Dizziness is the sensation of instability. The term is extremely common, and can include a number of more specific conditions, ranging from harmless to life-threatening. One of the...
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secondary endolymphatic hydrops
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Hi,
I saw the neurotologist today and he says I have bppv but also feels that I have endolymphatic hydrops. He prescribed a low sodium diet and in addition told me to put myself in all the positions that make me dizzy and to resume an active lifestyle. I have to admit that putting my head back and bringing on the vertigo is lessening it to a degree that it is almost gone. I don't know how long it will last, but for the time being I feel okay (after a month of feeling bad). Does anyone else have this condition and if so how are you treating it and is it working for you? Thanks, Tina Posted on 12/05/07, 10:12 pm |
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I do. I follow the low sodium diet and have had no balance symptoms in several years. I still get other ear symptoms such as fullness and hearing fluctuations. 
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I'm sorry you have had to deal with this problem too, but it sure helps to know I'm not alone. I will follow my diet religiously and pray it helps. I woke up feeling lousy again today after a fairly decent day yesterday. I just don't get it. But I'm trying to keep active and do repeat epleys like the day before. How long before dietary changes help make a difference?
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Improvement with sodium restriction is gradual over time. You should see your spontaneous attacks (disabling non-stop symptoms lasting 30 minutes to all day) gradually becoming less likely to occur over time. If attacks are now aoccuriing once per week, they should move to once every 10 days, thenonce every 2 weeks, then once per month etc. Best way to tell if the diet is working for you is to keep a diary of spontaneous attacks.
The low salt diet does not directly affect motion provoked symptoms.Rather it stabilizes the situation so that the comepnsation process has a chance to proceed. A SINGLE Epley maneuver resolves BPPV in 80% of cases when performed bya trained and experienced medical professional such as a PT trained in VRT. If multiple Epleys have not resolved the motino provoked symptoms, it's prbably not BPPV. BPPV is NOT the only cause of motion provoekd vertigo.
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how many mg of sodium a day do you recommend to your patients?
I worked ent for several years and with a neurotologist as well and most of the practice revolved around vertigo.
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We recommend no more than 2000 mg per day, along with increased fluid intake (8 glasses water or other non-caffinated fluids).
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what are some other causes of motion provoked vertigo?
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sometimes a virus; sometimes, fluid in the ears can cause dizziness. when I worked ent, I saw an awful lot of the elderly with bppv.
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