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University
of Southampton researchers recently decided to do what so many scientists often
overlook; namely, obtain an understanding of the disease from the patient’s
perspective.
In
this case, they were interested in Meniere’s disease, the most common cause of vertigo.
They published their findings in the journal Psychotherapy and Psychosomatics.
They
interviewed 20 members of a British self-help group, called the Meniere’s
Society, to identify the most common vertigo
triggers and coping
mechanisms.
Most
of the interviewees expressed the frustration that they could identify only
very few, inconsistent triggers.
But looking at the big picture, researchers could nevertheless identify some
clear patterns.
Some
of the most common physiological vertigo
triggers were identified to be fast head movements, the action of standing up
too fast, fatigue, physical stress, and the action of reading.
The
number one psychological trigger
was thought to be emotional stress of different intensities, from the death of
a loved one to work overload.
While
doctors normally recommend reducing salt, caffeine, and alcohol intake, there
was no dietary item that the participants consistently identified as
contributing to their attacks.
Consequently,
some of them followed the doctors’ dietary advice, while many others ignored it
because of the belief that it made no difference.
In
general, however, they did agree that they were more likely to have attacks
around their mealtimes.
Most
interviewees reported experiencing most of their attacks
during the morning hours, especially in the first hour or two after getting out
of bed.
They
also agreed that the severity of their attacks
increased with an increase in intensity, number, or duration of the triggers.
For
example, writing in a slow-moving vehicle caused some dizziness,
while riding in a fast-moving one caused serious vertigo.
Or,
being confronted with one trigger at a time caused only slight dizziness
or no symptoms at all, while two or three simultaneous triggers
caused mayhem. Reading while eating inside a moving vehicle, for instance.
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