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Headaches : Vertigo
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 Message 1 of 3 in Discussion 
From: Rene  (Original Message)Sent: 10/28/2005 4:52 PM
 


Vertigo
Stop the World, I Want to Get Off

You're reaching to the top shelf for a seldom-used pan when suddenly the room starts to spin. Annoying, but when it happens again -- getting out of bed, bending over, even turning onto your side in sleep -- it can become frightening. Gratefully, there's probably no reason to be frightened. Your head spinning is likely Benign Paroxysmal (meaning sudden) Positional Vertigo (BPPV), a condition that not only is harmless but is almost always easily treated, as well.

BPPV is the most frequent type of vertigo and is associated with specific positions of the head. To explain: We orient ourselves in space by means of calcium carbonate crystals (otoconia) in the inner ear that continuously give us our sense of position and gravity as we move about. But the crystals can become dislodged and fall into another part of the inner ear, where they turn into mischief-makers. When you turn your head to look back, get out of bed, roll over or bend, the crystals make contact with nerve endings that literally send the world into a spin -- or rather, make it feel as if they have.

Treatment Strategy

To learn more about BPPV and its treatment, I spoke with neurootologist Jack J. Wazen, MD, director of the Lenox Hill Hospital's Balance Management Center in New York City. Dr. Wazen says that BPPV can come about for several reasons -- age (being over 50), a head trauma or the aftermath of a virus affecting the ear. BPPV doesn't cause just a little dizziness -- this is real spinning, and it also can include nausea. The vertigo starts only when the head has been in one of many possible offending positions for 30 seconds to a minute, and it lasts for up to one minute after repositioning the head back to a neutral position. For some people, the vertigo can repeat throughout the day.

Treatment for BPPV is a series of specialized head maneuvers called Epley that the doctor performs in the office. It takes just minutes, says Dr. Wazen, and is successful about 80% of the time. Afterward, the patient must not lie down or assume any head position associated with BPPV for 48 hours, to be sure the crystals properly reattach themselves. This includes sleeping in an upright position, so your head is at a 45-degree angle, such as in a recliner chair. About 25% to 30% of patients have a later recurrence, and although patients can do Epley maneuvers at home, Dr. Wazen says most prefer to come back to the doctor. For the rare patients in which Epley maneuvers don't work, surgery is available that involves plugging one particular ear canal. Because the ear has a number of canals, there is only a very small risk that hearing would be blocked.

Dr. Wazen cautions that vertigo can sometimes be a sign of extremely serious conditions including impending stroke, but you would have additional symptoms such as numbness or tingling, visual problems or speech impairment. In that case, immediate medical attention is mandatory. Fortunately, this is the exception and not the rule. With some help from a skilled practitioner, your world will once again be in focus.

Be well, 
Carole Jackson
Bottom Line's Daily Health News, August 9, 2005



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Reply
 Message 2 of 3 in Discussion 
From: ReneSent: 1/31/2006 9:39 PM
 


Ménière's Syndrome
by author Sabitri Ghosh


Initially, David Henderson didn’t think much of the strange sensation of fullness in his right ear. It felt as though he was in a descending airplane. “Only, the feeling didn’t go away,�?says the now-retired retailer, who was 58 at the time.

Then, one day, Henderson’s world literally began spinning around him. While pointing out an item to a customer at his clothing store, he became so dizzy he had to grab hold of the shelving. At home, he recalls, “It would get so bad that sometimes I would have to crawl on my hands and knees to get to bed.�?It took four years before doctors finally diagnosed him with Ménière’s syndrome (also known, less accurately, as Ménière’s disease).

This devastating inner-ear disorder afflicts 46 out of 100,000 mostly middle-aged people according to the Portland, Oregon-based Vestibular Disorders Association. Ménière’s stems from excess production of a fluid called endolymph. Like the liquid in a carpenter’s level, endolymph moves inside the ear canals according to the tilt of the body, signalling to the brain our position relative to our surroundings. But if the ear canals become inflamed or swollen with too much fluid, the signals go haywire, resulting in the frightening symptoms of Ménière’s - vertigo, dizziness, nausea, loss of hearing, and a continuous ringing in the ear (tinnitus).

An Autoimmune Disorder?

Tests done on people with Ménière’s reveal immune complex deposits in the endolymphatic sac. Though not conclusive, results strongly suggest that an abnormal immune reaction may be at the root of the syndrome. Indeed, Ménière’s exhibits many characteristics of an autoimmune disorder. It waxes and wanes in severity and frequency, with some people going into remission for years before relapsing. And many well-known triggers of autoimmunity - infections, dental fillings, environmental toxins, smoking, stress, certain drugs and foods&also appear guilty of setting off Ménière’s.

