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Old 01-21-2004, 01:12 AM   #1
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Room spinning when sleeping???

Hi

Yesterday morning i woke up at around 5am to a mad, fast spining room. I had not been drinking but it felt like i was totally drunk! My head hurt and everytime i turned over to sleep in bed the room and everything around me would spin. Then about 4 hours later that morning i bent down to tie my shoe lace and i slid against the wall like i was totally dizzy but had no control over what i was doing.

I have heard this could be to do with ear problems, which is why i'm here...

I thought it may have been just been one of those things but as soon as i got in bed last night it started again!

Please if anyone has any insight, please share with me.

Sarah

 
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Old 01-21-2004, 02:08 AM   #2
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Re: Room spinning when sleeping???

Im not an expert and there are people who are a lot more knowledgable than me on here but it sounds like BPPV which is an inner ear problem.

If you search for BPPV you will see heaps of info on it. It is basically where the crystals in your semicircular canals have become displaced. It can be easily treated in most people.

You need to make an appointment to see a neuro-otologist who can test for bppv and treat you if you have it.

Hope that helps - good luck!!

 
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Old 01-21-2004, 02:45 AM   #3
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Re: Room spinning when sleeping???

Hi there,

Just to second what Star has said, I also think this sounds very like BPPV - a good ENT or preferably a neurotologist will be able to help you. The hallmark of classic BPPV is that the spinning comes on only in certain positions, typically looking up or down, lying on one side or the other. If it is BPPV - benign paroxsymal positional vertigo, then it is one of the most treatable of inner ear conditions. Put 'Which Specialist to See' in word search and 'hbep' in name search and this article will explain what a neurotologist (diffferent from a neurologist) is. Also as Star said, do a search on BPPV, and it will explain the condition.

Hope this helps,

best,

hbep.
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Old 01-21-2004, 03:26 AM   #4
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Re: Room spinning when sleeping???

Hi

Thankyou very much for your responses. They have been more than helpful. I have read up on this and i understand what it is, but i dont understand why it has started now? Has something bought it on? I had a cold a couple of weeks ago. How long does it last?

I am in a funny situation really, because i am in the UK, and i am 5 hours from home because i have travelled to see my boyfriend. Hpw urgent is it that i see someone? I am due to travel back to university on monday, and could make an appointment with my doctor for then.

I haven't heard of neurotologists and have no idea how i would contact one. Do i need my GP to refer me?

My boyfriend seems to think i should go to the hospital, but i feel fine when i'm out of bed, but as soon as i lay down it'll start again. Is it safe to wait and see my local GP? Although it will drive me nuts sleeping at night if this goes on!

Thanks for your help already, sorry for all the questions.

Sarah

 
Old 01-21-2004, 06:18 AM   #5
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bambi79 HB User
Re: Room spinning when sleeping???

Quote:
Originally Posted by Pugbear
Hi

Thankyou very much for your responses. They have been more than helpful. I have read up on this and i understand what it is, but i dont understand why it has started now? Has something bought it on? I had a cold a couple of weeks ago. How long does it last?

I am in a funny situation really, because i am in the UK, and i am 5 hours from home because i have travelled to see my boyfriend. Hpw urgent is it that i see someone? I am due to travel back to university on monday, and could make an appointment with my doctor for then.

I haven't heard of neurotologists and have no idea how i would contact one. Do i need my GP to refer me?

My boyfriend seems to think i should go to the hospital, but i feel fine when i'm out of bed, but as soon as i lay down it'll start again. Is it safe to wait and see my local GP? Although it will drive me nuts sleeping at night if this goes on!

Thanks for your help already, sorry for all the questions.

Sarah

Hiya

Do you feel nauseaous at all when the room is spinning?
It could be labyrinthitis, which is when the inner ear concerned with your balance becomes inflamed. This is caused by a viral infection.

Your doctor may be able to prescribe antiemetic drugs to relieve your symptoms,
When the symptoms are serere though, you should try and lie as still as possible. The condition should gradually improve, but may last for about 2-3 weeks.

Hope this has been of some help to you.

Bambi

 
Old 01-21-2004, 07:15 AM   #6
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Emsybobs HB User
Re: Room spinning when sleeping???

Hi Sarah, it sounds v much like BPPV. It cant be labyrinthitis as this would not just occur when lying down, it would be with you constantly.

