Stephen J. Schueler, M.D.

Overview Incidence Risk Factors Symptoms Evaluation Treatment questions for doctor specialist Home Care exercises nausea and vomiting warning signs Outlook Underlying Cause Anatomy

BPV Home Care

Home care for benign positional vertigo includes:

  • Avoid caffeine.
  • Do not drink alcohol.
  • Avoid exposure to bright lights.
  • Avoid rapid movements of the head.
    • Lie still in a comfortable position, flat on your side.
  • Perform exercises for benign positional vertigo.
  • Avoid falls:
    • Elderly people must have assistance in order to walk.
    • Avoid stairs
  • Avoid food that contains sugar.
  • Eat a low salt diet.
  • Stop smoking.
  • Avoid exposure to secondary smoke.
  • Take prescribed medications as directed.

BPV Exercises

There are exercises for benign postural vertigo patients that can be done at home, but only after a doctor's evaluation. These may reduce symptoms of benign vertigo.

Exercises for benign positional vertigo:

  • Sit on the edge of your bed near the middle, with legs hanging down.
  • Turn your head 45 degrees to your right side.
  • Quickly lie down on your left side, with your head still turned, touching the bed with the portion of your head behind your ear.
  • Hold this position for 30 seconds.
  • Sit up again. Hold position for 30 seconds.
  • Quickly turn your head 45 degrees toward your left side and lie down on your right side. Hold this position for 30 seconds.
  • Sit up again. Hold this position for 30 seconds.
  • Repeat this exercise 4 to 5 times, 3 times per day.

BPV Nausea and Vomiting

Home care for vomiting in someone who has benign positional vertigo:

  • Drink clear liquids only, such as water, sports drinks, fruit juice and dilute tea. Sports drinks are best. The absence of food allows the intestines to rest.
  • Drink small quantities of fluids frequently. In general, two tablespoons of fluid every 5 minutes is an effective strategy.
  • Avoid milk and dairy products for 3 days.
  • Avoid liquids that irritate the stomach, such as citrus juice, alcohol and coffee.
  • If nausea or vomiting continues despite the above, consider one of the nonprescription medicines listed below.
  • Once vomiting and nausea resolves, start bland foods first. If you tolerate bland food, then you can resume a normal diet.

Nonprescription medications for vomiting include:

BPV Warning Signs

Notify your doctor if you have benign positional vertigo and any of the following:

Continue to BPV Outlook

Last Updated: Dec 2, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed BPV References
  1. Chiou WY, Lee HL, Tsai SC, Yu TH, Lee XX. A single therapy for all subtypes of horizontal canal positional vertigo. Laryngoscope. 2005 Aug;115(8):1432-5. [16094118]
  2. Halmagyi GM. Diagnosis and management of vertigo. Clin Med. 2005 Mar-Apr;5(2):159-65. [15847010]
  3. Prokopakis EP, Chimona T, Tsagournisakis M, et al. Benign Paroxysmal Positional Vertigo: 10-Year Experience in Treating 592 Patients with Canalith Repositioning Procedure. Laryngoscope. 2005 Sep;115(9):1667-1671. [16148714]
  4. White J. Benign paroxysmal positional vertigo: how to diagnose and quickly treat it. Cleve Clin J Med. 2004 Sep;71(9):722-8. [1547870]
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