I wanted to inquire for my mom about vertigo. The doctor has given her medicine for the same and asked to continue with the course for 3 months. But the effect of the medicine is very temporary. As in, the symptoms like loss of balance and blankness return as the effect of the medicine fades. Is this how the treatment proceeds. Is it normal or should the effect be more permanent?

Dr. Amrita BasuENT Specialist7yrs exp

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Vertigo is a medical term which describes a sense of 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. Basic investigations: 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. A cause of�vertigo often difficult to diagnose is� 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. You have not mentioned� whether your mom has Hypertension� ,DIABETES, Or any other problems.� Any blood tests done like PPBS, Thyroid function� tests, complete haemogram .Any history of head injury or neurological� problem?� Dizziness can be due to generalised weakness, Cardiovascular ,neurological or Ear-brain-balance problem. *Hope this helps Thanks 

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