Hello, I'm Dr. Emily, a neurologist specializing in balance disorders. Benign paroxysmal positional vertigo (BPPV) is a common condition that causes brief episodes of dizziness or vertigo. It occurs when tiny calcium carbonate crystals, called otoconia, become dislodged from their normal location in the inner ear and move into the semicircular canals. These canals are fluid-filled tubes in the inner ear that help with balance. When the otoconia move into the semicircular canals, they trigger abnormal signals to the brain, causing the sensation of dizziness.

While BPPV can be a disconcerting condition, it's typically not serious and often resolves on its own within a few weeks or months. However, the time it takes for BPPV to resolve varies from person to person.

**Here's a breakdown of why BPPV might go away on its own, and factors that influence its resolution:**

* Natural repositioning: Over time, the dislodged otoconia may naturally settle back into their proper place within the inner ear. The body's natural mechanisms may work to move these crystals out of the canals.

* Reduced inflammation: The inner ear may experience some inflammation after the otoconia dislodge, contributing to the dizziness. As this inflammation subsides, the symptoms often improve.

* Brain adaptation: Your brain is incredibly adaptable and can learn to compensate for the abnormal signals caused by BPPV. This means that over time, your brain may be able to filter out the dizziness-inducing signals, even if the otoconia remain in the canals.

**However, it's important to note that BPPV won't always go away on its own. Factors that can influence the resolution of BPPV include:**

* Severity of the BPPV: More severe cases of BPPV may take longer to resolve, and might require medical intervention.

* Underlying medical conditions: If you have other health conditions, such as migraines or Meniere's disease, BPPV may be more persistent.

* Age: While BPPV can occur at any age, it's more common in older adults. Older adults may take longer to recover from BPPV.

* Previous episodes of BPPV: If you've had BPPV before, you may be more likely to experience it again, and it may take longer to resolve.

**If you suspect you have BPPV, it's important to see a doctor for a diagnosis and treatment plan. While BPPV may resolve on its own, there are effective treatments available to help relieve symptoms and speed up recovery. These treatments include:**

* The Epley maneuver: This is a series of head movements designed to reposition the otoconia.

* The Semont maneuver: Similar to the Epley maneuver, this involves a specific set of head movements to reposition the otoconia.

* Brandt-Daroff exercises: These exercises involve repeated head movements that can help to move the otoconia out of the semicircular canals.

* Vestibular rehabilitation therapy: This therapy can help to improve your balance and coordination, which can be helpful for BPPV.

**It's important to remember that even if BPPV resolves on its own, it can recur. Following the guidance of your doctor, taking preventive measures, and staying active can all help to reduce your risk of future episodes.**
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These procedures are called the Epley maneuver and the Semont maneuver. If you don't want treatment or if treatment doesn't work, BPPV usually goes away by itself within a few weeks. ... But using this kind of medicine can also make BPPV take longer to go away.read more >>