Positional Vertigo
I'm not exactly sure if this is the right place to put this but have to start someplace. I finished treatment on the 6th of May, started Femara in July, on the 28th of Oct. onc stopped the Femara and was told to start Exemstane (Aromasin) in 2 wks. Well on the 2nd of Nov. when I got up I was extremely dizzy and nauseated. Went to the local medical clinic and was diagnosed with Positional Vertigo. Here it is 2 weeks later and still having dizzy spells. Anyone else go thru this?
Laurie
Comments
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Laurie .. when I was taking Arimidex and Tamoxifen I had terrible dizzy spells. The vertigo and nausea were so bad, I quit taking both the medications. I'm stage I with no positive nodes .. I also had a total hysterectomy before I got cancer, so after much soul searching, I quit taking the medications (AMA). I also tried different prescription antinausea meds. Nothing helped me.
Why don't you post your question in the Hormonal Forum. I bet you will get a lot more responses from ladies who are taking those medications.
I wish you all the best,
Bren
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I had positional vertigo for 3 months...came on suddenly. Every time I would move my head and especially when I would Iay down...everything would spin and go black. Terrifying. Had gone on a post treatment Cruise and thought at 1st that it was from that. Then, of course, my thoughts went to brain mets. Had Head CT which was neg. Don't laugh, but then went to a psychic/intuitive. It was kind of out of curiosity since a friend had given me a gift certificate. Oddly, she asked if I was having dizzy spells(I hadn't told her about it before she asked). When I responded " yes", she said," don't worry...it is not cancer...you have an ear crystal out of place. You need to see a physical therapist." My 1st reaction was that she was WACKY-CRACKY, but being that I had already had the neg CT, I did have one visit with a PT for what is called an EPLY maneuver. Totally fixed me...immediately! Strange, but true.
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A side effect of Taxotere for me was vertigo & motion sickness. I thought it was better & stopped using the meds. A year later, it came back with a vengence. I use the scopolamine patch. A lot of people use them to go on a cruise. It's a small rounld patch you put behind your ear. It has really helped me a lot this last year. NJ
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Hi Laurie
when i saw the title of your post I had to respond as the same thing has happened to me recently and I seem to have sorted/solved the problem. It started when i went on holiday. the pillow was so uncomfortable that I had to use a makeshift one made of whatever I could find to make it soft and give my neck/head support. I did get very nervous I have to let you know but it did continue on and off and I hated it however I found that it was worst when I turned position in bed or got out of bed in the morning then it more or less went away. I've been experimenting with pillows recently as I just couldn't get comfortable and found a combination such that now the dizziness has gone and it had been going on for about 2 1/2 months. I also have suffered dizziness from inner ear problems and crystals being out of place however this seemed a little different and I do think it's something to do with damage to my neck muscles/nerves. Hope this reassures you a little and to anybody else reading.
xx
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Thank You to everyone who responded. I was (happy)? to see that I wasn't the only one who's mind went to brain mets. I'm not sure if happy should be the right word, as my mind going to mets first is not exactly a happy thought. Isn't it sad that that is where our minds go when we start feeling something new or different, that it's mets. I hope that there comes a time when this doesn't happen.
Best wishes to all and may all of us have a great holiday season.
Laurie
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Hi Laurie .. I agree .. because of this disease whenever something happens to us, we almost always think the worse first off. I do that too. In my case, I know the vertigo was from the medication, as it went away when I quit taking it.
Happy Holidays to you too!
Bren
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Hi Laurie R,
Just wondering if you have had your vertigo sorted out yet. I have been getting very bad vertigo 24/7 for the last 3 weeks. Just started 4th year of femara. I am really scared that I have brain mets. Have had blood tests and will be going back to doc this week for further assessment.
How did you treat your positional vertigo. I really need to find a way to stop this, I have no quality of life. Hard to stand and walk and I do work fulltime.
