What this leaflet tells you This leaflet explains what to expect after the Epley (canalith repositioning) manoeuvre for posterior-canal BPPV, what you should and shouldn’t do, and when to seek help. 1. Quick summary — what the Epley did The manoeuvre moves tiny particles (otoconia) out of the balance canal of your inner ear and back into a place where they don’t cause spinning (vertigo). Most people feel much better after one or a few treatments. However BPPV can come back (recurrence is common). 2. How you may feel immediately afterwards You may feel dizzy or off-balance for a few minutes to a few hours; nausea is possible. Some people feel better straightaway; others get gradual improvement over days. Rarely ,you may have brief recurrences of vertigo — this does not always mean the manoeuvre failed. 3. Activity and posture — what the evidence says Good news: High-quality studies and recent guidelines show that strict he...
How to diagnose allergic rhinitis? Rhinitis or runny nose can be due to several factors. Allergic rhinitis is inflammation of the lining of the nose in response allergen around you in your environment. This allergen can be pollen, mould, dust or in your diet. Typically, if you have an itchy and runny nose, sneezing with a blocked nose, this can be due to allergic rhinitis. How is a diagnosis made for allergic rhinitis? When you go and see your doctor. He will ask you about your symptoms, severity, and how they are impacting your quality of life. If the cause for your allergic rhinitis symptoms is unclear, then special allergy skin prick test or allergy blood test may be requested. Why are special allergy test required? In some cases of allergic rhinitis, it is not clear what is your trigger factor for your symptoms. So, by these tests, treating clinician can advise about lifestyle changes, medications and allergy avoidance. How is the allergy test performe...