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...
What to do if your child has a neck lump? Neck lumps can be due to enlarged lymph nodes, birth cysts or lumps or (only 10%) malignancy. When you notice a neck lump in a child, consider the presentation's age. Is the child getting associated B symptoms, i.e. night sweats, fever, unexplained weight loss, fatigue, loss of appetite, trouble breathing, itching or painful swelling in their belly? Note down any recent exposure to a person with flu-like symptoms, a young cat or any change in size or neck lumps becoming multiple. What happens when you visit an ENT surgeon with your child? The ENT surgeon will take a detailed history and perform a clinical examination of the tummy, ear, nose and throat. The ENT surgeon will request special blood tests, a chest X-Ray and an Ultrasound scan of the neck. Depending on the results, it may be required to do a sample surgical biopsy of the lymph node in a few cases. Which lymph node neck lumps in children are ENT surgeons more concerned ab...