BPPV Vertigo VS Vestibular Migraine

Vertigo sufferers: learn the difference between BPPV vertigo and vestibular migraine and what to do about it!
#bppv #vestibularmigraine #vertigo

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If you are suffering from vertigo you may be wondering if it’s from BPPV or a vestibular migraine. I’m Dr AJ and in this video we’ll help you understand the difference so you can find the best way to recover instead of rolling the dice and hoping something works.

Lets start with what BPPV is and what the symptoms are then we’ll talk about vestibular migraine and it’s symptoms so we can compare the two. BPPV stands for Benign Paroxysmal Positional Vertigo which, as the name implies, is a feeling of spinning that comes on suddenly from certain head positions. It’s called benign because it’s not life threatening or progressive even though it is intense and debilitating. It is caused when particles in the inner ear called otoconia, come loose and enter the inner ear canal. This is a fluid filled canal that helps our brain process head movement and when the particles move inside the canal they cause a false sensation of spinning. Vertigo attacks from BPPV are a sudden intense feeling of spinning that only lasts for 30 to 90 seconds. It can cause nausea and vomiting during the attack but afterwards it will settle down and you will be fine until another attack is triggered. BPPV attacks are ONLY triggered by specific head movements that cause the particles in the inner ear to move. These include getting into and out of bed, rolling over in bed and looking up or down. BPPV vertigo attacks are also accompanied something called nystagmus, or a repeated beating movement of the eyes which you may feel or someone who is watching could see your eyes moving in a specific pattern. BPPV is the most common form of vertigo.

Vestibular migraines are, unfortunately, less understood even by doctors. About 1 to 3 percent of adults are affected by this type of vertigo, so it is not nearly as common as BPPV. It’s a common misunderstanding that vestibular migraine always come with a headache but this is not true. It is simply a type of migraine that affects the vestibular or balance system with or without headache pain. During an episode you can experience balance difficulties or feeling wobbly, dizziness with head movements which may or may not include nausea. It can cause a sensation as if your body is spinning or moving or it can cause a feeling of the room spinning around you. Another symptom is sensitivity to movement especially of the head and neck or even watching something move. Nausea and vomiting are a common symptom and there can sometimes be sensation of fullness or pressure in the ears. Vertigo attacks from a vestibular migraine can be as short as seconds or minutes or as long as several hours to several days. After the episode is gone its not uncommon to have symptoms that linger in a milder form for a few weeks. Triggers for vestibular migraine include stress and anxiety, insufficient or poor quality sleep, hunger, dehydration, Food triggers like MSG, chocolate, red wine and especially caffeine, and hormonal changes like menstruation or during menopause. Weather changes can also be a trigger.

Comparing the two vertigo conditions we see that there is some overlap in symptoms, specifically vertigo with head movements. Once of the features of BPPV is that it is very consistent. The same movements will cause a consistent response. It’s predictable and consistent and brief and each vertigo attack is pretty much the same. Vertigo from a vestibular migraine is not always consistent, can have a much wider range of symptoms and each episode can be different. Any kind of head movement can worsen the attack where as BPPV has the specific head movements that we talked about earlier. The triggers are also quite different and not necessarily related to head movement although once the vertigo episode begins you will be sensitive to head movements.

If you think you from vestibular migraines, you should get examined by a neurologist but in addition to that it’s a good idea to learn your triggers, get plenty of high quality sleep, learn some techniques to handle stress better, like breath work which can also help you get through a vertigo attack, and stay hydrated.

If you have BPPV, there is good news! You can actually fix your own BPPV on your own at home. Click the link at the end of this video for a step by step guide that walks you through the process of eliminating your vertigo instantly and teaches you how to keep it from coming back.

[Tad-For-Global-Peace]

I have bppv w lateral and torsional nystagmus and vestibular migraine.

[jayrockhammer]

Having dealt with vestibular migraines for a decade, I only found out that this has been vestibular migraines this entire time about three months ago. It's gotten so bad to the point where I'm blacking out, losing vision in my left eye, and vomiting every day. I feel no hope. I'm also only 33 and I've survived two heart attacks this year and have asked about vestibular migraine medications and have been denied as I'm at heart risk. So I have 0 hope and purpose to live anymore and am at the end of the road as I've tried everything. I don't want to die, but it if this doesn't work, I may just have to put myself out of my misery

[Dr.Jas-AyurvedaExpert-semi]

Pathyadi kwath is famous for headaches in Ayurveda and so is shankhpushpi capsules of planet ayurveda.

