I am so sorry to hear these frustrating symptoms have returned, but please be reassured that your normal brain scan is excellent news. Since Vertin (betahistine) previously helped your spinning sensations, you should consult your doctor about restarting it safely. Your leg weakness, headaches, and slightly elevated liver tests require a physical evaluation, especially alongside your known mild anemia. Please continue your Uprise D (vitamin D) and Diovol (antacid) as prescribed for now. I highly recommend scheduling a follow-up with your physician to discuss these recurring symptoms and review your blood work together. We will work to get you feeling better soon.

It is wonderful to hear your symptoms have improved by 50%. Since Meniere's disease management is highly individualized, please do not stop your medications, Vertin 16 (betahistine) and Spin Free, without consulting your doctor. Often, preventative medications are continued longer, while symptom-relief drugs are gradually tapered. Because you are responding well, invasive treatments like injections or advanced tests may not be needed right now, though a routine hearing test (audiometry) is sometimes recommended. For quick relief during mild episodes, rest in a quiet, dimly lit room, avoid sudden head movements, and maintain a low-salt diet. Please schedule a follow-up with your ENT specialist to safely adjust your treatment plan.

I understand how distressing this recurring dizziness must be for your mother. Since the spinning worsens when she lies down, it highly suggests Benign Paroxysmal Positional Vertigo (BPPV). While medications like betahistine (Vertin) and cinnarizine (Stugeron) ease symptoms, they do not cure BPPV. She would benefit from seeing an ENT specialist who can perform a simple physical movement called the Epley maneuver to reposition inner ear crystals. For her high cholesterol, a routine lipid profile blood test is recommended, and her doctor can discuss appropriate management, which may include lifestyle changes or cholesterol-lowering medications. Please reassure her; this is highly treatable.

I understand how frustrating it is to feel no relief after six days. Vertin (betahistine) is typically used for dizziness related to the inner ear. However, your symptoms?especially the neck pain and the tingling down your legs when bending your head?strongly suggest a neck or nerve-related issue rather than an inner ear problem. This is why the betahistine is not helping. I warmly recommend consulting your doctor or a specialist for a proper evaluation of your neck. They can help find the right treatment to bring you comfort. Please take care, we will get this figured out.

I am so glad to hear that your spinning and nausea have improved. It is actually quite common to experience a mild headache after a vertigo episode, or as a temporary, mild side effect of betahistine (Vertin). To help you feel better, I recommend resting in a quiet room and staying well-hydrated. You may take a simple over-the-counter pain reliever like paracetamol if you can safely tolerate it. However, if your headache becomes severe, or if the vertigo and sickness return, please contact your doctor for further guidance. Take care and rest well.

I am so sorry you are still dealing with this uncomfortable spinning sensation, especially when trying to rest. Since you have been taking Vertin (betahistine) 16 mg for two weeks without full relief, it is important to consult your doctor. The dosage may need adjustment, or your symptoms?particularly those triggered by lying down or waking up?might be related to Benign Paroxysmal Positional Vertigo (BPPV), which often responds better to specific physical maneuvers rather than medication alone. In the meantime, try rising very slowly from bed to minimize sudden movements. Please reach out to your healthcare provider to safely evaluate your next steps. We will find a solution for you.

I understand how distressing these symptoms must be. Experiencing severe dizziness, cold extremities, and weakness can be very unsettling. Vertin (betahistine) is often used for inner ear issues, but it can take several days to become fully effective. Because you are also experiencing a fast heart rate (100 bpm), stomach issues, and cold hands, your symptoms might be related to anxiety, dehydration, an inner ear infection, or a viral illness rather than simple vertigo. Your blood pressure of 105/80 is reassuringly stable. Please stay hydrated, rest, and consult your doctor soon to evaluate your heart rate and ear pain for an accurate diagnosis.

I understand how worrying it is to see your mother experience severe, ongoing dizziness. Since BPPV has been ruled out and Vertin (betahistine) isn't providing sufficient relief, other potential causes should be explored. These include vestibular migraines, Meniere's disease, vestibular neuritis, or blood pressure fluctuations. Because she has taken betahistine for 20 days without significant improvement, it is very important to consult her doctor or an ENT specialist for a comprehensive evaluation. They can perform specific tests to pinpoint the exact cause and adjust her treatment safely. Please reassure her; finding the right diagnosis is the key step to getting her the correct relief.

I understand how bothersome a ringing ear can be, but it is very reassuring that your hearing tests are normal and there is no infection. Vertin (betahistine) is primarily used to treat dizziness, which you do not have. Stablang PV is sometimes prescribed for ringing in the ears (tinnitus). However, because your tests are completely normal, I gently advise against starting these medications without a doctor's guidance. Tinnitus can sometimes resolve on its own or be related to minor factors like stress. Please consult your ENT specialist to discuss if these medications are right for you. We are here to support you.

Yes, having bilateral cervical ribs can indeed cause pain in your neck, shoulder, and below the collarbone by compressing nearby nerves and blood vessels. This compression can sometimes lead to dizziness. Since betahistine (Vertin) has not improved your symptoms, and you are experiencing balance and walking difficulties, it is very important to seek further medical evaluation. These balance issues may suggest a different underlying neurological or spinal concern rather than simple nerve compression. Please consult your doctor or a neurologist soon for a comprehensive physical exam and imaging, like an MRI, to find the right treatment and bring you relief.