Its not urgent, no, totally benign, seeing the doctor next week is fine. Tell them you suspect BPPV and that you want an ENT referral who can then do the EPLEY manouver on you to cure it.

Good luck!

xxx

 
Old 01-21-2004, 07:25 AM   #7
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Pugbear HB User
Re: Room spinning when sleeping???

Ahh thanks for that! At least i know what to ask for at the doctors, as they usually fob you off with something totally irrelevant!
Thankyou very much.

 
Old 01-21-2004, 07:45 AM   #8
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Re: Room spinning when sleeping???

When i first had BPPV, sleeping on two fluffy pillows helped out alot,uncomfortable, but no vertigo, you can also do a search on the Epley Manuever, which you and your boyfriend could try at home, its pretty simple, with alot of websites showing animated versions on how to do it. Also, i was told by my first ENT that the crystals will eventually dissolve on their own within a couple of weeks.

 
Old 01-22-2004, 12:45 AM   #9
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Re: Room spinning when sleeping???

It does sound like BPPV, especially since you have described having vertigo with positional change of your head/body.

I've had it for 38 years.....it comes and goes for me.

It's definitely uncomfortable, and in the interim just be a bit cautious as to when you're going to be bending or lying in bed. Till you see your specialist, try not to lay on the affected side or try laying on your back a bit propped up so that you'll at least get a good sleep.

I do the "epley" myself at home. If you're trying it yourself, make sure you know WHAT side is affected. Do you get vertigo when you lay on your left side or right? That's crucial for which way your head starts when doing the treatment.

BPPV can be precipitated by a cold which can inflame the inner ear structures. It can be precipitated by falls, whiplash, hitting the head, aerobics, dancing with shaking the head....etc.

I hope yours in only temporary and a one-time thing.

I don't suggest to numb your brain with anti-vertigo meds, because they will interfere with the brain not overcompensating for the misinformation from the canal (whichever one is affected).

If you are really nauseated or so dizzy and non-functioning, a half or whole Gravol(dramamine) can help take the edge off...but don't use it continually.

The more naturally you move the better for your recovery. If you have the epley (or semont or whatever the doctor chooses to do for you), he/she'll have instructions to follow after treatment.

The best to you...keep us posted as to how you're doing.
quincy
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Old 01-29-2004, 06:33 PM   #10
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Re: Room spinning when sleeping???

Quote:
Originally Posted by Pugbear
Hi

Thankyou very much for your responses. They have been more than helpful. I have read up on this and i understand what it is, but i dont understand why it has started now? Has something bought it on? I had a cold a couple of weeks ago. How long does it last?

I am in a funny situation really, because i am in the UK, and i am 5 hours from home because i have travelled to see my boyfriend. Hpw urgent is it that i see someone? I am due to travel back to university on monday, and could make an appointment with my doctor for then.

I haven't heard of neurotologists and have no idea how i would contact one. Do i need my GP to refer me?

My boyfriend seems to think i should go to the hospital, but i feel fine when i'm out of bed, but as soon as i lay down it'll start again. Is it safe to wait and see my local GP? Although it will drive me nuts sleeping at night if this goes on!

Thanks for your help already, sorry for all the questions.

Sarah
Hi Sarah:

I had the same thing as you. It sounds like BPPV. It's scarey at first but don't worry it's treatable. Your GP might know the Epley Maneuver. This is one of the treatments for BPPV. If I was you see how long it lasts, it might go away in a few days on it's own. The body will absorb the "ear rocks" that are causing the problem in the inner ear. If it doesn't go away in a few days then get the Epley Maneuver done. I had it done back on Oct 1, 2003 and I was completely cured immediately. Don't let it frighten you.

Nick S

 
Old 01-31-2004, 10:33 AM   #11
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mary b. HB User
Re: Room spinning when sleeping???

What is the epley maneuver?

 
Old 01-31-2004, 12:05 PM   #12
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Re: Room spinning when sleeping???

What is the epley maneuver?
This website has an animated version:
[url]http://www.dizziness-and-balance.com/disorders/bppv/bppv.html[/url]

 
Old 02-01-2004, 09:34 AM   #13
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Re: Room spinning when sleeping???

Quote:
Originally Posted by quincy
It does sound like BPPV, especially since you have described having vertigo with positional change of your head/body.

