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  • BPPV-induced CSD

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    Old 06-05-2014, 07:24 PM   #1
    AsclepiusCureMe
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    BPPV-induced CSD

    Hello, when I was younger I suffered from childhood BPPV which migrated towards CSD (Chronic Subjective Dizziness). While the BPPV is gone (no more nystagmus, vertigo, etc), I still have the CSD, five years later. A few days ago I was prescribed Zoloft, starting at 25mg x7 days then 50mg x21 days for the first month. I'm on the second day, and I've noticed that the dizziness has worsened. This might be due to anxiety from taking the pill, or from the pill itself, or most likely a bit of both. It could also be due to the fatigue (transient) effect of the pill, in which case I don't need to worry. I was just wondering if people have any experience concerning at what point does it actually start improving, or at what point I'm back where I started, for lack of a better phrase.
    So far on the Zoloft my only two side effects are fatigue and exascerbation of dizziness. There is also a slight "off" sensation but I'm kind of writing that off as placebo due to anxiety.
    Also, I've been reading that CSD is an anxiety-based illness. I get that anxiety makes it worse, but, for example, if I take a large dosage of Lorazepam I'll feel better but it'll still be there. I guess I'm confused as to where you draw the line between CSD and convergent disorder.

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    Old 06-12-2014, 09:52 AM   #2
    quincy
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    Re: BPPV-induced CSD

    I've had BPPV since childhood,

    The off feeling could still be some sludge in the canal/canals, but doesn't produce nystagmus. I have it.

    My opinion is fairly strong on this.....if you're taking meds that are exacerbating your symptoms, stop them.

    You should be in vestibular therapy....either in a scheduled environment or create your own (I lean toward my own).
    Do exercises (both visual and physical) that will help your functioning. Try the Epley Maneuver when you feel off and hopefully it'll clear the sludge out of your canals and maybe set them straight. (you need to know the affected ear, however).

    Are you able to take Sudafed? I've found that it helps a lot....I use the store brand pseudoephedrine.

    You might have issues with your sinuses or Eustachian tubes...nasal lavage might help.

    If the muscles in your neck might be very tight due to your physical shape, movements, activities, etc. Massage can help. I see a chiropractor (although not as often as I should).

    I've read that a balance board can help....I got one, but haven't started using it yet.

    It doesn't seem much difference between conversion (not convergence) disorder and CSD.

    What exactly are the activities that you do? Do you drive?

    How old are you (since you mentioned BPPV since childhool).

    Hang tough....this is a truly difficult thing to deal with, especially when anxiety has a hand in your functioning.

    Have you been to a therapist? maybe a specialist who can do biofeedback?

    q
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