I have spinning in my head (vertigo) and ringing of years. Also nausea and sometimes I have a little headache. Its since over 2 months. I have done brainMRI test also. All the reports are normal. Plss help me.

Dr. Amrita BasuENT Specialist7yrs exp

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Hi lybrate-user Since you have symptoms from two months you must be having some medicines. Kindly share the treatment you had /having. Vertigo is a medical term which describes a sense if rotation even while stationary. It can often be confused with lightheadedness, generalised weakness, dizziness. Vertigo may be caused by problems in your peripheral (Ear &balance mechanism inside ear known as the vestibular system) or central nervous system. A complete checkup is required to isolate the cause. Peripheral vestibular� system causing vertigo symptoms may need initial medications to stabilise followed by Vestibular Rehabilitation� exercises. A good quality� of life can be achieved if properly managed. A Pure tone audiometry� and tympanometry� can detect any problem in the ear nerves and tympanic membrane pressure (both of which can be abnormal in case of ear diseases) An Xray of the Cervical Spine (AP /Lat/Lat-oblique to check for cervical spondylitis CT brain and a complete� haemogram� are some of the baseline tests needed for a good evaluation� of vertigo. Another cause of vertigo often not diagnosed by CT /MRI BPPV Benign Paroxysmal positional vertigo BPPV can be treated with Epleys manoeuvre� and Vestibular� Rehabilitation� exercises. With regular vestibular exercise you can be symptom free� and lead a normal life. Also if you still ha e symptoms with your current dose of Vertin the� dose will gs e to be adjusted. *Tips for starting vestibular exercise: No. 1: Sit on your bed with legs hanging. Keep your head straight and just by moving your� pupils first look to the right. Hold this position. Count to 10. If you have dizziness� with right gaze still hold that gaze. Then move your pupil to the left. Do this for 10 minutes for two weeks. When you can move your pupil to either side without symptoms, you can start another exercise. Share your reports. Detailed symptoms, medicines and I can help you better. Take care. You will be all right soon. Hope this helps Start this and let me know. Hope this helps Thanks. 

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