I've had it for 38 years.....it comes and goes for me.

It's definitely uncomfortable, and in the interim just be a bit cautious as to when you're going to be bending or lying in bed. Till you see your specialist, try not to lay on the affected side or try laying on your back a bit propped up so that you'll at least get a good sleep.

I do the "epley" myself at home. If you're trying it yourself, make sure you know WHAT side is affected. Do you get vertigo when you lay on your left side or right? That's crucial for which way your head starts when doing the treatment.

BPPV can be precipitated by a cold which can inflame the inner ear structures. It can be precipitated by falls, whiplash, hitting the head, aerobics, dancing with shaking the head....etc.

I hope yours in only temporary and a one-time thing.

I don't suggest to numb your brain with anti-vertigo meds, because they will interfere with the brain not overcompensating for the misinformation from the canal (whichever one is affected).

If you are really nauseated or so dizzy and non-functioning, a half or whole Gravol(dramamine) can help take the edge off...but don't use it continually.

The more naturally you move the better for your recovery. If you have the epley (or semont or whatever the doctor chooses to do for you), he/she'll have instructions to follow after treatment.

The best to you...keep us posted as to how you're doing.
quincy
Hi Quincy:
How do you sleep after performing the Epley? Your head position?For how many days?
I had violent vertigo back in August of 2003 from Vestibular Neuritis and had the Epley performed on me on Oct 1 2003. I was immediately cured and my doctor (neurologist) said to sleep in a recliner for 2 days. It was very uncomfortable.
Today the BPPV is back again but very very weak this time. It had been back for about 1 week. I want to try the Epley on myself and I was wondering if you have any advice. My left side is the affected side. I was reading that BPPV had a 30% chance of coming back within a year and a second maneuver may have to be done. I think the cold weather caused the return.

Thank you
Nick S

 
Old 02-02-2004, 01:38 AM   #14
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Re: Room spinning when sleeping???

Hi Nick,

I refuse to sleep sitting up. I can relate, I did it 3 times in the past when I had the Semont maneuver done. I had to sleep sitting up for 3 nights, and on my left side (right side was affected during those treatments)for a week. I thought I was going to go crazy. I felt like I was in the twilight zone and felt much worse than with the BPPV. I always ended up with my period at that time too (hmmm interesting, eh?). So, when I had to go again a few years later for a treatment, I told my doctor that I refuse to sleep sitting up. He said they don't do that anymore, that the patient just has to be cautious as to head movements and for them not to be too drastic.

I have no idea as to why BPPV comes and goes. I do know that colds, sinus infections, severe air pressure changes, and sometimes my chiropractic adjustments have precipitated an attack (sometimes really mild and lasting only a day, others lasting months).

I started doing "maneuvers" myself long before I was on the Internet because there was nothing the doctors can do for me anyway. My wonderful ENT retired and the new one I saw was just a bit too busy to get me in when I needed treatment. I was in a constant BPPV attack, waxing and waning, for almost 3 years. I was symptomatic in the right ear as always has been, but also the left ear. Bilateral BPPV is truly the pits. It turned out that a sinus infection, laryngitis and chronic colds (I worked in a school) for over a year didn't help.

I finally went to my GP, she gave me meds for the sinus infection and in the third year my symptoms were so much less. I was even symptom-free for longer periods other than a day or two. I suspect it started in my left ear because of a herpes virus. All the pains I got/get along the side of my face, it was also during that time when I got my first coldsore. All during the same time period.... But, regardless of the reason, I still had classic BPPV symptoms according to the new specialist (who is also an author on the subject and that tells me he knows something?). Snipping the ear/brain nerve was the only option. Since that was it, I decided to not go back and treat it myself. I can easily flip myself over one way and the next...or lie back on the bed and turn my head at 30 second intervals....etc without the doctor...and I don't have to wait for an appointment

I was a bit symptomatic yesterday. I had a chiro adjustment on my neck (slightly different from the norm) and on Friday night in bed I got a split second whirl or two. I didn't do anything till the next day, I was feeling totally out of it and not waking too straight. I did the Epley, and had a really quick vertigo upon laying back when my head was down and at the 45º to the left -- that was it. Nothing on the 45º to the right, or at the 90º or upon getting up. There was a lot of pressure in my head, but that was it. I just went on with my day which was really benign. I'm perfect today. Could be coincidence, don't know, but I do it when I'm feeling off and it seems to help.

