It was Sunday’s sleep supplement day again. The early morning sun sneaked into Xiaomei’s bedroom. She stretched comfortably when she just opened her eyes. Her heart was dark and cool. [Don’t go to work, I want to chase after < < the remaining crimes > >! I’m going shopping! I’m going to have a big meal! ……] Then stretched out his hand to take the mobile phone placed at the head of the bed, but this turn over, watching the roof turn up, dizzy Xiaomei seven meat eight vegetable.
Although it only lasted for a few seconds, the feeling of vertigo…
Xiao Mei, who was still concerned, decided to go to the hospital to have a look. After searching [vertigo] with Dr. Clove, she chose the function of [hospital recommendation]. After finding a good hospital and department, she took a taxi directly to the hospital, and I just accepted her.
What is the sudden vertigo?
I asked Xiaomei about the specific situation when she suffered from vertigo, what vertigo method, duration and whether she had suffered from similar vertigo in the past. After knowing the situation a little, I did some basic neurological examination and auxiliary examination.
It is preliminarily considered that Xiaomei is benign paroxysmal positional vertigo (BPPV), commonly known as otolith.
[what? Otolith? Xiao Mei looked at me with a puzzled look.
Our ears already have some crystals made of calcium carbonate salt, which look like small stones, and because they grow in our ears, they are called otolith. It can help us feel the change of center of gravity and coordinate our movement posture.
However, if the otolith runs to the position where it should not stay, it may cause vertigo, which is called otolith.
Is otolith serious?
Otolith is called benign paroxysmal positional vertigo (BPPV), which is the most common disease of all vertigo diseases. We can understand several characteristics of it from its name.
1. Benign: that is, the disease will not lead to life danger, and most patients can heal themselves in a few days or weeks;
2. Paroxysmal: The onset time is short, vertigo can last for several seconds to tens of seconds, and usually disappears within 1 minute; However, this vertigo can occur many times, which is basically induced by changes in the position of the head (such as lowering the head, raising the head, turning the head, etc.);
3. Position: Most of them turn over left and right, lie down and sit up, and lower their heads and raise their heads. Some patients only dare to rest on the left side when sleeping during the acute period. As long as they turn to the right side, they will attack, which shows that its attack is obviously related to the change of head position.
4. Vertigo: During the attack, I feel that the stationary objects around me move or I feel that I rotate. Some patients will say that they are like taking a boat, usually accompanied by nausea, vomiting, palpitation, and even want to relieve stool and other uncomfortable feelings.
How should otolith be treated?
At present, there are mainly two methods for the treatment of otolith.
1. Manipulation reduction
This is the first choice for the treatment of otolith.
In our childhood, we all played a small game called Ball Maze. By changing the position of the maze main board, the ball returned to the target position. The process of otolith reset is similar to this. There is a specific way to change the head position to return the otolith to the place where it should stay.
2. Medication
Symptomatic drugs can be given to improve the symptoms of dizziness and nausea, such as Minzhilang, which improves circulation, or metoclopramide, which stops vomiting.
Will it be better after reset?
Before reduction, you need to understand that otolith reduction sometimes induces discomfort, such as vertigo and vomiting, which is similar to or even more serious than that at the time of onset, so it is better to have an empty stomach before reduction to avoid vomiting.
The effect of otolith reduction can be described as immediate. The symptoms of most people can be relieved or disappeared after reduction, but some patients may leave some feeling of [groggy head and unconsciousness], so it is better to sit quietly for half an hour after treatment and leave the clinic after the symptoms are relieved.
After reset, also note:
- Avoid strenuous exercise, such as skipping rope, dancing, swimming, etc. When sleeping, it is best to raise the pillow to prevent the reset otolith from falling off again. Pay attention to rest, drink more water, relax, and don’t be too nervous.
If, in case of recurrence, you can turn to a doctor again for otolith reduction.
Postscript: Xiaomei went to the otolaryngology department at my suggestion, confirmed the diagnosis, and performed manual reduction under the operation of a professional doctor.