ENT Doctor Hardoi for Vertigo and Dizziness

ENT Doctor Hardoi for Vertigo and Dizziness

ENT doctor Hardoi care for vertigo, dizziness, BPPV and balance problems at Prime ENT Center, Hardoi, Uttar Pradesh.

Patients from Hardoi, Sitapur, Lakhimpur, Shahjahanpur and nearby towns often come after months of chakkar, room spinning, imbalance or repeated dizziness without a clear diagnosis. The first job of an ENT doctor Hardoi visit is not to give another generic dizziness tablet; it is to identify whether the problem is BPPV, vestibular migraine, Meniere disease, neuritis, blood pressure, medicine effect, anxiety, neck-related symptoms or a neurological red flag.

I’m Dr. Prateek Porwal — an ENT surgeon and vestibular specialist based in Hardoi. I completed my DNB in ENT from Tata Main Hospital, my MBBS from GSVM Medical College Kanpur, and hold a specialized certification in vertigo management — CAMVD — from Yenepoya University, Mangalore. I’ve been in clinical practice for over 13 years, with a strong focus on dizziness, vertigo, and balance disorders.

If you are looking for a vertigo specialist in Hardoi, this page explains who should book a routine clinic review, which symptoms need emergency care first, and how the evaluation is done.

Why Vertigo Often Goes Untreated (Or Mistreated) in Hardoi

The problem with vertigo is that it’s not a diagnosis — it’s a symptom. A spinning sensation can come from your inner ear, brain, cervical spine, blood pressure, medicine side effects, migraine or anxiety. Treating only the symptom without identifying the cause is why many patients keep taking dizziness medicines for months without real improvement.

In my experience seeing patients from Hardoi, Sitapur, Lakhimpur Kheri, Shahjahanpur, Fatehgarh, and Sandila — there are a few patterns that come up again and again:

• BPPV misdiagnosed as “cervical spondylosis dizziness” and treated with physiotherapy that doesn’t help
• Vestibular neuritis or labyrinthitis treated as “BP problem” or “sugar-related ghabrahat”
• Patients on vestibular suppressants for months when the actual treatment is a 10-minute maneuver in the clinic
• MRI done first instead of a proper clinical examination — and then a normal MRI reported as “no problem found”
• Vitamin D and B12 deficiency contributing to dizziness, often overlooked entirely

Getting a proper diagnosis makes all the difference. And that starts with a specialist who actually examines the vestibular system — not just the ears.

Vertigo and Dizziness Conditions I Treat

BPPV (Benign Paroxysmal Positional Vertigo)

The most common cause of vertigo — caused by loose calcium crystals in the inner ear canal. Triggers when you roll over in bed, look up, or get up suddenly. Treated with specific head repositioning maneuvers. In most patients, significant improvement happens within 1–2 clinic visits. I treat all three canal variants — posterior (most common), horizontal, and anterior canal BPPV. I also developed the Bangalore Maneuver, a repositioning technique specifically for anterior canal BPPV, published in Frontiers in Neurology (2021).

Vestibular Neuritis

A sudden, severe episode of vertigo lasting days may suggest vestibular neuritis, especially after a viral illness. The examination checks walking safety, eye movements and red flags, then guides recovery and vestibular rehabilitation when appropriate.

Labyrinthitis

Similar to vestibular neuritis but also involves hearing loss and tinnitus. Both the hearing and balance parts of the inner ear are affected. Requires urgent evaluation because hearing loss needs to be addressed promptly.

Meniere’s Disease

Episodic vertigo with fluctuating hearing loss, tinnitus and ear fullness can suggest Meniere’s disease. This needs a careful ear and hearing evaluation, trigger review, follow-up and a long-term plan rather than only repeated symptom tablets.

Vestibular Migraine

A common but underdiagnosed cause of recurrent vertigo — migraine-related dizziness without the classic headache. Patients often have a history of headaches, motion sickness, or family history of migraine. Responds well to migraine preventive medications and lifestyle modification. Frequently confused with Meniere’s disease, and the distinction matters for treatment.

Cervicogenic Dizziness

Dizziness originating from cervical spine pathology. This is probably over-diagnosed in India — most patients labeled as “cervical vertigo” actually have BPPV or vestibular neuritis. But true cervicogenic dizziness does exist and responds to neck physiotherapy and appropriate treatment of the underlying cervical condition.

Orthostatic Hypotension

Dizziness on standing up can happen when blood pressure drops after getting up quickly. It is common in elderly patients and can be worsened by dehydration or some medicines, so postural blood pressure and medicine review may be needed.

Chronic Subjective Dizziness / PPPD

Persistent postural-perceptual dizziness (PPPD) — a functional vestibular disorder that causes persistent, non-spinning dizziness and unsteadiness, often triggered by visual stimuli or crowds. Underrecognized in North India. Responds to a combination of vestibular rehabilitation and, when needed, SSRI therapy.

How I Evaluate a Vertigo Patient

The evaluation of a vertigo patient starts with a detailed history — when does it happen, how long does it last, what triggers it, any associated symptoms like hearing loss or tinnitus, any recent viral illness, any head trauma. In my experience, a good 10-minute history already points you toward the diagnosis in about 70% of cases.

After history, I do a clinical vestibular examination — this includes specific bedside tests like the Dix-Hallpike maneuver, Supine Roll Test, Head Impulse Test, and skew deviation assessment. I check for spontaneous nystagmus and positional nystagmus. I assess hearing with a tuning fork at minimum, and arrange audiometry when indicated. Blood pressure in both lying and standing positions is measured when relevant.

