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Old 01-25-2012, 10:02 AM   #1
Join Date: Jan 2012
Location: Seattle, WA
Posts: 2
lyhenry HB User
Having difficulty determining which ear for BPPV

I've had BPPV off and on over the past 10 years. I use the Epley maneuver at home. No big deal. But I've had it occur in both ears, and sometimes have trouble figuring out which side to treat.

I'm experiencing dizziness at the moment. I try the maneuver on both sides, and don't experience dizziness until I get to the 3rd step, where I'm on my shoulder looking at the floor, then the spinning is very apparent. The dizziness happens at this point on both sides. So which ear is it in? And am I making it worse by trying both sides?


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Old 01-26-2012, 12:52 PM   #2
Join Date: Dec 2010
Location: San Francisco, CA
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Re: Having difficulty determining which ear for BPPV

The hallpike dix maneuver can be used to determine which ear is problematic, but this is best done by a doctor who can read the nystagmus and tell which ear is the problem. Occasionally the particles will transfer to the anterior or horizontal canal, and the nystagmus is different for those canals, so its important that the doctor can interpret the nystagmus.

Old 01-27-2012, 10:20 AM   #3
Join Date: Jan 2012
Location: Seattle, WA
Posts: 2
lyhenry HB User
Re: Having difficulty determining which ear for BPPV

Interesting. Thanks.

Old 01-30-2012, 06:24 PM   #4
Join Date: Jan 2012
Location: Ponchatoula, Louisiana, USA
Posts: 1
cantstayawake HB User
Question Re: Having difficulty determining which ear for BPPV

I have recently been diagnosed with BPPV, and I have it in both ears. The person who diagnosed me was an audiologist. She did a series of tests, one of the tests was a VNG. I failed it miserably! She did do some treatments to both ears and gave me exercises to do at home. She also told me to make dietary changes like getting off caffeine, salt, chocholate, sugar. I love coffee, and this has been hard to wean myself off, so as not to get one heck of a headache.
My issue that I am dealing with now is having trouble staying awake at night. I work 12 hr. night shifts. Without caffeine anything spells trouble! Do sleep disorders come with BPPV also? I am taking provigil to help me stay awake so I can do my job.

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