[Tad-For-Global-Peace]

Migraines can cause bbpv depending on whether the aura spreads over the vestibular systems in the brain, migraines can also cause other vestibular issues such as: tinnitus, ear pressure, ear pain, stuffy nose, congestion, etc: Migraine World Summit - ENT/Neurologist Dr Michael Teiexido

[mattiullahbosal]

2 weeks ago i had a normal flu like anyone else.. As the flu was getting better, one day i woke up to this thing where my head was falling to the pillow as i tilted my head to see my cat.. I checked it again and again to make sure and yeah, my head was really falling down and i got dizzy spells when rolling in the bed.. I thought it's just due to the cold I'm having and will go off but i was wrong.. Ever since then i have these spinning sensations whenever i walk, look behind or rotating my head to front and can't walk without losing my balance.. I did epley maneuver plus this exercise but to no avail..
2 days ago i started noticing that my tinnitus is louder (even though I'm having this problem in mu right ear since 2019 and i pretty much got adapted to it).. I've also a stiffed neck and a dull migraine behind my eyes but my hearing is fine in both ears.... What should i do 😢

[Tad-For-Global-Peace]

Dr Michael Teiexido is a good channel. He is an ENT who specializes in Neuro-Otology.

[barbaracogiel]

I never knew and doctors as well what is wrong with me, but it looks like vestibular migraine. I have had 3 episodes in the last 8 years, every time I've ended up in the hospital, because of dehydration ( not able to eat and drink for days because of been sick all the time). Unfortunately every attack was worse and the last one one very bad, it took me almost 3 months to recover ish and be able to get back to work, hovewer I am not fully myself and always worried about another attack

[Eanicus]

I feel like my brain is bouncing, loss of balance when walking. Almost like a slight falling feeling.

Vistibular of Atlanta lady thinks it’s Vistibular Migraines. I hope it is. I can’t live like this anymore. I don’t know what to do.

[aldocecena]

This has been a noghtmare. I do have tinnitus. . Ive had one dr say i hVe bppv vertigo... anothrr told me i had migraines and anothrr said i hVe meiniers disease... :(. So lost

[Tad-For-Global-Peace]

There’s a question that migraine may cause damage to the middle ear over time. Something ppl should talk w their dr about.

[brandonkittrell]

Are there any supplements you could recommend for vestibular migraines?

[Zoeygrl]

Are vestibular migraines and vertiginous migraines the same thing?

[Athmika]

Hello sir is there any exercise in vestibular migrane😊😊

[rhiannonkarwata]

Are the BBP exercises as beneficial with VM?
Will you end up with the same result and ease the symptoms?
Or do you need more help with VM / medicines?

[lillianliber]

Is it possible to have nystagmus with a vestibular migraine?

[MdKashif-ll]

Sir please help me iam suffering vertigo from a year balance problem and one one time coming migraine what is this problem

[chrissymichaelbublebaby]

Would bethastine be good for vestibular migraine. And can vestibular migraine cause long term damage to my brain like memory loss as keep forget stuff can it effect my hands issues. aS I got told brain cause vestibular migraine
. Is there any shoes or any walking equipment to keep me BALANCE.

[joeharry]

I had BPPV attack last December, I think it was triggered by ototoxic agent (I inhaled deeply a cotton bud with undiluted peppermint oil because of a headache)

The first time it struck, it was really frightening, the world spins like crazy, even when I move my head just a tad bit. I vomited many times until there is nothing left in my tummy

The next day going to ER I vomited along the way, it was terrible, as I had to stop every few steps, to stop the terrible spinning sensation briefly every time I made any move

The ENT doc eventually diagnosed it as BPPV and after he saw my spinning eye movement stopped through Eplay manouver (EM)

I had another attack about 6 mo later, and I now think that one has to do the EM asap after an attack, else the "abnormal after effects" would linger longer

The meds given by ENT did not help much, and I was only relieved using Aspirin 325 mg tabs (coated) (I discovered this about 2 wks after that at home, as the post event can come with headaches, paracetamol didnt help much during such time, so I tried aspirin thereafter)

I took 325mg every 6 hr or so. Then I added Ginkgo Biloba extract (standardised) with it, which seems to stablised the condition even more. I noted that depending on the Aspirin brand, it could differ in terms of efficacy, where Bayer and Goodsense worked better for me. Perhaps certain brands were not manufactured with good QC

I also realised that hydrolysed collagen (which I used 6 mo post BPPV first attack) helped with my overall health, and I think it also augmented my recovery (and maintenance of good health/improvement from BPPV)

Now as I am nearly a year after my first BPPV, I am somewhat more ok, maybe only 10-20% (at times) feeling abnormal, ie ringing in the ear intensify, and the "floating" feeling might spike a bit, but not that bad. This is especially if I take strong coffee with caffeine (but not all brands of coffee would cause such a prob)

My regimen now is sticking with Aspirin 325mg 2x a day with lemon balm extract (CGN, iHerb brand) and about 10g of hydrolysed collagen per 1-2 days. This was the best combo for me, and making me near 85-95% normal most of the time nowadays, cf the state prior to my first BPPV

[Tad-For-Global-Peace]

Patients would benefit if more neurologists sub-specialize in Otology so they get the best help.

[amandar]

Can Vestibular Migraines cause a rocking or swaying sensation and movement and not spinning? I have this all day. I think it could be mdds possibly. There seems to be alot of overlap between vm and mdds.