Sinus infection and BPPV

I would think that might be causing your vertigo.

If its bacterial, you need an antibiotics. I use a personal steamer, an OTC saline nasal spray or saline solution I get from my ent.

Meclizine helps me a lot with dizziness from a sinus infection.
I hope you feel better quickly Sharon HUGS!

 

oh and definitely increase your AV while you are sick.

 

When you have BPPV flare up do you generally feel dizzy/worse than normal? I had it this morning when I rolled over, panicked, then changed position and it resolved. I do feel more wobbly and "off" now but I don't spin unless I get in the wrong position. I can function but I am dragging a bit. Is this your expirience or are you completely fine in between spins?

 

I had a BPPV issue in October (4-5 months ago) and now it's bothering me again. Does this sound normal or too frequent? Last time within 2 weeks of BPPV I was in full blown misery for 6 weeks and have slowly been getting better. Now BPPV is back, hoping it's not a prelude to something bad on my horizon.

 

I wish I had saved it, I just read an article a few days ago saying that BPPV is really MAV or something like that. I will see if I can find it again.

 

okay seems I got it wrong, I'm sorry, BPPV mimics a vestibular migraine
Positional Vertigo: Could It Be Migraine Related?

http://www.canadianaudiologist.ca/positional-vertigo-could-it-be-migraine-related/

Note: that the vestibular migraine criteria include the following symptoms: spontaneous vertigo, positional vertigo, visually induced vertigo, head motion-induced vertigo and head motion-induced dizziness

Since vestibular migraines include positional vertigo (occurring after a change of position) it can be hard to differentiate a diagnosis of vestibular migraine from benign paroxysmal positional vertigo (BPPV). BPPV is the most common cause of vertigo.8 BPPV is a vestibular disorder of the inner ear which is characterized by repeated episodes of positional vertigo.9 In BPPV, the otoconia of the inner ear become dislodged from the macula and migrate to the semi-circular canals. When the person moves his/her head in the plane of the affected semi-circular canal, the free-floating otoconia causes a more intense movement of the endolymphatic fluid in that specific canal, thereby inducing brief rotational vertigo and spells of nausea.10 Diagnosis of BPPV is usually obtained by performing a positional test, such as the Dix-Hallpike test.11 The Dix-Hallpike is a maneuver where the patient is asked to sit upright on a bed with legs extended. In order to perform the Dix-Hallpike to assess the right posterior canal, the examiner positions the head of the patient at a 45° angle to the right and lays the patient down on his/her back. In this way, the nose is facing up and the undermost ear is the right ear (for pictures and details see Jacobson and Shepard12). If a right BPPV is present, then given the physiology of the vestibular-ocular pathway, the dislodged otoconias that are floating in the right posterior canal should induce a brief torsional geotropic nystagmus (beating toward the ground). See Figure 1 for an illustration of the direction of the nystagmus. The nystagmus occurs because the Dix-Hallpike maneuver displaces the otoconia toward one direction. The symptoms disappear when the otoconias stop moving in the canal.

 

Well Sharon, we are peas in a pod. I have MM, recurrent BPPV, and daily dizziness. Also on some JOH, antivirals, and NUCCA.

 

I had BPPV about a year ago and it came in two different styles you could say.

First one was severe from it was a 8/10 intensity. The room spun only when I turned to my LEFT side always and also when I tried to get up from bed. This was textbook BPPV that happened to me several times over a week or two. Closing my eyes helped make the vertigo feel less intense. I learned that this was called BPPV so I looked up youtube videos and performed the epley maneuvre for the left side. If you do the maneuvre for the right side it will not work. If it's on one side distinctly, keep a note of it because chances are with doing the maneuvre a couple times, you might be able to get rid of it. I got rid of it on the first try.

However came the second style of BPPV, which was less intense and a week or two later.
This time I had a ton of salty foods the day before. When I woke up, no matter what way I turned the room would spin but a 3/10 intensity and then this went away by itself and did not continue like the text book BPPV earlier.

So keep in mind, which one do you have? If it's the first, then that can probably be fixed with the maneuvres, if it's the latter, it's probably just menieres and you may have had too much salt or carbs. 1g of carbs hold 4g of water also.

Also maybe check if there is too much calcium in your blood as that could cause the bppv.

 

Mine sounds like the first one. I have done one epley this evening and we will see how tomorrow goes. Usually with one or 2 epleys I am okay vertigo wise. I still feel yucky though, for a day or 2.

 

Sharon, my sinus definitely seem to trigger my vertigo. But even more so can easily make me feel "dizzy" and off balance (vs full room spinning). I throw everything at it. For me though the quickest is Zicam Intense Sinus Relief gel spray. Intense it is but at least I can breathe. then Mucinex. (I don't do the Mucinex-D version as that makes me dizzy). I sometimes will also put warm packs across my forehead and cheeks; and along my left ear as my sinus drains there.

Good luck.

 

I had BPPV a few times and each time a doctor or vestibular therapist would perform the epley. within a few months it came back until finally the VT told me to do it at home every day for 10 days or 2 weeks I don't recall. I did and knock wood haven't had a bppv attack since, this was several years ago.

I have read it is common not to be a long term fix after just 1 or 2 epleys, that many need several maneuvers to keep those crystals in place for good or at least long term.

 

It's good that you get some relief from doing the epleys. The yucky feeling might be the disorientation your brain and eyes faced during vertigo, so it takes time for it to recalibrate where the eyes, brain and balance are in somewhat in sync again. I know this because some physiotherapists give eye exercises to do for bppv patients. You can check this video , she explains it in later half of the video https://www.youtube.com/watch?v=iP-UYhAk6tA

Also maybe you could try to do the epley maneuvre continuosly for an additional two weeks after you feel better, because for some I have read it takes more time for the calcium crystals to not only get back into its place but to get reabsorbed in its place, so the PT's recommend to do it even after feeling better. Hopefully this way you can real results this time

 

Sharon were you tested to be sure it is BPPV and not vestibular migraines or cervical dizziness? There is a simple test a Dr or VT can do to tell whether it is BPPV or not.

 

Thanks guys, that's good to know, about doing it for 10-14 days. I assumed if I did it more than one or 2 days I might actually dislodge the crystals again.

 

Hope it gives you both good results, best of luck. Keep in mind that some instructions say wait 30seconds and go to the next move and so on, but from past research the best time to transition into the next move is when the vertigo has dissipated completely.

Sharon, I used to think that it's my neck that maybe related to my meniere's symptoms, and I tried Nucca as well, and that didn't help. I think the neck issues are a byproduct of being unsteady/unstable if you are experiencing that, because the muscles actually work and stiffen to keep the entire body including the neck as balanced as possible, and sometimes that means the muscles need to stiffen up for that to happen, hence the neck pain/issues. I have this problem too with the neck.

Also curious does your BPPV always trigger on one specific side?