My attitude has developed through my experience. I think that it's a fairly broad one. I've lived through the worst during those 3 years and try to prevent the sinus/eustachian tube symptoms.

Most (with BPPV)people's posterior canal is the one affected by the crystals. It's the easiest to access by the crystals. The crystals will eventually settle and mesh together, but somehow they always find a way to float around again.

Now, forgive my somewhat synical or pessimistic writings....you did ask me a question and I hope I can answer it for you.

Since you're under the care of a doctor and you had success with your previous treatment....after doing it yourself, you might want to try and sleep sitting up at least for one night and avoid excessive head movements like shaking and quick turning, running, etc for a few days. See how you feel and just continue life as you would normally do. Don't overguard your eye movements, or overcompensate your body movements.

What kind of exercise do you do? Are you a runner, do you bounce on a rebounder, do you do aerobics? Sometimes those types of jarring exercises can really shake up the head.

I wouldn't be afraid to do it, but it's even suggested in dizzydude's above posting link suggestion. Just follow to find the Epley at home.

All you can do is try it,make sure your head is turned to the left before laying back. When/if you get the vertigo, stay and don't move your head. It will stop. Wait at least in total 30 seconds or until the vertigo has stopped. Then turn the head to the right at 45º without lifting you head (just turn it). You may get a more violent vertigo, wait it out and don't move. Then without lifting your head, roll your body over to the 90º as shown in the picture. That's where you may feel severe vertigo....as always wait till it stops. Keep your head in that position without moving it and lift your body to a sitting position with your head up but facing the opposite direction as where you started. You may also get vertigo then....
When the crystals let go, there is a weird violent sensation or a vertigo. I sometimes find it really nauseating.
I've sometimes just taken a half gravol and sat in an upright chair for a few hours just because of the nausea.

You'll have to find your own system. I usually tend to buck the total protocal because it's too restricting or it hasn't worked anyway. Been there done that, but it doesn't mean it won't work for you. I've had it since I was 11. You're an adult and possibly you won't be plagued by it often.

Try to keep colds at bay, and get them treated if they aren't healing within the week. I use Sudafed to keep stuffiness at bay, but I haven't been using it too much lately. Nasal irrigation will also help to keep sinus inflammation and eustachian tube stuffiness down.

Let me know how it worked for you.
Best to you,
quincy
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Old 02-02-2004, 07:30 AM   #15
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Re: Room spinning when sleeping???

Quote:
Originally Posted by quincy
Hi Nick,

I refuse to sleep sitting up. I can relate, I did it 3 times in the past when I had the Semont maneuver done. I had to sleep sitting up for 3 nights, and on my left side (right side was affected during those treatments)for a week. I thought I was going to go crazy. I felt like I was in the twilight zone and felt much worse than with the BPPV. I always ended up with my period at that time too (hmmm interesting, eh?). So, when I had to go again a few years later for a treatment, I told my doctor that I refuse to sleep sitting up. He said they don't do that anymore, that the patient just has to be cautious as to head movements and for them not to be too drastic.

I have no idea as to why BPPV comes and goes. I do know that colds, sinus infections, severe air pressure changes, and sometimes my chiropractic adjustments have precipitated an attack (sometimes really mild and lasting only a day, others lasting months).

I started doing "maneuvers" myself long before I was on the Internet because there was nothing the doctors can do for me anyway. My wonderful ENT retired and the new one I saw was just a bit too busy to get me in when I needed treatment. I was in a constant BPPV attack, waxing and waning, for almost 3 years. I was symptomatic in the right ear as always has been, but also the left ear. Bilateral BPPV is truly the pits. It turned out that a sinus infection, laryngitis and chronic colds (I worked in a school) for over a year didn't help.

