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Why Am I Dizzy Rolling Over In Bed?

A woman with her eyes closed, holding her temples, with a glowing circular motion above her head, symbolizing dizziness or vertigo

Are you dizzy when rolling over in bed? This could be due to Benign Paroxysmal Positional Vertigo (BPPV), a condition caused by clumping crystals in the inner ear.

Causes of Benign Paroxysmal Positional Vertigo (BPPV)

Crystals form in the inner ear due to the dislodgement of tiny calcium carbonate crystals that clump together. Reasons include:

  • Aging: Degeneration of inner ear structures causes otoconia to break loose.
  • Head Trauma: Injuries like concussions dislodge crystals.
  • Ear Infections: Inner ear infections disrupt crystal positioning.
  • Prolonged Bed Rest: Inactivity or bed rest leads to dislodgement.
  • Migraines: Some studies link migraines to loose otoconia.
  • Idiopathic Causes: Unknown causes arising without apparent reason.

When these crystals move into the semicircular canals, they interfere with fluid flow, causing dizziness and spinning, characteristic of BPPV.

An anatomical diagram of the vestibular apparatus, highlighting its key components. The semicircular canals, utricle, and saccule are depicted as part of the balance system. The cochlea, with its spiral structure, is shown alongside labeled sections including the scala vestibuli, cochlear duct, and scala tympani. The membranous ampullae are also identified, illustrating their role in detecting head movement. The image uses a simplified yellow and orange color scheme to emphasize the inner ear’s structure and function.
An instructional medical illustration demonstrating the Dix-Hallpike maneuver, a diagnostic test for benign paroxysmal positional vertigo (BPPV). The top section shows a sequence of steps: the patient sits upright, then turns their head 45 degrees before being quickly laid back with their head tilted 30 degrees below horizontal. The middle section depicts the movement of otolith particles inside the semicircular canals, leading to vertigo. The bottom section illustrates nystagmus (involuntary eye movement), which is a key indicator of BPPV. The image uses a red and beige color scheme with labeled steps and directional arrows.

Diagnosis

If you are dizzy rolling over in bed and it lasts around 20 seconds, you may have BPPV.

Our experienced team can reposition these crystals to an area in the inner ear where they can be reabsorbed, effectively eliminating the dizziness. We use the Dix-Hallpike Maneuver mainly to diagnose BPPV, which most commonly affects the posterior semicircular canal of the inner ear.

 

The Epley Maneuver

If you experience dizziness when rolling over in bed, it would be worthwhile consulting a trained health professional familiar with the diagnosis and treatment of PPV. We offer the highly effective Epley Maneuver, which can often resolve BPPV in just one ses ion. While other maneuvers are available for the less commonly affected canals, they are rarely needed.

If you’re experiencing symptoms of BPPV, we can diagnose and treat the condition effectively, helping you regain your quality of life.