Can anyone help me???
ched
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Hi Aussie, I have dealt with episodes of vertigo several times...It does indeed cut into quality of life...I agree with several of the remedies posted here. Especially,I think paying close attention to neck movement may be a key to controlling disorientation until it resolves itself. I always sleep on my back with at least two pillows....if I wake up on my side it will mean possible trouble. And by the way, one side is usually much worse than the other, but still, always sleep on your back. Looking up during episodes is a no-no....Slowly raise your eyes to look up, ditto for side glances, lead to your left and right with youreyes first and let your neck follow. I remember getting some relief while walking by looking at the horizon and squeezing butt muscles for further control. I hear the epley maneuver really helps, I tried it myself, but got the spins really bad, so do see a professional....It does resolve on its own eventually, but until then, I hope these tips help cut into yout symptoms...best wishes, P
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I too have been having dizzy spells. They are very mild and usually happen mid-afternoon after working on the computer all day. I have been tied to my computer at work like never before and have been thinking that is the problem. I am also in radiaiton right now and thought that could be the problem. It tends to go away during the weekends - when I get a break from teh computer and rads. I can't remember if it started before or after rads, though. I also have neck problems (for years) and thought it could be related to that. Intereting about the side sleeping above. I am trying not to jump to the worst conclusion, but it is certainly in the back of my mind. Going to wait and see if it goes away when rads end and/or all this constant computer time ends before calling the onco.
I have no nausea, just weird sort of loss of balance feeling every once in a while. It is very short - lasts only a couple of seconds.
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My pcp prescribed Meclinzine for my symptoms of vertigo. I take it three times a day 25 mg each. It seems to be helping thou I have spells of dizziness. My Dr. also gave me some exercises to do when I get one. Close my eyes and shift my head one quarter of a turn,open my eyes, close them and do it again. Seems to help a bit.
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Hi Laurie...Can you describe that exercise in a bit more detail? Do you do this standing or sitting or lying down? Also what is a one quarter turn? Does that mean half way to your shoulder? One more thing, do you do this to both left and right sides? Thanks so much in advance...always looking for tips to combat this annoying vertigo thing...by the way, I believe Meclinzine is the same as antivert? That one never worked for me... very low doses of the tranq, valium seem to help me during an attack...but must keep to like one or two mg or can get tired....Take care, P
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You do while laying down and I guess it's more like 1/3 of a turn. Start by laying on either side, wait till dizziness passes, close your eyes, turn your head/body so it's facing straight up towards the ceiling, open your eyes, wait till any dizziness passes, close eyes and turn head/body till you are faceing the opiset direction that you started from. Repeat if dizziness continues. Hope this helps.
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Thanks Laurie, I think it sounds like that Eply Maneuver thing that I failed miserably...could not handle the spins between movements. I hear if you are strong enough to do this exercise you can probably clear up your vertigo....So it seems it is all about the eyes and the neck and finding a way to create a balance until things go back to normal. They always have gone back to normal for me, but sometimes it takes so long...like months...Hope things resolve quickly for both of us!
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Hi every one hope you dont mind my chiming in here, i havint read all the threads here but do you know if this also works for meniers disease? I have a friend that gets terrible headaches for days and loses her balance wonder if this is the same as vertigo?
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I was told that the vertigo was caused by crystals in the inner inner ear. Who knew.
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I have a MRI schedualed for Tues. will they automatically do the brain or does it have to be ordered
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More info about BPPV (Benign Paroxysmal Positional Vertigo) from the Mayo Clinic site.
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Judith, thank you for the link.
Leah
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Wow - I thought I was going crazy! I have had this dizziness for three weeks now. Been to the ENT and had an MRI (also was anxious about mets but that seems to be clear). I'm going to try sleeping raised and on my back. Will let you know if I find a different solution - please may there be one!
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Dizziness is one of the most frustrating symptoms encountered by doctors, and - aside from pain - one of the worst symptoms experienced by patients.
The sad news is that there are literally hundreds of causes of dizziness, AND - dizziness and vertigo are actually two separate conditions.
Dr. Timothy Hain is well-respected in the "dizziness and vertigo" community. Here is his website:
http://www.dizziness-and-balance.com/
I know these symtoms well. My undergraduate degree was in Audiology, and in 2001, I was diagnosed (incorrectly) with Atypical Menieres Disease.
Over a period of about ten years, I finally got to the bottom of the mystery, and found the answers I needed to manage my symptoms. I presented my findings to a new ENT who just happened to have done his thesis on Meniere's disease. He agreed with all my findings.
One thing about positional vertigo (BPPV) - it is important to know in which ear the crystals have lodged. This can be determined in the clinic by doing a test called the Dix-Hallpike.
Once the problem ear has been identified, then the Epley Maneuver can be very helpful in making those "room spinning around you" symptoms go away or diminish.
