The most important part of the evaluation is the depiction of the symptoms of balance disorder patients. As already mentioned, it is important for the patient to describe the details of what they are experiencing, and try to avoid using general terms such as dizzy or vertigo. What is more, the doctor will also ask other important questions. For example, how long and how often they have had a problem? What are the symptoms of a balance problem occurs in attacks or continuous? Is it triggered by motion or by getting up from a sitting or lying down? Is it associated with other symptoms such as hearing loss, ringing in the ears (tinnitus), ear fullness, nausea, or vomiting? Have there been any changes in the general health, new drugs, head trauma recently, or infections that have recently or now. There are other neurological symptoms, such as weakness, vision problems, or tingling?
It is important to explore all the factors that trigger and cause a balance disorder. Specifically, these factors may include change of body position, relationship to movement, and association with stress or hyperventilation. For example, the vertigo that occurs when turning in bed is typical of benign positional vertigo. In contrast, lightheadedness caused by getting up quickly from a lying or sitting is typical of a condition called orthostatic hypotension. And, the attacks are emotionally triggered may be associated with anxiety or hyperventilation.
Duration (length) of the vertigo attack is very useful in determining the cause. For example, the vertigo that follows the movement of the head and takes less than a minute is typical of benign positional vertigo. But an attack of vertigo that lasts for hours more commonly due to Meniere's disease. Constant vertigo, however, is typically not an inner ear disorder, but more common is the question of the central nervous system (central nervous system).
A general physical examination of the ears, head, and neck should be performed with special emphasis on the tests of balance function. Additional tests are often recommended as hearing tests, CT scans, MRI scans (magnetic resonance imaging), electronystagmography (ENG), and blood tests. ENG is a technique for measuring eye movements involuntarily (nystagmus) related to balance disorders. In some situations, referral to an ear specialist (otolaryngologist) or neurologist may also be necessary. In addition, consultations with a cardiologist (heart specialist), psychiatrist, and experts in a common disease is often indicated.
Vertigo/ diseases balance often be unpredictable. Symptoms can occur at any time, even after long periods of absence of symptoms (remission). It is important, therefore, to take appropriate preventive measures in order to avoid accidents that can be caused by a balance disorder. Here is a list of general recommendations for people with balance disorders:
- Change your position slowly, especially when moving from a lying or sitting position to a standing position. When you get out of bed, sit on the edge of the bed for a few minutes to get your orientation and allow your circulatory system to adjust.
- When walking, focus on distant objects. Do not look down at your feet. Avoid walking in dark areas or on unstable ground.
- When riding in a car, try to sit in the front seat. Look out the window at that point anyway. When moving around corners, look at distant objects behind the curve.
- Maximize the function of other sensory systems such as hearing and vision. Investigate the need for glasses or hearing aids new.
- Use a cane, walking stick, or walker for support and to give orientation pressure and touch (tactile).
- If you are having attacks of dizziness (dizziness), do not drive or operate machinery until your doctor says is safe to do so. Avoid climbing ladders or other situations that may be dangerous if you suddenly feel dizzy (dizzy).
- Be careful when using medications that may cause balance problems as a side effect.
Hopefully the article Vertigo Diseases useful for you.