Vestibular neuritis treatment-various-aspects-
Vestibular neuritis treatment generally consists of alleviating symptoms and preventing complications. Medications such as antihistamines, antiemetics, and sedatives might be prescribed to manage nausea, vertigo, and dizziness. In certain situations, corticosteroids are utilized to minimize nerve inflammation and reduce the duration of the acute phase, as indicated by Cornerstone Physiotherapy. Vestibular rehabilitation exercises, including balance training, are also suggested to assist the brain in compensating for the nerve damage and enhancing balance, states Balance and Dizziness Canada.
If any patient of ENT requires any surgery, opd consultation or online consultation in clinic of ENT specialist Doctor Dr Sagar Rajkuwar ,he may contact him at the following address-
Prabha ENT clinic, plot no 345,Saigram colony, opposite Indoline furniture Ambad link road, Ambad ,1 km from Pathardi phata Nashik ,422010, Maharashtra, India-Dr Sagar Rajkuwar (MS-ENT), Cell no- 7387590194 , 9892596635
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Medications:
Antihistamines:
Medicines like meclizine and diphenhydramine assist in alleviating dizziness and nausea.
Antiemetics:
Drugs such as prochlorperazine and metoclopramide are utilized to manage vomiting.
Sedatives:
Benzodiazepines like diazepam and lorazepam can aid in controlling vertigo, but they should be used cautiously and for a limited time.
Corticosteroids:
Steroids like prednisone can assist in decreasing inflammation in the vestibular nerve and may reduce the acute phase of neuritis, according to Neurology® Journals.
Antivirals:
If there is suspicion of a viral infection, antivirals might be prescribed.
Vestibular Rehabilitation Therapy (VRT):
Balance Exercises:
VRT includes exercises designed to help the brain adjust to alterations in balance signals from the affected vestibular nerve.
Balance Training:
These exercises are beneficial for improving balance, decreasing dizziness, and lowering the risk of falls.
Vestibulo-ocular Reflex Exercises:
Exercises aimed at enhancing coordination between the eyes and the inner ear’s balance mechanism.
Other Supportive Care:
IV fluids: If extreme vomiting results in dehydration, IV fluids may be given.
Rest: Taking breaks in a calm, dark environment can assist in reducing dizziness and nausea.
Lifestyle modifications: Steering clear of alcohol and bright lights may help alleviate symptoms.
Gradual return to activity: Increasing activity levels gradually and seeking help when necessary can contribute to recovery.
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Management and Treatment
What is the treatment for vestibular neuritis?
The primary aim of treating vestibular neuritis is to alleviate your symptoms. To achieve this, your healthcare provider may suggest:
- Medications (antivirals and drugs to manage nausea, dizziness, and inflammation).
- Vestibular neuritis exercises (physical therapy).
- Medications for vestibular neuritis
Your healthcare provider may utilize several medications to relieve your vestibular neuritis symptoms, such as:
- Anti-nausea medications.
- Drugs to alleviate dizziness.
- Drugs to diminish inflammation.
- Antiviral medications.
- Anti-nausea medications
Medications that lessen nausea include:
- Ondansetron (Zofran®).
- Metoclopramide (Reglan®).
Individuals experiencing severe nausea and vomiting may require hospitalization. There, healthcare providers will administer IV fluids to combat dehydration.
Drugs to reduce dizziness
Medications that help decrease dizziness include:
- Meclizine (Antivert®).
- Diazepam (Valium®).
- Compazine and lorazepam (Ativan®).
Medications for dizziness act as vestibular suppressants. You should not utilize vestibular suppressants for more than three days.
Drugs to reduce inflammation
Healthcare providers may also suggest corticosteroids to alleviate inflammation in your vestibular nerve.
Antiviral medications
If a herpes virus triggered your vestibular neuritis, your healthcare provider may recommend antiviral drugs such as acyclovir.
Vestibular neuritis exercises
If issues with balance and dizziness persist for more than a few weeks, your healthcare provider may propose vestibular rehabilitation therapy. The objective of this program is to help retrain your brain to adjust to the changes you are facing.
As the initial step in this program, a vestibular physical therapist will assess the body parts that influence balance. These areas encompass your:
- Legs.
- Eyes.
- Ears.
Based on the assessment results, your provider will create a specialized exercise plan that caters to your individual needs.
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