### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am having a reoccurrance of the BPPV - right ear- that I had in April.  I had the Epley and Semont done by the OT/PT a few times, followed by several weeks of Brabdt Daroff at home.  Symptoms inproved significantly although left with some residual slight dizziness intermitt. mostly during the day.   After a recent URI and trauma to my right check (when hit in the right side of my face by an overhead steel bar on our boat)  - I am having BPPV symtoms again - spinning when trying to turn or lle on Right side at night and slight dizziness and slightly off-balance during the day.  I resumed the B/D exercise a week ago (3-5 reps TID starting on right side ) and it elicites 5-8 sec burst of spinning on 1st rep of each session - right side only.  2nd and 3rd reps usually cause no symptoms.  Would the Epley manuever be better for me?  If so what time of day should I do it and how many reps?  Do I really have to sleep sitting up for 2 days after epley?

### output:

Hello, Welcome to Chat Doctor, Benign paroxysmal positional vertigo (BPPV) is the most common disorder of the inner ear vestibular system. BPPV produces a sensation of spinning called vertigo that is both paroxysmal and positional, and it occurs suddenly and with a change in head position. BPPV can be managed by following methods1. Head exercises (Ella and Lemont maneuvers). 2. Vestibular suppressants such as antihistamines and sedatives can be used if the symptoms are severe. 3. Antiemetic medicines may also be used to reduce nausea and vomiting that can occur with vertigo.4. Surgery may be used to treat BPPV. Thank you