Investigations I order when needed include:

• Pure tone audiometry and tympanometry
• Videonystagmography (VNG) for complex cases
• MRI brain/posterior fossa (when central cause is suspected)
• Blood tests — CBC, fasting glucose, thyroid, vitamin D, B12

I do not routinely order MRI for every dizzy patient — most BPPV and peripheral vestibular conditions are diagnosed clinically. But I have a low threshold for MRI when there are any atypical features, recent onset hearing loss with vertigo, headache, diplopia, or any neurological signs. Central causes of vertigo can be serious and need to be ruled out properly.

Who Comes to Prime ENT Center for Vertigo?

My clinic in Hardoi serves a wide catchment area — roughly 60 kilometers in all directions. Patients come from Hardoi city itself, and also from Sandila, Bilgram, Shahabad, Pihani, Sandi, Madhoganj, Kachhauna, and surrounding villages and towns. Many patients also come from Sitapur, Lakhimpur Kheri, Shahjahanpur, Fatehgarh, and Unnao when they want a specialist opinion without going all the way to Lucknow.

I understand the patient population here very well. Vitamin D deficiency is extremely common — especially in women who have limited sun exposure due to lifestyle and dress practices. B12 deficiency is common in vegetarian patients. Both of these contribute to vestibular symptoms and recurrent BPPV, and I address them routinely. Agricultural workers present with different patterns of vertigo too — heat exposure, dehydration, and seasonal patterns that are worth paying attention to in this region.

Why See a Vertigo Specialist vs a General Doctor?

A general physician may give short-term dizziness medicine, but a vertigo-focused ENT review checks whether medicine is useful for the actual diagnosis. In BPPV, for example, the key treatment is usually the correct canal-specific maneuver, not long-term tablets. A specialist can also separate peripheral vertigo from central red-flag patterns, which changes the urgency and next step.

I also want to be clear about something — I don’t over-treat vertigo. If you have BPPV, I won’t put you on long-term medications. If you have a viral vestibular condition that will resolve on its own with rehabilitation, I’ll tell you that. The goal is accurate diagnosis and targeted treatment, not a prescription to manage symptoms indefinitely.

About Dr. Prateek Porwal

• Qualification: MBBS (GSVM Medical College, Kanpur) | DNB ENT (Tata Main Hospital) | CAMVD — Certificate in Advanced Management of Vertigo and Dizziness (Yenepoya University, Mangalore)
• Experience: 13+ years in clinical ENT and vestibular medicine
• Research: Published in Frontiers in Neurology (2021) — study on anterior canal BPPV; author of the Bangalore Maneuver for AC-BPPV; multiple publications in Indian Journal of Otolaryngology and Head & Neck Surgery
• Society: Honorary Secretary, Neurootological and Equilibriometric Society (NES) India — 2025–26
• Founding Member: Indian Balance Forum (IBF) India
• Practice: Prime ENT Center, Hardoi, Uttar Pradesh

Frequently Asked Questions

Is there a vertigo specialist available in Hardoi?

Yes. Dr. Prateek Porwal at Prime ENT Center, Hardoi, is an ENT surgeon with specialized training in vertigo and vestibular disorders (CAMVD certification, 13+ years experience). He sees patients specifically for dizziness, BPPV, Meniere’s disease, vestibular neuritis, and all causes of vertigo.

What is the difference between vertigo and dizziness?

Vertigo is a specific type of dizziness where you feel the room is spinning, or that you yourself are rotating. General dizziness may feel like lightheadedness, floating, or unsteadiness without the spinning quality. The distinction matters because different types of dizziness have different causes and treatments.

Do I need an MRI before seeing a vertigo specialist?

Not necessarily. Most common causes of vertigo — including BPPV — are diagnosed clinically with a physical examination. If an MRI is needed, your doctor will advise it after examination. Coming with a history of symptoms and any previous test reports is helpful.

How long does vertigo treatment take?

This depends entirely on the cause. BPPV often resolves in 1–3 clinic visits. Vestibular neuritis can take weeks to months of rehabilitation. Meniere’s disease requires long-term management. At your first visit, I’ll give you a clear expectation for your specific diagnosis.

I have cervical spondylosis — is that causing my vertigo?

Cervical spondylosis is frequently blamed for dizziness but is rarely the true cause. In most patients who are told they have “cervical vertigo,” the actual diagnosis on proper vestibular examination turns out to be BPPV. I’ll assess both possibilities and give you a clear answer.

Are vertigo medicines safe for long-term use?

Vestibular suppressants are usually meant for short-term symptom relief, not indefinite self-treatment. Long-term use should be reviewed because the brain often needs movement and vestibular signals to compensate. Bring all current medicines to the first visit so the plan can be checked safely.

Book an Appointment with Dr. Prateek Porwal in Hardoi

Prime ENT Center is conveniently located in Hardoi and accessible from Sitapur, Lakhimpur, Shahjahanpur, Unnao, Fatehgarh, and surrounding areas. You don’t need to travel to Lucknow or Kanpur for specialist vertigo care.

📞 Call or WhatsApp to book: 7393062200
🌐 drprateekporwal.com
📍 Prime ENT Center, Hardoi, Uttar Pradesh

Read more about BPPV treatment →

References

• NIDCD balance disorders overview
• Merck Manual dizziness and vertigo overview

Disclaimer: The content on this page is informational and does not substitute for professional medical consultation. Please consult Dr. Prateek Porwal or another qualified physician for evaluation and management of your symptoms.