Dizziness is often caused by illnesses that have an effect on the inner ear, including benign paroxysmal positional vertigo (BPPV), migraine and irritation of the inner ear balance equipment (called vestibular neuritis).
Dizziness may also be caused by low blood pressure, some heart problems (such as cardiac arrhythmias), anxiety disorders such as panic attacks or (uncommonly) by hypoglycemia (low blood sugar).
Dizziness could be a symptom of an ear problem too…Visit our exclusive vertigo clinic at Jubilee Hills.
Symptoms of dizziness and vertigo
Descriptions of dizziness may include:
- A sensation of movement (including spinning), either of yourself or the external environment
- Unsteadiness, including finding it difficult to walk in a straight line
- Feeling faint.
Other symptoms that may accompany dizziness include:
- Nausea and vomiting
- Ringing or other sounds in the ears (tinnitus)
- Difficulty hearing
- Staggering gait and loss of coordination (ataxia)
- Unusual eye movements, such as flitting of the eyes (nystagmus)
- Finding it difficult to see clearly when moving, for example, when reading a sign while walking or driving.
Causes of dizziness and vertigo
A wide range of circumstances and diseases can cause dizziness, including:
Inner ear problems – disorders of the inner ear account for about half of all cases of persistent (ongoing) dizziness. Disorders include Meniere’s disease, benign paroxysmal positional vertigo (BPPV) and vestibular neuritis.
Anxiety disorders – stress or anxiety may play a role in causing dizziness or, more commonly, may be a contributing factor in dizziness from other causes, such as inner ear disease.
Brain disorders – a common cause of dizziness is migraine, even without the headache that most people associate with a migraine. Very infrequently, other causes of dizziness can include stroke or other brain diseases.
Other conditions – some cases of dizziness are due to underlying medical conditions such as low blood pressure, infection, some heart problems (such as cardiac arrhythmias) and hypoglycaemia (low blood sugar). Drugs that are used to treat situations such as epilepsy, coronary heart disease and high blood pressure can also cause dizziness in some people.
Unknown causes – although a cause may not be found in some people, it does not necessarily mean that these people cannot be helped by the appropriate treatment.
Diagnosis of dizziness and vertigo
In trying to work out the reason of a person’s dizziness, investigations may include:
medical history, including careful inquiring about the nature of the dizziness
physical assessment, which may include observing eye movements, positional testing and a blood pressure check
specialized hearing or balance testing
CT or MRI scans of the inner ear or brain
other tests relating to specific conditions.
Treatment of dizziness and vertigo
Treatment depends on the cause of the dizziness. If u need doctor appointment contact us
Potential treatment options may include:
canalith positioning procedures, which are a special set of exercises designed to remove inner ear ‘crystals’ in benign paroxysmal positional vertigo (BPPV)
migraine prevention medication
medication to dampen the sensations of dizziness
balancing movements to ‘retrain’ the nervous system, which are usually prescribed by a vestibular physiotherapist
counseling and cognitive behaviour therapy where anxiety or stress is a factor.
Where to get help
Maa ENT Hospitals Help line call +91 9000 185 185 – for expert health information and advice (24 hours, 7 days)
Generally, most dizziness is caused by troubles of the inner ear and is treatable.
Common causes of inner ear dizziness include kindly paroxysmal positional vertigo (BPPV), migraine and inflammation of the inner ear balance apparatus called vestibular neuritis.