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sense of spinning dizziness
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Vertigo is a common symptom where an individual feels spinning or swaying movement associated with nausea, vomiting etc and the condition worsens when the head is moved.
Physiological vertigo usually occurs after a prolonged travel as in ship or after spinning with closed eyes.
Vertigo is also caused by the toxicity of alcohol, carbon monoxide and aspirin.
Vertigo significantly indicates any ailments of vestibular system. Still the mechanism is unclear. The most common disease which results in vertigo is Benign paroxysmal positional vertigo, Meniere’s disease and Labyrinthitis.
Vertigo develops as secondary disease to stroke, brain tumours, multiple sclerosis, migraine, middle ear ailments etc.
Psychological factor is another cause for vertigo.
Signs & Symptoms
Vertigo is a feeling that they are spinning or their surrounding is rotating around them. Nausea, vomiting, sweating or difficulty in walking is associative symptoms.
Recurrent episodes of vertigo are common and may even hinder the quality of life.
Vertigo is typically classified into Peripheral (which appears as a result of vestibular part of ear) and Central (appears as a result of ailments in brain or brainstem) vertigo.
Another classification of vertigo is based on symptoms presented by the person namely; Objective (which stationary objects around a person is moving), Subjective ( person feels himself to be moving) and Pseudovertigo (intense feeling of rotation inside a person’s head).
Persistent onset of vertigo and lasting for more than one day is caused by degenerative changes that affect balance as people age.
According to the cause, variant peripheral vertigo are namely;
Benign paroxysmal positional vertigo: is the most commonest vestibular disorder that occurs when loose debris enters the semicircular canal creating a sense of motion, the person may experience brief episodes of vertigo, usually under a minute, even with a change in position.
Meniere’s Disease: are severe, recurrent and spontaneous attacks of vertigo in combination with tinnitus and nausea, on worsening imbalance and hearing loss may occur.
Labyrinthitis: is caused a viral infection of inner ear resulting in severe vertigo, nausea, vomiting, generalized imbalance.
Vestibular Migraine: is a combination of vertigo and migraine may be due to the stimulation of trigeminal nerve, often seen in women.
Motion Sickness: is more common manifest nausea and vomiting typically worsen if the journey is on a winding road or involves lots of stops and starts, while reading a book in a moving car.
Alternobaric vertigo: occur due to a pressure difference between the middle ear cavities, usually due to a block in one of the Eustachian tube as in flying or diving.
Decompression sickness: caused by ambient pressure while switching between gas mixtures containing different proportions of inert gas as felt by a deep diver.
Central Vertigo usually seen in Stroke involving posterior fossa along with headache or neckpain with multiple vertigo episode.
Ayurvedic management of Vertigo
Analyzing the underlying cause vertigo can be managed through systematic steps in Ayurveda. Variant preparation of Ayurvedic internal medicines may be administered in the first line of treatment. After Amapachana, panchakarma can be started under Ayurveda doctor’s supervision.
Regular purifactory procedure clears off impurities in the form of vitiated dosha can be get ridden off. Thereafter Sirodhara, Sirovasthi or Siropichu may be instructed as a second session according to the condition of the patient.
Yoga meditation therapy enhances brain impulses between neuronal junctions. Slow and thorough practice of Savasana can pacify the recurrence of vertigo episodes.
Diet has a special role in controlling the severity of attacks or symptoms such as nausea or vomiting. Yearly treatment will be required for complete relief in the vertigo.