel free to reach out! hello@vertigorecoverydr.com

Interesting! I’ve always thought of increasing blood flow to the brain as improving tinnitus. I’m not sure, I’m more on the exercise and musculoskeletal side of thing than supplements but I’ll look into it and see if I find anything!

So sorry you’re going through this! I don’t think cervical stenosis can cause vestibular neuritis or the other way around as one is a virus and the other is a structural problem. COVID can definitely lead to vertigo, I haven’t looked into the research ok if people are developing vestibular neuritis after COVID, but that would be interesting! People are definitely developing dizziness with post COVID syndrome. If you had a pre-existing neck problem, then develop a vestibular neuritis, I’d say you may be more susceptible to developing cervicogenic dizziness. All good things to look into and address!

It’s going to be very different based on the severity of loss to the vestibular nerve, differences between each person, and how you have been doing your rehab. Could be anywhere from 1 month or 6, although I know people who have never fully recovered. But you should be able to get back to being in busy environments and riding bikes! If you’d like help recovering check out my membership! Https://www.vertigorecoverydr.com/membership

Frustrating! Usually when I have someone roll onto their stomach with the BBQ roll I have them tuck their chin, are you lifting your head? How long are your symptoms lasting? 15 seconds? Or longer like a minute or more in those positions?

​@@VertigoRecoveryDr It was very strange, I've had BPPV before, this time I'd woken two nights with nystagmus on waking, which settled after 20 seconds or so. My ENT consultant tested me and couldn't get it to reoccur. Even though there was slight nystagmus when I leaned forward when sat. Slowly recovering it seems, with a heavy dose of anxiety to boot :( Well done on the very informative videos and content, they are so helpful!

@ianryde thanks! If you would like help problem solving this more send me an email at hello@vertigorecoverydr.com I’d love to help!

People describe dizziness differently, but typical people experience the spinning sensation when there is nystagmus. Nystagmus can be caused from BPPV, vestibular neuritis, meniere’s, sometimes migraines, central disorders, etc. Typically the rocking/swaying/on a boat is described by people experiencing 3PD or mal de debarquement. Often people can experience spinning in the acute phase of vestibular neuritis, but then transition into developing a swaying sensation from 3PD. I hope that helps!

😮 agreed ...im not convinced your an expert on this to be honest? 😮 I've suffered this for 6months now and all youvr said doesnt ring true 😮

@Lovemy911 you sure you have a vestibular neuritis?

😮 sent you a long reply it's been deleted 😮

@@Lovemy911 My daughter has had it since January about as long as you, and she has never had the spins just feeling like she’s on a boat, floaty, fullness in ears in the past few weeks. Her ENT said vestibular neuritis but she thinks she may even have vestibular migraines because she’s had many migraines in her life before the onset of this. Bppv is spins and menierres

thanks for the suggestion! I'll look into it!

Oh no! Did it get better with working on your neck?

With MS, it’s likely that your vertigo is central, I would defer to your medical professionals, especially if they don’t recommend doing maneuvers to avoid seizures. The brain could be inefficiently processing sensory information leading to that floaty feeling. Practicing grounding techniques and activities to promote parasympathetic nervous system (rest and digest system/relaxed and calm state) could be helpful.

@@VertigoRecoveryDr thank u Dr. Will look into it there must be a cure without epleys plus ive been having ear and sinus infections snce a month but the ent has told me that if i leave crystals eventually theyll go away he meant not to force epleys but i still do have infection symptoms so hopefully its from that

It can come on slowly, just most of the time a vestibular neuritis is a sudden onset. Your brain typically compensates for the spinning dizziness but you may still have lingering imbalance, that’s where vestibular rehab comes in! Not everyone experiences cold or flu symptoms with a vestibular neuritis, most of the time it’s just an onset of dizziness.

Oye! So sorry you’re having all this! May go away on its own, there is a theory that they can dissolve in the endolymph, but I’m not sure if that actually happens or how long it would take. Would anti-anxiety meds help prevent the seizure during the re-positioning? Maybe something to talk to your ENT about.

Does a neck massage change your symptoms? Fullness and ringing in both ears?

@@VertigoRecoveryDr No I've been seeing a chiro but no help

Will shorten the recovery time and reduce risk of developing chronic vestibular conditions! So yes, affects it in a positive way. Just remember to pace them appropriately to not overwhelm your brain too much, you need to take breaks to allow your brain to adapt.

that would be a better question for an ENT, but they may be helpful depending on what is causing your vertigo, possibly more helpful for meniere's, but some people with mild to moderate cases of vertigo, no matter the cause, have reported improved symptoms with betahistines, although some people don't notice any improvement at all.

Thank you!!

Yes, hello@vertigorecoverydr.com

I actually don’t know that answer, I do know that tooth pain can refer pain to the TMJ, cause headaches, and other issues though. If I come across something relating teeth to vertigo I’ll post about it!

