Anterior Canal BPPV, The Rarest BPPV Type

Diagram of the three semicircular canals of the inner ear — posterior, anterior, and lateral — showing the structures affected in BPPV

In my practice at Prime ENT Center in Hardoi, I see many BPPV cases-mostly posterior canal (85-90%), occasionally horizontal (10-15%). But anterior canal BPPV? That’s the rare bird. Only 1-2% of BPPV cases involve the anterior (or superior) semicircular canal. When I encounter it, I know I’m dealing with something diagnostically tricky and often mismanaged. […]

Surgical Options for Meniere’s Disease: When Medicine Fails

Educational diagram showing the complete treatment ladder for Meniere's disease — from dietary and medical management to endolymphatic sac surgery and gentamicin injection

Note: This article mentions medicine names for educational purposes only. All medications should only be taken under your doctor’s supervision. Doses and duration depend on your individual condition. Meniere’s disease surgery is considered when medical management fails. Here’s what you should know. Surgically, we is something I see regularly in my practice. A patient came […]

MRI for Vertigo, When Does a Dizzy Patient Need a Brain Scan?

For vertigo is something I see regularly in my practice. One of the most frequent phone calls I get from other doctors is something like: “Patient with vertigo, should I order an MRI for Vertigo ?” And my answer is almost always: “Tell me more about the patient first.” Table of Contents Most Vertigo Is […]

Why Choose an ENT Vertigo Specialist Over a General Doctor for Dizziness

Dr. Prateek Porwal at NESCON 2024 — ENT and vertigo specialist from Prime ENT Center, Hardoi presenting at the national conference

Note: This article mentions medicine names for educational purposes only. All medications should only be taken under your doctor’s supervision. Doses and duration depend on your individual condition. Looking for an ENT doctor in Hardoi? I’ve been practising here for years at Prime ENT Center. Ent specialist dizziness is something I see regularly in my […]

Vertigo Treatment Without Medicine: A Doctor’s Guide to Non-Medication Approaches

Diagram showing steps 3 and 4 of the Epley's maneuver for treating right posterior canal BPPV — BPPV Basics series by Dr. Prateek Porwal

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I see patients almost every week who walk in convinced they need years of medication to manage their vertigo. A woman from Kanpur tells me, “Doctor, I’ve been on dizziness tablets for six months now. Do I have to take them forever?” A retired teacher from Lucknow says, “My general physician gave me three different […]

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BPPV After Head Injury, Why Trauma Dislodges Ear Crystals

After head injury is something I see regularly in my practice. I was in the Emergency Department at the hospital when they brought in a 45-year-old motorcycle rider from Hardoi. Two-wheeler accident on the main road-he’d hit a pothole, lost control, skidded, and smashed his head on the road. He was conscious, talking, no obvious […]

Unilateral Tinnitus: When One-Ear Ringing Needs an MRI

Diagram explaining the vestibulo-ocular reflex and the bedside Head Impulse Test (HIT) used to detect unilateral vestibular loss in acute vertigo

Unilateral tinnitus is something I see regularly in my practice. A patient came to my clinic yesterday with a story I hear at least once a month: “Dr. Porwal, my right ear has been ringing for 6 weeks. The left one is fine. Should I be worried?” Table of Contents Why Unilateral Tinnitus Is Different […]

Which Doctor Should You See for Dizziness? ENT vs Neurologist vs Physician

Workshop on dizziness and vertigo at NESCON 2024 — practical training for ENT and neurology specialists

Doctor for dizziness is something I see regularly in my practice. A 51-year-old woman came to Prime ENT Center in Hardoi after being seen by four different doctors in three months. She had sudden vertigo, saw a neurologist who did an MRI (normal), prescribed anti-nausea medication, and sent her home. Nothing improved. She saw her […]