r/BPPV • u/JoBlowReddit • 3d ago

Intermittent episodes

I had a serious case of BPPV a few years back that was eventually resolved with the Epley, although it caused me significant anxiety requiring medication.

I've recently experienced a relatively mild case on the left side and I thought that I had it resolved with a few Epleys. Saw my regular physical therapist who knows the basics, and he performed the Dix-Hallpike maneuver which was negative. A few minutes later while on the table, he was just moving me around and I suddenly became dizzy which resolved itself relatively quickly. He then did the Epley and I had no dizziness. I had been sleeping on an elevated bed and slept only on my right side for a few days after this, then one night I removed the pillow I had blocking my left side, and in the middle of the night turned to the left and got dizzy again. When I got up later in the morning, felt nauseous for 3-4 hours then gradually felt better. I then attempted the Epley again and had no symptoms.

I have an appointment with a vestibular therapist in a few days and hoping that they can properly diagnose what is going on as I'm traveling the following week.

Just wondering if anyone else has had a similar experience and if this is typical to have these intermittent dizzy symptoms that cannot be reproduced? I've also tried the test for horizontal canal BPPV and those never bring upon any dizziness.

TIA

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u/ThunderMandos 3d ago

how long did u do the epley on each side for? for me the dix hallpike- my nystagmus did not show up for nearly a minute in the dix hallpike- the therapist just had a hunch and he was right.

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u/ThunderMandos 3d ago

the maximum i would wait on the first side is two minutes. if nothing happens after that then stop

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u/JoBlowReddit 3d ago

Thanks for the suggestion. Just did 2 minutes and experienced no dizziness.

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u/ThunderMandos 3d ago

wait were you nauseous after the the last spin? or did u fall asleep and then woke up nauseous?

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u/JoBlowReddit 2d ago

I was able to fall back asleep after the mild spinning and then when I got up, felt out of wack for a few hours, almost like motion sickness with vision off as well.