Another thing: taking meclizine every day will eventually render it useless when you really need it. The effectiveness will wear off.
If you are bothered by dizziness (being off-balance, feeling "swimmy" or like you're walking on a waterbed or sofa cushions; or whether you have actual rotary vertigo, which is like sitting in the middle of a roller rink, while everyone skates around you, you deserve to know what is causing your symptoms.
The testing and uncertainty can be frustrating, but there are many causes, and many answers that can bring you relief. Start with an ENT who specializes in disorders of the inner ear, and go from there.
(ETA - website)
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I was beginning to feel like I was the only one that was getting these dizzy spells. Mine had started about 6 weeks after surgery. 'after a visit to urgent care" doctor suggested it might be paroxysmal positional vertigo. Sending me to physical therapy where they can do a test? & exercises to help. Anyone out here have any additional ideas to suggest as to what to do to ease symtoms or has anyone had symptoms disappear??
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Hi, I just found this thread by accident. I have had, and been treated for positional vertigo, nothing to do with what I have now, but in the past.
For some time I took Stemital for the dizzy feeling which usually happened as I turned over in bed. I went to my local ER when it was particularily bad one day and one of the Doctor's was trained in the Epley Manouvre. After performing that on me he gave me a photocopy of the movements to do at home if I needed it, but I have never had a recurrence.
It was surprisingly easy to treat for me. I believe a lot of PT's have the training to do it.
Good Luck with it!
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Ariom, My symptoms are basically the same as yours. At first I was quite worried about the dizziness & imagining the worst but reading these posts gives me hope the therapists will help my condition. I just found this site by accident today also. Thank goodness for all this info from all these strong women
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Hi I would like to add that I first experienced vertigo 8 years ago, long before bc. The dizzy spinning occurred in bed at 5.00 a.m. I was admitted to hospital and had scans and tests and nothing was found. I was referred to a neurosurgeon who diagnosed vertigo which he said could have been caused by a virus. Everything is put down to a virus when they do not know exactly what the cause is. I subsequently had a second opinion and was told that it was an inner ear in-balance.
The only treatment I was given was exercise, this consisted of sitting on the bed back upright then falling to the right side quickly and staying down to the count of 10, sitting up and then repeating on opposite side. Repeating exercises at least 10 times each morning.
Now when I feel the symptoms coming on in bed I do the exercises and so far have been lucky to keep things from becoming worse. I had several bad attacks prior to this treatment one being particularly severe where I just had to lay on the floor as everytime I moved I would have severe nausea. It was awful but thankfully it happened at home but I had a team of construction workers at the house and it was when I bent my head to check on tile level that it happened. I went down quickly and crawled to the phone to call for my sister to finish the supervising as DH was away on business. I was on the floor for the rest of the day and evening as I could not move for the dizziness and nausea. The next day I was ok as if nothing had happened, thank goodness, as I had overseas guests arriving.
The biggest fear is not knowing when it may occur as usually it comes at times of stress. Now prior to any important function I start my exercises in earnest a couple of weeks prior just to make certain I am ok on the day, so far so good.
I have not had a major episode for 5 years (touch wood). Hope this helps!
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If you know you have rocks in your head (o.k., crystals in your inner ear fluid
) it's important to know on which side you have the problem, and if there are any movements that are particularly likely to dislodge the crystals.
My first episode of BPPV happened when I had insomnia, and was so disgusted that I couldn't fall asleep, I rolled over in a real snit, and slammed my head down on the pillow. Man, did the room spin!!!
The second time it happened, I had spent the previous day cleaning the youngest son and DIL's house so they could move. We got home at midnight, exhausted and filthy, with a snootful of dreadful dust and dirt which just exacerbated my allergy symptoms.
The next day, I took a long nap before dinner, and when I awoke, I rolled over and craned my neck back to see the clock radio directly behind me. Wham! It happened again.
So now I don't roll over quickly in bed. I take it in small increments.
And if I do get actual vertigo, there are two things that can help: Valium is a good vestibular suppressor (but it's by Rx only) and Meclizine can prevent you from getting nauseous or vomiting from vertigo.
Meclizine is sold over the counter as Bonine (an anti-motion sickness drug), or you can get a generic form for very cheap. Even if you don't get the chewable kind, you can still chew a tablet to get it into your system faster.
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