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

### input:
my wife(56) suffering from vestibular dysfunction as said by local doctors.Symptoms are as follows: in early dawn when in sleep if she turns her head to the right on a pillow she feels a severe vertigo she feels that everything around her are rotating round her and she will be thrown away from the bed.She can turn her head towards roof but same symptoms prevail, only she gets relief if she completely turns her to the left.According to local ENT Specialist fluid in her right ear which balance signals to the brain has been dried up.A audiogram for PTA, Impedance ,SRT says Bil.High Frequency Hearing loss.A CT scan of brain says Mild aggregated degenerative cortical atrophy of the brain.She is taking 48mg bitahistin hydrochloride BP, 15 mg vinpocetine daily for last 8 months.She used to experience pain and a distant sound as if of running speed boat in her right ear which is now gradually dying. She has migraine for 25 years.We at a loss would please tell us what to do next?

### output:

Hi, thank you for providing the brief history of your wife. As you mentioned she is having vestibular dysfunction, and you have been visiting the ENT and taken all possible consultation and medicines. Since you mentioned even about the steps you took all have been trying to help your wife for the best. Medical has been trying to help at their best. I would like to provide some more input here. You need to look forward with meeting a physical therapist as he will help your wife with vestibular exercises. This exercises will help avoid the giddiness, pain, and manage the fluid movements also. I request you to look for the physical therapist as along with exercise the medicine will help better. With the grace of God I wish your wife a healthy life. For more questions on vestibular exercises you can ask any timeregardsJay In Chat Doctor. 