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| 1 | +--- |
| 2 | +title: "About my chronic vertigo" |
| 3 | +date: 2025-09-15 |
| 4 | +cover: |
| 5 | + image: cover.jpg |
| 6 | + alt: Three stones balancing on each other on a wooden railing somewhere outdoors. |
| 7 | + relative: true |
| 8 | +--- |
| 9 | + |
| 10 | +*I finally decided to write the following post as every time I have an acute episode of my chronic vertigo |
| 11 | +and mention it to people, I have to explain my situation and symptoms again. So I decided to write it |
| 12 | +down here to just be able to link people to it instead 😉. This is **not** an attempt to get attention or pity, |
| 13 | +so please spare me that! 😅* |
| 14 | + |
| 15 | +I have had a chronic vertigo since fall of 2000 now. It's not a case of issues with low blood pressure ("blackness in front of the eyes") or some |
| 16 | +light-headedness or something like that, but rather a case of |
| 17 | +the same sensoric input being generated somewhere between my [vestibular system](https://en.wikipedia.org/wiki/Vestibular_system) and my brain as if I was on a roller coaster or sitting on |
| 18 | +a merry-go-around. During acute episodes this leads to problems walking, a very insecure feeling when standing and sometimes also nausea |
| 19 | +and [nystagmus](https://en.wikipedia.org/wiki/Nystagmus), not to mention exhaustion while trying to compensate for all of that. |
| 20 | + |
| 21 | +This crap started with a really bad respiratory infection that gave me a high fever and put me into bed |
| 22 | +for almost two weeks. After the fever went down I had a constant vertigo. This was right during my last two years at |
| 23 | +school and meant that I missed almost two months of classes and then had to get brought to and fetched |
| 24 | +from school by my dad for a month while I was learning to cope with this during my day-to-day and it turning less |
| 25 | +constant[^1]. |
| 26 | + |
| 27 | +The initial diagnosis was [labyrinthitis](https://en.wikipedia.org/wiki/Labyrinthitis). When that took too long without the symptoms going away despite |
| 28 | +treatment, I spent a week getting a full check-through at a hospital in summer of 2001 after which the diagnosis became |
| 29 | +[BPPV](https://en.wikipedia.org/wiki/Benign_paroxysmal_positional_vertigo) and I was taught the usual treatment for that. With that diagnosis I went on with life, doing my prescribed exercises, |
| 30 | +hoping it would just disappear one day. But when that didn't happen and was still going on in summer of 2019 I decided to get yet another full check-through and the result of |
| 31 | +that was basically "It's not BPPV, but we don't know what it is, everything works like it should as far as we can see". Not a hardware issue, no wiring problems nor |
| 32 | +firmware bugs to see 🤷 |
| 33 | + |
| 34 | +So this kinda sucks. Most days I thankfully don't notice it, and when it hits I can still handle my day-to-day |
| 35 | +fine in most cases thanks to a sheer ton of training 😬. It certainly helps that I can do my job sitting down 😅 |
| 36 | + |
| 37 | +The bad episodes seem to get triggered by sudden weather changes[^2], stress and illness[^3]. I so far haven't |
| 38 | +seen *any* connection to my food intake (thankfully). As I have a history of weather and stress |
| 39 | +induced migraines, and [vestibular migraines](https://en.wikipedia.org/wiki/Migraine-associated_vertigo) are a thing as |
| 40 | +I learned after yet another lengthy research session, I'm now tracking my symptoms daily |
| 41 | +(vertigo, headache, tinnitus, nausea, plus stress & weather) in preparation for yet *another* round of |
| 42 | +trying to get a proper diagnosis and ideally working treatment for this shit from a neurologist. |
| 43 | + |
| 44 | +**tldr:** It's not low blood pressure, it's not just "a bit dizzy", it's not BPPV (so Epley etc don't help). |
| 45 | +It might be a weird version of migraines, I'm currently tracking things in preparation for another attempt at getting to the bottom of this. |
| 46 | +I won't die from it and have well working coping strategies but on some days it just plain sucks. |
| 47 | + |
| 48 | +[^1]: That's when I learned that the brain is absolutely *amazing* at compensating for broken sensoric inputs! |
| 49 | +[^2]: Or this constant rain-sun-rain-sun-rain-sun shit that's going on during seasonal changes now it seems 😒 |
| 50 | +[^3]: Especially respiratory infections are my kryptonite - five days of the sniffles, ten or more of everything spinning. |
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