Let me check, sorry for the wait.

Sorry, looked but couldn’t find your comment

Hi dr. I suffer from chronic unexplained dizziness since covid last year and as a result ive been in a wheelchair since a year. I have ms but neuros said its not from ms. And ents dont know y. I sleep sitting up straight but the other day i lyed down flat and got spinning vertigo in the right ear. I went to the hosp and found out i have a fever fluid in middle ear and a very high wbc count so the dr. Said its an ear infection. Im spinning on all sides even sitting up in bed. I cant do the epley i vomit and get a severe panic attack to the point i get tremors and relapse ftom ms. I have 2 more days for the a ntibiotic still no imrpovement. What if bppv doesnt go after the infection subsides? Theres noway i wud do epley.

Hello Dr Vertigo and all the viewers, Mr. Kevin Smith i am getting back to you after 5 months. So i finally know my diagnosis of verrtigo and diziness and it's hard to be found and mentioned on youtube. My case has similarities to PPPD etc. but it's not. I visited ENT specialist that focuses on vestibular system just like you recommended me, thank you by the way. After 5 hours of testing with various methods like optokinetics and so on, doctor performed Cervical Vestibular Evoked Myogenic Potential (cVEMP) Test. My cVEMP test shown assymetry, 67 % in right ear. We then tested for what is kind of ""level of unpleasant noise", where we found that in my right year, i can tolerate only 65dB and in my left ear i am fine with 80dB, i was told that healthy person can tolerate much more, so again assymetry found. CT brain scan revealed i have a "hole" in my upper vestibuar canal. There we go. diagnosis is superior semicircular canal dehiscence (SSCD) or "Third window syndrome", my right upper canal has a hole. I was told to avoid noise, so basically when i am doing anything that includes noise, i wear construction job's earplugs, such as washing dishes or walking on street. My therapy is queit places and silence, also i cannot talk loudly because it makes me dizzy. Well there we have it, my options is of course that or it can be fixed with surgery. Problem is that in my country, in middle of Europe, there is no neurosurgeon that does this kind of surgery because it's relatively new diagnosis. If it gets worse i will consider going more west like Germany or so, to find a surgeon. Thank you for your guidance and i would love if you can make some content on this syndrome, maybe there are other people living amongs us that were hopeless, lost, in panic and scared of their life, completly paralysed by anxiety.@@VertigoRecoveryDr

Great question! Nicotine I’m not too sure about, I’ll have to look that up! Alcohol can affect how the vestibular system functions, changing the density of the endolymph (fluid in the inner ear), but how or if it affects 3PD, I’m not sure. Alcohol can do a lot of things, one can be disrupting sleep which can prevent you from recovering from chronic conditions like 3PD. When trying to recover from it, you need every advantage you can get.

Did you quit your job with triple p d

Very hard to work

Sure! Some people recover fine, but I will say that you will recover faster and reduce your risk of developing chronic problems like 3PD or cervicogenic dizziness by participating in VRT.

I would look for a vestibular physical therapist to help with your balance; and might be a good idea to see an ENT who specializes in vestibular disorders. You can ask for a VNG test to see what your vestibular nerve function looks like.

Thank you very much for the tips. I greatly appreciate it and will pursue an ENT and hopefully will find one or be referred to one who specializes in vestibular disorders. I really appreciate the response.

Of course! I’m glad I could help!

I can’t say that one causes the other, but sometimes they are linked! So sorry you’re having to go through that.

The research I’ve read has mostly not recommended it because the side effects won’t outweigh any potential benefit. I’m assuming after 72 hours the inflammation has probably resolved and you’re left with the damage to the nerve, so if there’s no longer that inflammatory process happening there’s probably not anything for the steroids to do. I would defer that question to an ENT who specializes in vestibular disorders though.

@@VertigoRecoveryDr thanks. In my case I've had very severe acute 5 days and steroid really helped me on the fifth day. Now I'm left with dizziness issues

@@VertigoRecoveryDr thanks. In my case I've had very severe acute 5 days and steroid really helped me on the fifth day. Now I'm left with dizziness

Glad they helped! If you can see a vestibular physical therapist to get an exercise program it will help! You can also grab my go-to vestibular exercises here: c4684d1d.sibforms.com/serve/MUIEANpqJOI4NSSAKeHe0YmF_ThLnyIXe9uQjE5s4iSPkRNUrzO4en_RTiU2468Zu4KsE8Sm2-6MBibxAi5xi67abSV6RkO2Rn1sfvoMxWIfVqn_bk4dnBL1-tqoyv9nleSJGvfO1PTDfnLu_8hbUaBVYM8tWtQd0ZGa9J1wxjmnlnYuqlJcWcPJlzvYuI1dIqJd9sfkff6qSEQ2