Rebecca Smith
What Does It Mean If You Are Dizzy And Lightheaded – Clinical Review by Debra Sullivan, Ph.D., MSN, R.N., CNE, COI — By Jennifer Huizen — Updated March 17, 2023.
Ear infections, head injuries, etc., can cause dizziness while sleeping. Some are caused by benign vertigo (BPPV), when tiny gravity-sensing particles in one part of the ear travel to different parts of the ear. of the inner ear that detects head movements
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People with mild paroxysmal vertigo (BPPV) experience painful or life-threatening paroxysmal vertigo. or sudden, short-term vertigo Vertigo is a type of vertigo in which a room feels like it’s spinning.
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In most cases, BPPV appears to develop naturally. However, there are several things that can cause or affect BPPV, including:
BPPV usually occurs when calcium carbonate crystals, or otoconia, that accumulate in the ear canal called the utricle are removed. They then move into a fluid-filled canal where movement can be sensed.
If enough otoconia is accumulated in each cell, It can interfere with the water flow that the channel uses to detect head movement.
Semicircular canals usually do not deal with gravity. However, otoconia move with gravity. As a result, when clusters of otoconia accumulate in the inner cavity, they can move fluid in the ear when it shouldn’t. This sends the wrong signal to the brain that the head is moving.
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When the brain compares false information from the inner ear with information from other nerves and organs, it cannot compare false information from the inner ear with information from other nerves and organs, thus recognizing it as peripheral sensation.
This disorder causes nystagmus. which is a condition in which the eyes move up and down uncontrollably spin
People with BPPV experience vertigo. It was the sudden feeling that everything around him was spinning when it wasn’t. People with vertigo due to inner ear problems often experience eye twitching or uncontrollable eye movements.
People with BPPV can feel the house spinning in a number of ways. They may experience it differently depending on the movement causing the symptoms.
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Dizziness, spinning, or shaking can be a sensation that resembles fainting. Vertigo can also feel like the ground is tilting up and down like you’re on a boat.
Another explanation for vertigo is that it can make people trying to get out of bed feel like they’re about to fall out of bed. And the person lying down felt like he was about to fall off the bed.
In most cases, BPPV causes vertigo when certain types of movement or activity cause the head to shift in position due to gravity, such as:
Most people who wake up with vertigo have BPPV. BPPV types of vertigo usually resolve within a minute or less. Some people with BPPV do not have any symptoms. during the cycle But some people still feel weak all the time or most of the time.
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Vertigo is the main symptom caused by BPPV. However, persistent dizziness can cause other symptoms such as:
BPPV is generally not a serious problem. The biggest risk is injury from falls or poor balance.
However, people should consult a doctor about recurrent vertigo after a head position change. People should talk to their doctor about periods of dizziness lasting longer than 1 to 2 minutes.
People with vertigo should seek emergency medical attention if they experience other symptoms. that are not related to BPPV, such as:
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They can refer people to health professionals such as an ear, nose, throat doctor or balance rehabilitation therapist.
The therapist has the person move their head in either direction to see what is causing their symptoms.
When a person has vertigo The specialist will closely monitor the nystagmus to look for patterns that allow a diagnosis of BPPV. It will also help to identify the displaced ear and ear canal otoconia.
To properly treat BPPV, a specialist needs to know what type of BPPV a person has. It could be canalithiasis or cupulolithiasis.
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Canalithiasis It is the most common type of BPPV and involves free-moving otoconia in the ear canal.
Cupulolithiasis It is rarer than canalithiasis. and is associated with otitis media that bundles the nerves that sense the flow of water in the canals.
BPPV symptoms tend to decrease over time as the brain adapts to abnormalities occurring in the inner ear. In some cases, BPPV resolves on its own after a few days or weeks.
Once experts figured out where the missing otoconia was. and whether the person has canalithiasis or cupulithiasis They were able to maintain BPPV by using canalith repositioning or CRM.
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CRM is a unique set of head movements that let gravity guide the otoconia into the inner ear where it can be reused.
The Epley maneuver is a technique used to treat canalithiasis. To perform Epley, a doctor or specialist will:
If a person with BPPV doesn’t get relief after the Epley maneuver, the doctor or therapist will usually repeat it until it’s gone.
Cupulolithiasis It can be reversed using the redemption method. This method involves a rapid movement of the head in the plane of the affected ear canal in an attempt to shake the displaced otoconia.
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When the otoconia is empty, it will take them out of the vault and back to the appropriate room using another CRM system.
It may take several sessions to completely resolve BPPV using CRM techniques, but most people are able to recover. By some estimates, more than 90 percent of all BPPV cases resolve after one to three CRM treatments.
But cases of Qtulolysis may take longer to heal. likewise If a person has otitis media in more than one semicircular canal. The doctor or therapist must treat one by one. make the recovery process longer
Although the dizziness has disappeared. Many people who have recovered from BPPV still experience motion sickness and restlessness. A doctor or therapist will often recommend at-home activities that can help quickly relieve these feelings.
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Cases of BPPV may resolve on their own, and a specialist may perform a CRM procedure on a person whose BPPV causes dizziness during sleep.
However, about 50% of people have symptoms return within 5 years. Early and adequate treatment of BPPV is best long-term.
If a person has the same type of BPPV in the same stream over and over again A doctor or therapist can teach you how to do CRM at home.
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Reasons You’re Waking Up Dizzy
How do we plan? to concentrate and balance We need information from our bodies about where we are in space. It comes from the three main senses, and all of them play an important role in our control. The brain is the leader and acts as a processing center. It receives vital information or signals from our inner ears, eyes, and deep muscles of our neck and feet. It then processes everything together to determine where we are in space and organize it. For example, if we spin too fast, the water in the pipe sees this and sends a signal to the brain to stop falling! The same is true in the case of acceleration and deceleration. in fact The neurons in our inner ear provide the same information about the rapid backward movement of the head. This explains the need for additional information from the eyes and neck to confirm. Cats have very high behavioral patterns. so they ‘Always stand still’! They have an amazing ability to quickly adapt to the above methods.
If there is a discrepancy in the signal from these three forces or the equality between the left and right ear. This leads to an imbalance or imbalance. and the brain gets confused by mixed messages We feel dizzy or agitated. This can disrupt the delivery of substances from the brain to the eyes and muscles. And this can lead to feelings of insecurity and the risk of falling. This is proven by the feeling you get immediately after leaving the happy playground. repetitive rotation In one direction, it disturbs the brain and leads to dizziness and confusion. good luck for our brains