Chrome 2001
.
Aetna Intelihealth InteliHealth Aetna Intelihealth Aetna Intelihealth
 
.
. .

   Advertisement
Carepass Ad Carepass Ad .
Chrome 2001
Chrome 2001
InteliHealth
Ask the Doc
4464
Ask the Doc
Ask The Expert
Harvard Medical School
Image of a cadeusus
. .
General Medical Questions
.
Question : At least once a week I experience a bout of dizziness. The room spins and I feel like I will fall. It is very sudden and random. The only thing I take is 5 mg of melatonin at night to help me sleep.
.
.
.
The Trusted Source
.
.
Howard LeWine, M.D.

Howard LeWine, M.D., is chief editor of Internet Publishing, Harvard Health Publications. He is a clinical instructor of medicine at Harvard Medical School and Brigham and Women's Hospital. Dr. LeWine has been a primary care internist and teacher of internal medicine since 1978.

.
.
July 25, 2012
.

A:

The episodes of dizziness you describe sound like vertigo.

Like you, people with vertigo experience a sensation that the room is spinning. Or they may feel that they are spinning in the room. Sometimes it is just a sense of imbalance. Vertigo may be associated with nausea, vomiting, and ringing in one or both ears (tinnitus).

Melatonin is considered to be a relatively safe supplement for short-term use. There are reports of balance and equilibrium problems at higher doses, usually more than 5 milligrams per day. So it’s not likely that the melatonin is causing the vertigo. The only way to know for sure is to stop taking it.

When a person has recurrent episodes of vertigo, I usually suspect a disorder called benign position vertigo (BPV). In this condition, small crystals break loose in the canals of the inner ear and touch the sensitive nerve endings inside. A change in head position sets this off, causing sudden episodes of a spinning sensation.

Another potential cause of vertigo is Ménière’s disease. But people with Ménière’s don’t usually have symptoms that recur so often. Also, the vertigo of Ménière’s is accompanied by ringing in the ear and some hearing loss.

A much rarer cause of recurrent vertigo is intermittent interruption of blood flow to the back part of the brain.

Your next step should be to talk with your doctor about your symptoms. If this is benign positional vertigo, your doctor may advise Epley maneuvers. This involves moving the head in a sequence of positions that directs the floating crystals into a part of the inner ear with fewer nerve endings.

.

 

 

4581, 8465, 8466, 8477, 8484,
vertigo,benign,nerve endings
8477

.
.
InteliHealth
.
Ask A Question
.
.
InteliHealth
Do You Have A Question?
.
. . .
.
Ask The Expert Archives
Topics
.
InteliHealth
.
InteliHealth

    Print Printer-friendly format    
   
dmtatd
dmtATD
dmtatd
126747
InteliHealth
1998-05-15
f
InteliHealth
NULL
411, 4464, 4581, 4582, 7991, 7992, 7995, 7996, 7997, 8122, 8438, 8463, 8464, 8465, 8466, 8467, 8468, 8469, 8470, 8471, 8472, 8473, 8474, 8475, 8476, 8477, 8479, 8480, 8481, 8482, 8483, 8484, 8486, 8487, 8488, 8489, 8490, 8760, 14219, 20807, 21346, 21349, 21351, 23926, 23938, 24017, 24025, 24075, 24151, 24510, 24519, 24549, 24869, 24878, 25107, 25518, 25646, 25968, 29367, 29516, 29595, 48666, 48812, 59367,
4581
.
.  
This website is certified by Health On the Net Foundation. Click to verify.
.