Of all the suspected triggers, none has come under greater scrutiny than sodium. Its presence indirectly controls the level of fluids in the body, including that of endolymph. One celebrated study of Ménière’s sufferers found that restricting their intake of salt (the most common form of sodium), as well as flour, wheat, eggs, chocolate, corn, and mayonnaise resulted in a sharp decline in attacks. Moreover, those who went back to an unrestricted diet soon reported a recurrence of symptoms.

The best policy for people with Ménière’s, according to most dietary experts, is to eschew salt-laden, processed foods in favour of fresh and/or whole foods. Not only does this reduce the amount of sodium in the body, but it also provides nutrients that help repair dysfunctional immune systems.

Back On His Feet

After one particularly bad attack left him cut and bruised, finding a way out of the Ménière’s nightmare became Henderson’s number-one priority. With the help of his wife Karin, a nurse, Henderson looked for a treatment that would give his body what it needed to heal. In conjunction with a moderate exercise regimen and a low-fat, low-sodium diet, he began taking pharmaceutical-grade supplements that included a potent antioxidant to stop the swelling. He also took ginkgo for improved blood circulation and calcium to regenerate the bone structure of the inner ear.

Henderson is back on his feet again, no longer a prisoner in his own home. Physically regaining his balance and stability has enabled him to move on psychologically and emotionally. “I can do anything I want to now,�?he says, “and my family no longer has to tiptoe around me.�?The Maple Ridge, BC, resident now spends much of his time responding to queries from around the world, assuring other people with Ménière’s that there is hope - and that it lies in the body’s ability to heal itself.

Getting to the Point

In search for relief, many people with Ménière’s turn to alternative therapies such as biofeedback, reflexology, hypnotheropy, music therapy, hyperbaric treatments, and aromatherapy. One in particular, acupuncture, has been shown to make a real difference. According to the American Journal of Chinese Medicine, a study of 34 Ménière’s patients found that vertigo attacks ceased in approximately 80% of cases after a single acupuncture treatment.

Supplements to combat Ménière’s

Vitamin A: 5,000 IU daily. Improves function of the ear’s receptor cells.

Vitamin B3 (Niacin): 100 mg daily. Inhibits the release of histamine, helps relieve stress and is necessary for energy production.

Vitamin B12 sublingual tablet: 1,000 mg daily. Restores possible deficiency and ensures adequate iron.

Vitamin D and calcium: 500 IU vitamin D and 1,000 mg calcium daily. Helps strengthen bone structure of the ear.

Magnesium: 500 to 1,000 mg twice daily. (Those with kidney dysfunction should consult with their physicians before taking magnesium.) Promotes proper blood flow in the ear.

Ginkgo biloba: 200 mg (standardized to 24-percent flavoglycosides) daily. Reduces tinnitus and improves circulation.

Omega-3 essential fatty acids, fish oil or flax seed oil: 1,000 mg three times daily of fish oil and one to two tablespoons (15 to 30 ml) of flax seed oil. Helps reduce sensory-neural hearing impairment and stabilizes the immune system.

Source: Healthy Immunity: Scientifically Proven Natural Treatments for Conditions from A-Z, by Lorna Vanderhaeghe (John Wiley & Sons, 2001).


The Hendersons�?Web site is www.menieres-disease.ca. Sabitri Ghosh is a researcher and award-winning freelance writer whose work has appeared in The Globe and Mail and World Vision’s magazine, ChildView.

Source: alive #258, April 2004, http://www.alive.com/1794a5a2.php

 

 

Reply
 Message 3 of 3 in Discussion 
From: ReneSent: 1/31/2006 10:15 PM
 

Dizziness
 
Symptoms
When dizziness strikes, our spatial understanding of the world gets distorted, causing unsteadiness and light-headedness. Vision becomes affected, along with spinning, swaying or falling. This unsteadiness often causes *nausea and *vomiting, or a loss of consciousness
 
Causes
Dizzy spells, or vertigo, can be a signal for all kinds of problems. In many cases, dizziness is caused by poor circulation and lack of oxygen to the brain, due to *stress, overwork or *anxiety. *Hearing problems will cause dizziness. Toxic effects of alcohol, drugs and medications can interfere with coordination by reducing oxygen to the brain, causing a spinning sensation. Tension in the shoulders or spinal alignment problems can interrupt circulation. A short episode of dizziness and blackouts when getting up too quickly are the result of short-term oxygen deprivation, often linked to low blood pressure. Chronic circulatory problems can be related to underlying circulatory-related illnesses such as *arteriosclerosis, high or low *blood pressure, *heart problems and *anemia. Short but violent attacks of dizziness can be precursors for an impending *stroke in high-risk groups. Dizziness can also occur during a *cold or flu, if the body’s circulation has been affected by illness or prolonged bedrest.