I finally went to my GP, she gave me meds for the sinus infection and in the third year my symptoms were so much less. I was even symptom-free for longer periods other than a day or two. I suspect it started in my left ear because of a herpes virus. All the pains I got/get along the side of my face, it was also during that time when I got my first coldsore. All during the same time period.... But, regardless of the reason, I still had classic BPPV symptoms according to the new specialist (who is also an author on the subject and that tells me he knows something?). Snipping the ear/brain nerve was the only option. Since that was it, I decided to not go back and treat it myself. I can easily flip myself over one way and the next...or lie back on the bed and turn my head at 30 second intervals....etc without the doctor...and I don't have to wait for an appointment

I was a bit symptomatic yesterday. I had a chiro adjustment on my neck (slightly different from the norm) and on Friday night in bed I got a split second whirl or two. I didn't do anything till the next day, I was feeling totally out of it and not waking too straight. I did the Epley, and had a really quick vertigo upon laying back when my head was down and at the 45º to the left -- that was it. Nothing on the 45º to the right, or at the 90º or upon getting up. There was a lot of pressure in my head, but that was it. I just went on with my day which was really benign. I'm perfect today. Could be coincidence, don't know, but I do it when I'm feeling off and it seems to help.

My attitude has developed through my experience. I think that it's a fairly broad one. I've lived through the worst during those 3 years and try to prevent the sinus/eustachian tube symptoms.

Most (with BPPV)people's posterior canal is the one affected by the crystals. It's the easiest to access by the crystals. The crystals will eventually settle and mesh together, but somehow they always find a way to float around again.

Now, forgive my somewhat synical or pessimistic writings....you did ask me a question and I hope I can answer it for you.

Since you're under the care of a doctor and you had success with your previous treatment....after doing it yourself, you might want to try and sleep sitting up at least for one night and avoid excessive head movements like shaking and quick turning, running, etc for a few days. See how you feel and just continue life as you would normally do. Don't overguard your eye movements, or overcompensate your body movements.

What kind of exercise do you do? Are you a runner, do you bounce on a rebounder, do you do aerobics? Sometimes those types of jarring exercises can really shake up the head.

I wouldn't be afraid to do it, but it's even suggested in dizzydude's above posting link suggestion. Just follow to find the Epley at home.

All you can do is try it,make sure your head is turned to the left before laying back. When/if you get the vertigo, stay and don't move your head. It will stop. Wait at least in total 30 seconds or until the vertigo has stopped. Then turn the head to the right at 45º without lifting you head (just turn it). You may get a more violent vertigo, wait it out and don't move. Then without lifting your head, roll your body over to the 90º as shown in the picture. That's where you may feel severe vertigo....as always wait till it stops. Keep your head in that position without moving it and lift your body to a sitting position with your head up but facing the opposite direction as where you started. You may also get vertigo then....
When the crystals let go, there is a weird violent sensation or a vertigo. I sometimes find it really nauseating.
I've sometimes just taken a half gravol and sat in an upright chair for a few hours just because of the nausea.

You'll have to find your own system. I usually tend to buck the total protocal because it's too restricting or it hasn't worked anyway. Been there done that, but it doesn't mean it won't work for you. I've had it since I was 11. You're an adult and possibly you won't be plagued by it often.

Try to keep colds at bay, and get them treated if they aren't healing within the week. I use Sudafed to keep stuffiness at bay, but I haven't been using it too much lately. Nasal irrigation will also help to keep sinus inflammation and eustachian tube stuffiness down.

Let me know how it worked for you.
Best to you,
quincy
Hi Quincy:
Thank you so much for the info. It was very helpful. I do run on the treadmill but I haven't really exercised since Aug 2003 because of the vestibular neuritis. I was very very sick for 4 months with sinus pressure, headaches and BPPV until the Epley in Oct 2003.
I think the cold air(winter) brought on the BPPV this time. It's very mild but it has been lingering for 10 days now. I did the Epley about 24 hours ago and I did sleep sitting up last night. I hope it works again this time.
My neurologist, who is a good friend of mine, says by performing the Epley the crystals are moved into a different part of the canal where they can not interfere with the cilia thus causing vertigo. The crystals get absorbed by the body by sticking to the membrane and later dissolve. I'm pretty sure that's how he put it. In Aug 2003 I had very violent vertigo for the first time in my life. I've have vertigo in the past years for only 1-2 days and probably had it 4 times in my whole life (very mild) but in Aug 2003 it was violent. I think many more crystals dislodged because of the VN.
From Oct 2003 until Jan 2004 I was doing great with no symptoms of BPPV at all. I think the cold air caused the problem this time. It seems that if my ears aren't covered properly with a had my problems start. Do you have or have you had any ear problems or eustachian tube problems?

Talk soon..
Nick S

 
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