Vertigo Specialist Sitapur: BPPV, Dizziness and VNG Testing

I see patients from Sitapur district almost every week. Most of them have been dizzy for months — they’ve tried medicines, visited multiple doctors, even got an MRI. But nobody checked their ears.

BPPV in Sitapur: the most-missed cause of vertigo

This page focuses specifically on vertigo evaluation for Sitapur patients. By far the most common diagnosis I see is BPPV — Benign Paroxysmal Positional Vertigo — short episodes triggered by rolling in bed, looking up, or bending forward. BPPV is mechanical: tiny calcium crystals (otoconia) sit in the wrong canal of the inner ear and send false spinning signals to the brain.

There is no medicine that fixes BPPV. The fix is a precise repositioning maneuver — Epley, Semont, Gufoni, or for the rare anterior canal variant the Bangalore Maneuver I developed and published in peer-reviewed journals. Each canal needs a different maneuver, which is why diagnosis must come before treatment.

Sitapur is one of the closest cities to Hardoi — many patients come for BPPV diagnosis and return the same day. 50 km from Sitapur to Hardoi is about a 1.5 hours drive — close enough that most patients complete BPPV diagnosis and treatment in a single one-day visit.

What an online consultation gives you

An online consultation is for diagnosis, second opinion, and a clear plan. I take a careful history (the single most important step in vertigo), review any audiogram or MRI you already have, observe your eye movements during specific positions, and give you my honest opinion on the medicines and treatment you have been prescribed so far. What I cannot do over video is perform the maneuver itself, run VNG / fHIT / posturography testing, or do any procedure that needs hands on the patient.

When you must see someone in person locally in Sitapur

Online consultation works for most vertigo cases — but not all. Head to the nearest hospital in Sitapur the same day if any of the following is true:

• Sudden hearing loss in one ear, with or without vertigo — an ENT emergency. Steroids work if started within 24 to 48 hours; they do not work after two weeks.
• Vertigo with new severe headache, double vision, weakness, slurred speech, or difficulty walking — needs neurological evaluation and imaging the same day.
• Vertigo after a head injury — needs in-person assessment and imaging.
• Continuous vertigo for more than three days without let-up — could be vestibular neuritis, but other things need to be ruled out.

Related: Online Vertigo Consultation across India — how it works, what to expect

Sitapur is about 60 kilometres from Hardoi — roughly 1 hour 15 minutes by road. Patients travel here because we have diagnostic equipment that isn’t available anywhere closer.

Vertigo Specialist Sitapur: Why Sitapur Patients Choose Prime ENT Center, Hardoi

Three reasons patients from Sitapur come to me:

• VNG (Videonystagmography) — the only one in Central UP within 150 kilometres (PubMed reference). This test maps your entire balance system in about an hour. Without it, diagnosing the exact cause of vertigo is guesswork.
• Stabilometry — measures how steady you are when standing. Helps identify fall risk in elderly patients.
• Bangalore Maneuver — a technique I developed for anterior canal BPPV. Not available at most centres.

A 65-year-old retired teacher from Sitapur came last month. He’d been dizzy for 8 months, tried 4 doctors. VNG showed left vestibular weakness — vestibular neuritis. Started proper treatment and rehabilitation. He called 6 weeks later saying he could walk to the market again.

Vertigo and BPPV Treatment

BPPV is the most common cause of vertigo I see — about 3-4 patients every week. Tiny calcium crystals in your inner ear slip into the wrong canal. Your brain gets a false spinning signal.

Diagnosis takes 3 minutes with the Dix-Hallpike Test. Treatment takes 15 minutes with the Epley Maneuver. Most patients walk out significantly better the same day.

For difficult cases — where standard treatment hasn’t worked — I do VNG testing to find the exact problem. Sometimes it’s a different type of BPPV that needs the Bangalore Maneuver.

Other Conditions I Treat

Vertigo isn’t the only reason Sitapur patients visit. I also see:

• Hearing loss — age-related, noise-induced, or sudden. Audiometry testing available same day.
• Tinnitus — ringing or buzzing in ears. Often linked to hearing loss.
• Vestibular Neuritis — sudden severe vertigo from a viral infection of the balance nerve.
• Meniere’s Disease — episodes of vertigo with hearing loss and ear fullness.

Dr. Harshita Singh — my colleague with a Fellowship in Rhinology from Tata Memorial Hospital — handles all sinus and nasal cases. Chronic sinusitis, nasal polyps, deviated septum, FESS surgery.

Advanced Diagnostic Equipment

What sets Prime ENT Center apart from clinics in Sitapur or nearby towns:

• VNG — infrared camera goggles that record eye movements during balance testing. The nearest alternative is Lucknow.
• Stabilometry/Posturography — standing balance assessment on a specialized platform.
• Pure Tone Audiometry — hearing test in a soundproof booth.
• Tympanometry — middle ear pressure testing.
• Nasal Endoscopy — camera examination of sinuses.

Nearby Location Pages

We serve patients across Central UP:

• Vertigo Specialist Near Kannauj (42 km)
• Vertigo Specialist Near Farrukhabad (58 km)
• Vertigo Specialist Near Shahjahanpur (90 km)
• Vertigo Specialist Near Lucknow (90 km)

How to Reach Prime ENT Center from Sitapur

Address: Prime ENT Center, Nagheta Road, Hardoi, Uttar Pradesh 241001

Distance: ~60 km via NH (approximately 1 hour 15 minutes)

Route: Sitapur → Misrikh → Hardoi (via NH730)

Phone/WhatsApp: 7393062200 — call before leaving to confirm your appointment.

Morning appointments work best for Sitapur patients — you can be back home by afternoon. For VNG testing, book at least 2 days ahead and stop anti-vertigo medicines 48 hours before.

Online consultation is also available for patients who want to discuss their symptoms before travelling.

Your First Visit from Sitapur — What Happens

Most Sitapur patients arrive, get examined, and leave with a diagnosis on the same day. Here’s what to expect:

• History and examination: I ask about your symptoms — when it started, what triggers it, any associated hearing changes. Takes about 10 minutes.
• Dix-Hallpike Test: A 3-minute bedside test to check for BPPV. You lie back quickly while I watch your eye movements.
• VNG if needed: If the Dix-Hallpike is unclear, we do a VNG. That takes 45-60 minutes. Book in advance and pause anti-vertigo tablets 48 hours before.
• Treatment same day: If BPPV is confirmed, I do the repositioning maneuver right then. Most patients feel significantly better before they leave.

For Sitapur patients, a morning appointment works best — you’re usually done by noon and can drive home the same day.

Frequently Asked Questions

Q: Do I need to come to Hardoi or can I get treated in Sitapur?

A: For basic ENT issues, your local doctor may help. But for vertigo diagnosis — especially if medicines haven’t worked — VNG and specialized testing is only available here. One visit usually gives you a diagnosis and treatment plan.

Q: How much does a consultation cost?

A: Much less than Lucknow or Delhi. Call 7393062200 for current fees.

Q: Can I do an online consultation first?

A: Yes. WhatsApp your reports and symptoms to 7393062200. I’ll let you know if you need to visit in person or if we can manage online.

This article is for educational purposes only. Please consult Dr. Prateek Porwal at Prime ENT Center, Hardoi or book an online consultation at 7393062200.