The inner ear regulates spatial awareness, and infections such as labyrinthitis (inflammation of the inner ear) are a likely source of persistent dizziness and associated *nausea and *vomiting. *Ear ringing, dizziness and hearing problems are typical symptoms for Menire’s disease. Dizziness caused by low blood-sugar levels is a symptom of *hypoglycemia.
 
Nutrition
Dietary measures are effective in the long-term treatment and prevention of conditions like arteriosclerosis, blood pressure problems, *hypoglycemia or anemia, the symptoms of which often include dizziness. Reduce meats with a high saturated-fat content, which compromises oxygen flow to the brain, and avoid sweet foods which provoke sudden changes in blood-sugar levels. Emphasize complex carbohydrates like whole grains, legumes and starchy vegetables, which are metabolized slowly and do not destabilize blood-sugar levels. Include plenty of fresh, raw vegetable and fruit salads, rich in the vitamins, minerals and enzymes needed to promote optimal oxygen transport to the brain. Dress the salads with unrefined, cold-pressed flax seed oil, which contains the essential fatty acids omega-6 linoleic acid and omega-3 alpha-linolenic acid. These fats, which the body cannot manufacture itself, are essential for healthy fat metabolization and keeping the arteries clear.

Certain nutrient deficiencies, particularly deficiencies in vitamin B6 (pyridoxine) or vitamin B3 (niacin), can cause dizziness. Nutritional yeast and raw wheat germ are particularly rich sources of both niacin and pyridoxine and should be added to the daily diet if a deficiency is suspected.
 
To alleviate a sudden attack of dizziness, take a spoonful of honey to immediately boost blood-sugar levels.
 
If dizzy due to high blood pressure, eat one fresh clove of garlic daily for a couple of weeks.
 
A low-salt diet may be effective in some cases of dizziness caused by the accumulation of fluid in the inner ear. Aside from salt, victims of repeated attacks of dizziness of unknown origin benefit from caffeine restriction (coffee, chocolate, tea, soft drinks, analgesics) and avoidance of alcohol because all these items adversely affect the volume and concentration of fluid levels. It is also acknowledged by scientific literature that certain foods can act as triggers for attacks. Food allergy testing is certainly worth considering, especially in more resistant cases.
 
Mineral imbalances, especially those involving calcium, magnesium and manganese, may aggravate dizziness. A health care practitioner can test individuals to see whether or not diet changes or mineral supplementation is warranted.
 
Nutritional Supplements
Nutritional supplements depend largely on the condition causing the dizziness. If there is no obvious cause and there is overall weakness, a vitamin B complex should be taken to strengthen the constitution. Vitamin B3 enhances circulation (for more information, see Section 6, Nutritional Supplements). Vitamin B6 prevents fluid accumulation. Taking quercetin before meals minimizes any allergic reaction to food by stabilizing the mast cell membrane. Vitamin C also decreases the chance of an allergic reaction, due to its antihistaminic effect.

Oxygen circulation can be improved with vitamin E. Brain function is optimized with choline derived from lecithin. Coenzyme Q10 can also enhance circulation. If dizziness is due to low blood pressure, sex glands not functioning properly or hypoglycemia, take bee pollen.
 
Daily dosages:
 

Vitamin B complex, 100 mg
Bee pollen, 1 tsp., with 1 tsp. kelp in a 1/2 cup of carrot juice
Vitamin B3, 100 mg, three times daily
Vitamin B6, 50 mg or more daily
Quercetin, 500 mg, three times daily before meals
Vitamin C, with bioflavonoids, 2,000 mg, three times daily with meals (or to bowel tolerance, see Section 6, Nutritional Supplements)
Vitamin E, with mixed tocopherols, 800 IU daily
Choline, 6 grams daily
Coenzyme Q10, 100 mg
 

Herbal Remedies
Herbal remedies can strengthen the blood and oxygenate the brain to prevent and alleviate dizziness.

When having a dizziness attack, rub lemon balm or lavender oil on forehead and temples, or mix 1 tsp. of lavender oil with 4 tbsp. of honey and take 1/2 tsp. of this mix.
 
