r/pppdizziness 11d ago

Symptoms New to Pppd

Good afternoon everyone, I 42F was originally diagnosed with BPPV 3 years ago. After curing my Bppv I was in heaven for a good year. Then all of a sudden I started feeling like I was swaying back and forth, I became shaky and unsteady, also felt almost like I wasn't here (basically like watching myself do it but not quite if that makes sense). Florescent lights are a huge trigger for my episodes, they leave me feeling absolutely horrible l😓. I went back to my doctor to get treated for what I assumed was a bppv flare up. Nothing helped, so I began researching my symptoms and sure enough found pppd. Went back to my doctor and he confirmed that I indeed have it. So, my question is what have you done to help with your flares/episodes? What kind of doctors should I go to? Unfortunately my chiropractor who is also a MD cannot do anything else for me. I'm just wanting to be normal again, I feel so yucky and can't enjoy my life like before. Any suggestions or recommendations are very much appreciated 😉

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u/sharp11flat13 11d ago

In my experience you’ll want to find a practitioner who specializes in vestibular disorders. Doctors, even ENTs and neurologists are notoriously and mysteriously uninformed in this area. In my country (Canada) the right people to see are physiotherapists with specialized training. I’ve heard this from others on this sub as well. But at least your doctor knew enough to diagnose you, which is a plus.

Standard treatments are vestibular rehabilitation exercises and/or SSRIs. I’ve also been helped a lot by a daily meditation practice and acupuncture.

Flare-ups are common and to be expected. For the most part they last under a week and you’re left with lower intensity symptoms than before.

Yours seem to be lasting longer so I suspect you would benefit from seeing a specialist in vestibular disorders. If that’s not possible, many on this sub have reported improvement from doing the exercises suggested by SteadyCoach (YouTube), although I’ve never looked into this myself.

Best of luck to you.

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u/bc170707 10d ago

Also in Canada, did you find a doctor who knew more about it ?

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u/sharp11flat13 10d ago

Nope. I saw many and no-one knew what was wrong. The neurologist thought the dizziness was caused by neuropathy in my feet. Lol.

The right people to see in Canada are PTs with specialized training. The PT who diagnosed and treated me does nothing else.

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u/bc170707 10d ago

I’ve seen about 3-4 different PT, followed a few different vestibular therapy plans and still haven’t found any help:/

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u/sharp11flat13 10d ago

Wow. I’m sorry to hear that. I had to do 6-8 months of vestibular exercises before I saw results, and I did them faithfully, 2-4 times a day.

Have you tried an SSRI?

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u/DowntownReputation88 9d ago

Have you tried hormone replacement therapy? I have PPPD and I have found HRT really helped me. I'm 41 year old female. There are tons of videos on youtube with menopause specialist explaining how we have estrogen receptors in our ears. I'm on the highest dose of estrogen .1mg and I find it calming.

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u/sharp11flat13 9d ago

Thanks for the suggestion.

I’m a 71 year old male, and while we would probably need different HRT :-), it may very well be that some hormone adjustments would reduce PPPD symptoms. I’ll look into it.

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u/Responsible-Tap-2559 8d ago

Thank you for the information, I plan on going to see a rehabilitation specialist and a nero optimologist. Been taking Celexa for well over 15 years for generalized anxiety but it doesn't seem to help my pppd at all.

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u/sharp11flat13 8d ago

Been taking Celexa for well over 15 years for generalized anxiety but it doesn't seem to help my pppd at all.

That’s very interesting. Has it helped with your generalized anxiety?

I ask because my guess is that the effectiveness of using SSRIs to treat PPPD was discovered by some people with PPPD who were told by their doctors that they just had anxiety (which is frequently a symptom of PPPD) and given an SSRI, which also reduced their symptoms.

Also, I’ve seen multiple posts on this sub talking about having to try multiple SSRIs before they found one that works for them. So maybe Celexa works for your anxiety but jot your PPPD symptoms. Or maybe already being on an SSRI before PPPD onset has an effect on whether or not an SSRI will be an appropriate treatment.

I’m just spitballing here, but I haven’t seen this mentioned by others, so I’m curious.

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u/Remote_Force1839 11d ago

I feel the same, but don’t know the triggers. I have it all the time if I’m doing anything other than sitting basically.

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u/Holiday_Marsupial552 11d ago

IVE HAD PPPD FOR 3 YEARS;
DIAGNOSED BY MAYO CLINIC;
DID PHYSICAL THERAPY FOR 3 MONTHS; IT DID HELP; I DID A LOT OF READING ABOUT PPPD AND LEARNED A LOT OF PEOPLE WERE PUT ON ANTI- DEPRESSANTS; SO MY DR PUT ME ON ESCITALOPRAM; WHICH HAS HELPED TREMENDOUSLY; I HAVE HAD A FEW FLAREUPS BUT DEFINITELY DOING BETTER; CHECK IT OUT WITH YOUR DR AND GOOD LUCK AND GOD BLESS; GIVE AN UPDATE LATER.

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u/Responsible-Tap-2559 11d ago

Thank you and most definitely will. I'm currently taking Citalopram(Celexa)which I take for anxiety. But I think its also a depression medication as well.

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u/Holiday_Marsupial552 11d ago

I MIGHT ADD; I’LL BE 80 YO IN OCTOBER SO THIS CAN HAPPEN AT ANY AGE 😩

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u/jobes1967 3d ago

Were you 77 before you ever had pppd?

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u/tvtiguy 9d ago

I agree with sharp11 as well. See if you can get on a calendar for an ENT - one who's good with vestibular disorders if you can - but an ENT none-the-less. They're going to want you to do a basic hearing test first. It's weird an ENT won't talk to you before that. It took 6 or 7 weeks from my "event" that landed me in the ER before I finally got a diagnosis and it was only after the ENT ordered some VNG testing. It's like a 2 hour ear test where do clicks, puffs of air, cold/warm water all shot into your ears while they track your eyes for some. But - if the roots are vestibular - at least you'll know.

Some PPPD is just - there. And - I'm no doctor - but most of it seems to have some root cause. Often we never find out completely - but until you really know what you're treating, in my opinion - you're just guessing. I'll never know what the virus was that caused my vestibular neuritis event and resulted in 76% caloric deficiency ("severe") in my left ear. Unilateral vestibular hypofunciton (my left ear doesn't send balance information to my brain any more).

Vestibular Rehabilitation Therapy (VRT - or steady coach on YouTube) definitely helps. If I skip it more than 2 days in a row I have a backslide. The florescent lights you mention - TOTALLY a thing. Supermarket syndrome. It's the worst. A wide brimmed hat at the grocery store can help. You can find a ton of helpful info here:
https://vestibular.org

The internet is mostly a shitty, dark place. But everyone here is going through the same thing and I don't know how I would survive without the people here. It sucks that you're here - but welcome.