Your physician can make the diagnosis based on your history, findings on physical examination, and the results of vestibular and auditory tests. Blood pressure will be checked lying flat and standing. Other diagnostic studies may be required. An MRI scan will be performed if there is any possibility of a stroke or brain tumor. A rotatory chair test may be used for difficult diagnostic problems.
Symptoms tend to wax and wane.
Motion sickness medications are sometimes helpful in controlling the nausea associated with BPPV but are otherwise rarely effective. However, various kinds of physical maneuvers and exercises have proved effective. Three varieties of conservative treatment involve exercises, and another involves surgery. Your personal physician may be able to recommend someone close to where you live. There are two treatments of BPPV that are usually performed in the doctor's office.