If dizzy after getting up in the morning, drink 1-2 cups of tea made with equal parts of St. John’s wort, hawthorn blossoms, rosemary and mistletoe. Bring 1 cup of cold water with 1 tbsp. of this mix to a boil, steep for ten minutes, strain and sip slowly.
 
With a *headache, dizziness and a tendency to fall backwards, take 5-10 drops of mistletoe extract in liquid, three times daily for a couple of weeks.
 
Dizziness caused by a nervous condition will be helped by taking calming teas of valerian, hops, lemon balm, St. John’s wort, peppermint, rosemary, hawthorn or wormwood.
 
If dizziness is due to anemia, build up the blood with dandelion, stinging nettle and watercress juice, 1 tbsp. daily.
 
Take 1 cup of calendula tea to prevent dizzy spells.
 
Once a week, take a twenty-minute fir-needle bath followed by thirty minutes of rest.
 
Take ginkgo extract (24% standardized extract), two 40 mg capsules or more daily, as it enhances nervous system function due to its antioxidant properties.
 
Ginger root used in tea, capsule form or as an additive to any food will treat the nausea that often accompanies dizziness. It also helps improve digestion and its anti-nausea benefits are superior to most commonly prescribed anti-emetic drugs.
 

Homeopathy
Choose one of the following according to the symptoms described below. Take the 6c strength as often as necessary for up to ten doses when dizziness comes on. For recurring or persistent problems, consult an experienced homeopath.

Take Borax for dizziness made worse by downward motion.
 
Calcarea is used for dizziness made worse by looking up.
 
Take Conium for dizziness made worse by lying down.
 
For trembling and dizziness, take Gelsemium.
 

Tissue Salts

Take 4 tablets under the tongue every hour for acute cases and have a practitioner check for causes. For more persistent problems, take 4 tablets four times daily for two weeks.

Ferr phos is useful for dizziness associated with a flow of blood to the head, flushing and throbbing *headaches. The dizziness is worst when getting up or rising and can be associated with *anemia.
 
Kali phos is recommended for dizziness in weak, nervous persons or when caused by worry.
 
Nat sulph is used in dizziness after a head injury or associated with liver or *gall-bladder problems, where there is a bitter taste in the mouth.
 
Choose Nat phos when dizziness is due to stomach problems, especially overly acidic conditions with poor appetite.
 

External/Physical Therapies
Sit or lie down and close the eyes during a dizzy spell. Loosen restricting clothing.
 
If the dizzy spells occur regularly, daily water stepping helps restore normal circulation.
 
Splash arms with cold water and, a few times daily, let cold water run over the wrists.
 
Regular dry brushing and aerobic exercise help normalize circulation.
 
For better oxygenation, sleep with the window open.

Reflexology
 
Work the reflexes to the side of the neck, cervicals, spine, ears and eyes, as illustrated.
 

Available Brand Name Products
Nutritional Supplements

Flax Oil (Flora)
Flax-O-Mega 1000mg (Flora)
Calcium and Magnesium Citrate (Natural Factors)
Flax Seed Oil 1000mg (Natural Factors)
Flax Seed Oil Liquid (Natural Factors)
Hi Potency Multi (Natural Factors)
Super Multi Plus (Natural Factors)
Ultra Multi Plus (Natural Factors)

Other Nutritional Supplements
 
Peace River Bee Pollen (Natural Factors)
Pollen Plus Energy (Natural Factors)

Herbal Remedies
 
Ginger Root Extract (Natural Factors)
Ginkgo Biloba Phytosome (Natural Factors)
Hawthorn Tincture (Natural Factors)
St. John’s Wort Extract (Natural Factors)
Valerian Root Extract (Natural Factors)
Ginger Root (Nature’s Herbs)
Ginkgo Biloba Extract (Nature’s Herbs)
Hawthorn Phytosome (Nature’s Herbs)
Hops-Valerian Combination (Nature’s Herbs)
Kelp (Norwegian) Combination (Nature’s Herbs)
St. John’s-Power (Nature’s Herbs)
Valerian-Power (Nature’s Herbs)

Homeopathy
 
Bach Flower Remedies (Bach-Karooch Ltd)
Rescue Remedy/Bach Flower Remedies (Bach-Karooch Ltd)
 
 

Source: Encyclopedia of Natural Healing by Siegfried Gursche and Zoltan Rona,   http://www.alive.com/2719a9a2.php
 
Other resources: