Dizziness and Nausea: 9 Possible Causes

We’ve all been there. That spell of dizziness when you get light-headed, off-balance, or feel like you’re spinning. If you get nausea along with it, it could be due to problems like vertigo, migraine, or low blood pressure.

Usually, dizziness with nausea isn’t serious. But if you have these symptoms and you don’t know what caused them, or they happen often, tell your doctor.

Vertigo

Vertigo is the feeling that you’re spinning or moving when you’re still. A problem with the part of your inner ear that keeps your body balanced causes this symptom.

If you have vertigo, you might also have trouble keeping your balance and throw up.

Vertigo sometimes goes away on its own. If not, your doctor will treat the cause of the problem.

Some medicines can ease your dizziness. So can an exercise called the Epley maneuver, which involves moving your head into a different position.

If your dizziness is severe, call your doctor. You should also see them if you:

Alcohol Use

Drinking too much can lead to a bad case of the spins. The reason you feel dizzy is that alcohol thins your blood, which changes the balance of fluid in your inner ear. And the dizziness can make you feel nauseated. The alcohol can also irritate your stomach, which adds to the nausea.

If you’ve had too much to drink, you might also have symptoms such as:

• Slurred speech
• Red face
• Double vision
• Sleepiness
• Slowed reflexes

To avoid these problems, limit how much alcohol you drink. If you want to stop drinking but can’t, get help from your doctor or a program like Alcoholics Anonymous.

Get medical help right away if you or someone you’re with has symptoms like these after drinking alcohol:

• Trouble staying awake
• Slow breathing
• Cold, clammy, pale skin
• Confusion
• Seizures
• Throwing up over and over again

Motion Sickness

Motion sickness is dizziness and nausea when you ride in a car, train, airplane, boat, or amusement park ride. Some people get it just from watching TV or a movie. The feeling happens when there is a conflict between what you see and how your body senses movement.

Continued

Motion sickness also causes symptoms like these:

• Throwing up
• Pale skin
• Sweating
• Headache
• Crankiness

To prevent motion sickness, ask your doctor for suggestions of medicines that you can take before you travel by plane, car, or boat. Don’t eat a big meal before you go, and drink lots of water along the way. Sit next to a window and look out into the distance.

Pregnancy

Morning sickness and dizziness are common early signs of pregnancy. Both symptoms are likely due to hormone changes.

Other signs that you’re pregnant are:

Call your doctor if you get these signs of severe nausea (hyperemesis gravidarum):

• Throw up more than three or four times a day, or you can’t keep any food down
• Have a dry mouth and you don’t pee much
• Lose more than 5 pounds
• Belly or pelvic pain and cramping
• Fever

Throwing up too much can dehydrate you. You may need to get fluids through an IV in a hospital.

Anxiety Attack

An anxiety or panic attack happens when you’re faced with extreme stress and your body goes into fight-or-flight mode. The cause is emotional, but the symptoms are physical.

Along with dizziness and nausea, a panic attack can cause symptoms like:

• Fast heartbeat
• Shortness of breath
• Shaking
• Tightness in your chest
• Feeling hot or cold
• Sweating

The panic attack should stop on its own. If you often get these attacks, talk therapy and medication may help.

An anxiety attack can feel like a heart attack. Sometimes it’s hard to tell the difference.

Call your doctor or 911 if you:

• Suddenly feel anxious for no reason
• Still have symptoms after a few minutes
• Also have chest pain or can’t catch your breath

Low Blood Sugar

Sugar (glucose) is your body’s main source of fuel. When your blood sugar dips too low, you’ll feel shaky, dizzy, and nauseated. Low blood sugar, or hypoglycemia, is common in people who take medicine for diabetes.

Other symptoms of low blood sugar are:

• Sweating
• Shaking
• Pale skin
• Headache
• Crankiness or confusion

Continued

Eat fast-acting carbs like these to raise your blood sugar:

• Fruit juice
• Soda
• Honey
• Hard candy, such as suckers or jelly beans

Once your blood sugar comes back up, eat a snack or a meal to keep it stable.

Call your doctor or 911 if your blood sugar doesn’t go up after you eat something sweet.

Migraine

Migraine is a type of headache that causes severe and throbbing pain, often on one side of the head. Some people feel dizzy or nauseated when they get one of these headaches.

Some other symptoms you might have with a migraine are:

• Spots or flashes of light called aura
• Feel sensitive to light, sound, and smells
• Blurred vision

Your doctor can suggest medicines to prevent and treat migraine headaches.

Get medical help right away if:

• Your pain is intense, or it feels like the worst headache of your life
• You have a stiff neck, fever, seizures, double vision, weakness, or trouble speaking
• The headache started after a head injury, or when you coughed, sneezed, or strained

Heart Attack

A heart attack happens when a clot blocks blood flow to the heart. The lack of oxygen- and nutrient-rich blood can damage the heart muscle. Dizziness and nausea can be symptoms.

This is a medical emergency that needs fast treatment. Call 911 or go to an emergency room right away if you have symptoms like:

• Pain, tightness, or pressure in your chest that may spread to your neck, jaw, or arms
• Shortness of breath
• Cold sweat
• Fatigue

Doctors treat a heart attack with medicines that break up blood clots and stop new ones from forming. Surgery can clear or bypass the blockage.

Brain Tumor

Rarely, dizziness and nausea are signs of a brain tumor. Other symptoms are:

• Severe headaches
• Seizures
• Changes in your vision, hearing, or sense of smell
• Personality changes
• Loss of balance

Treatment depends on the size and type of tumor. Surgery, radiation therapy, and chemotherapy are all possible treatments.

Call your doctor if you have:

• New or severe headaches
• Vision loss, blurred vision, or double vision
• Seizures for the first time in your life
• Changes in your balance
• Trouble speaking

Dizziness and fatigue: 5 causes and treatments

We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission. Here’s our process.

Fatigue is described as an extreme physical and mental tiredness that does not go away with rest or sleep. Dizziness can refer to lightheadedness, unsteadiness, or vertigo.

Both symptoms result from a number of health states and conditions, only some of which are serious.

Here, we look at five common causes of dizziness and fatigue. We also discuss associated symptoms, and what can be done to help.

Share on PinterestDizziness and fatigue may be caused by hypoglycemia, concussion, or iron-deficiency anemia (IDA).

A wide variety of conditions can cause both dizziness and fatigue. Below are five of the most common causes of both symptoms.

1. Chronic fatigue syndrome (CFS)

As indicated in the name, fatigue is the main symptom of CFS, and it can be so severe that it creates difficulty in performing everyday tasks. The condition is also known as myalgic encephalomyelitis.

In addition to fatigue and dizziness, a person with CFS may experience:

• sleep problems
• muscle or joint pain
• headaches
• a sore throat
• difficulty thinking, remembering, or concentrating
• a fast or irregular heartbeat

The symptoms may be mild, moderate, or severe, and tend to worsen after exercise.

2. Hypoglycemia

Hypoglycemia happens when the level of glucose in the blood drops below normal levels. It is also known as low blood glucose or low blood sugar.

The condition commonly occurs in cases of insulin-dependent diabetes. People with this long-term condition do not properly process glucose, the body’s main energy source, and they require supplementation with insulin.

Symptoms of mild to moderate hypoglycemia can vary from person to person. They tend to come on quickly and may include fatigue and dizziness.

People with hypoglycemia can also experience any combination of the following symptoms:

• being shaky or jittery
• excessive sweating
• hunger
• headache
• blurred vision
• confusion
• poor coordination
• trouble concentrating
• weakness
• a fast or irregular heartbeat

People with severe hypoglycemia may be unable to eat or drink. They may experience seizures or convulsions and can even lose consciousness.

Severe hypoglycemia is dangerous and needs to be managed right away.

3. Iron-deficiency anemia (IDA)

Iron helps to carry oxygen around the body, maintaining healthy cells and tissues.

A lack of iron can lead to iron-deficiency anemia (IDA), which may cause dizziness and fatigue.

Other symptoms can include:

• pale or yellow skin
• shortness of breath or chest pain
• rapid heartbeat
• a pounding or “whooshing” noise in the ears
• brittle nails or hair loss

Those most at risk of IDA are:

• vegetarians or vegans
• people who are pregnant
• people who have heavy periods
• others who have lost a lot of blood

Underlying health conditions, such as peptic ulcer disease, celiac disease, and inflammatory bowel disease, can also increase the risk of developing IDA.

4. Concussion

Share on PinterestSymptoms of concussion may include headache, confusion, dizziness, fatigue, and nausea.

A concussion is a temporary brain injury, caused by a knock to the head. The injury can last a few days or weeks.

Symptoms usually appear within a few minutes of the impact, and can include:

• dizziness and fatigue
• headache
• nausea or vomiting
• confusion
• memory loss
• balance problems
• mood swings
• blurred or doubled vision

5. Migraine

A migraine is a type of throbbing, pounding headache that can last anywhere from a few hours to several days. Migraines can diminish a person’s ability to perform daily activities.

They are often accompanied by symptoms such as:

• feeling sensitive to light and sound
• nausea and vomiting

A person may experience an “aura” immediately before their migraine begins.

This can refer to:

• seeing flashes or spots of light
• a feeling of pins and needles in the face or arms
• trouble thinking and speaking

Anyone who experiences repeated episodes of dizziness and fatigue should speak to a doctor. This is particularly true if a person suspects that they have a chronic illness, such as CFS or diabetes mellitus. These require long-term management.

The symptoms below may indicate concussion. Immediately seek medical attention if any of the following are present after a head injury:

• unconsciousness
• memory problems
• a headache that will not go away
• continual vomiting
• changes in behavior

Share on PinterestAn increase of iron-rich food, such as broccoli, in the diet may help to prevent IDA.

Treatment options depend on the cause of the symptoms.

In the event of CFS, there is no cure or approved treatment, though some symptoms may be manageable.

Specialists tend to recommend habits that help to manage sleep problems. These can include having a regular bedtime, and removing TVs and computers from the bedroom. Gradual increases in exercise can also help with fatigue.

A doctor may recommend wearing support stockings, which can help with dizziness and light-headedness.

Because the cause of CFS is unknown, there is no known prevention.

In people with diabetes mellitus, mild to moderate hypoglycemia is managed by consuming glucose. People can do this in many ways. Some may consume four glucose tablets or a tube of gel. Others may prefer half a cup of fruit juice, or a tablespoon of sugar, honey, or corn syrup.

If a person with diabetes mellitus frequently needs to consume extra glucose, this shows that their condition is not being appropriately managed. Changes should be made to the dosage of insulin or other medications.

Severe hypoglycemia requires hospital treatment. People with diabetes mellitus are advised to eat regular meals and check their blood glucose levels frequently, to avoid hypoglycemia.

A doctor manages IDA by increasing the person’s intake of iron, usually with supplements. To prevent IDA, a diet rich in iron is recommended. Good sources of iron include:

• meat
• fish
• legumes
• leafy green vegetables, such as broccoli and kale

Iron supplements are available for purchase online.

Anyone with a concussion should get plenty of rest, and avoid mentally taxing activities and alcohol. Acetaminophen is recommended to manage associated headaches and is available for purchase over the counter or online.

The best treatments for migraines vary from person to person. Some find relief by using painkillers, such as aspirin or ibuprofen, available for purchase online. Others may prefer antinausea medications. Prescription medications are also available.

Avoiding the factors that trigger migraines can help prevent their occurrence. These triggers also vary but can include stress, certain foods, and sleeping too much or too little.

Dizziness and fatigue are common symptoms of a range of conditions. In most cases, the underlying cause can be managed, either at home or by a healthcare provider.

If the cause of simultaneous dizziness and fatigue is unknown, it may be a good idea to consult a doctor.

Dizziness and fatigue: 5 causes and treatments

We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission. Here’s our process.

Fatigue is described as an extreme physical and mental tiredness that does not go away with rest or sleep. Dizziness can refer to lightheadedness, unsteadiness, or vertigo.

Both symptoms result from a number of health states and conditions, only some of which are serious.

Here, we look at five common causes of dizziness and fatigue. We also discuss associated symptoms, and what can be done to help.

Share on PinterestDizziness and fatigue may be caused by hypoglycemia, concussion, or iron-deficiency anemia (IDA).

A wide variety of conditions can cause both dizziness and fatigue. Below are five of the most common causes of both symptoms.

1. Chronic fatigue syndrome (CFS)

As indicated in the name, fatigue is the main symptom of CFS, and it can be so severe that it creates difficulty in performing everyday tasks. The condition is also known as myalgic encephalomyelitis.

In addition to fatigue and dizziness, a person with CFS may experience:

• sleep problems
• muscle or joint pain
• headaches
• a sore throat
• difficulty thinking, remembering, or concentrating
• a fast or irregular heartbeat

The symptoms may be mild, moderate, or severe, and tend to worsen after exercise.

2. Hypoglycemia

Hypoglycemia happens when the level of glucose in the blood drops below normal levels. It is also known as low blood glucose or low blood sugar.

The condition commonly occurs in cases of insulin-dependent diabetes. People with this long-term condition do not properly process glucose, the body’s main energy source, and they require supplementation with insulin.

Symptoms of mild to moderate hypoglycemia can vary from person to person. They tend to come on quickly and may include fatigue and dizziness.

People with hypoglycemia can also experience any combination of the following symptoms:

• being shaky or jittery
• excessive sweating
• hunger
• headache
• blurred vision
• confusion
• poor coordination
• trouble concentrating
• weakness
• a fast or irregular heartbeat

People with severe hypoglycemia may be unable to eat or drink. They may experience seizures or convulsions and can even lose consciousness.

Severe hypoglycemia is dangerous and needs to be managed right away.

3. Iron-deficiency anemia (IDA)

Iron helps to carry oxygen around the body, maintaining healthy cells and tissues.

A lack of iron can lead to iron-deficiency anemia (IDA), which may cause dizziness and fatigue.

Other symptoms can include:

• pale or yellow skin
• shortness of breath or chest pain
• rapid heartbeat
• a pounding or “whooshing” noise in the ears
• brittle nails or hair loss

Those most at risk of IDA are:

• vegetarians or vegans
• people who are pregnant
• people who have heavy periods
• others who have lost a lot of blood

Underlying health conditions, such as peptic ulcer disease, celiac disease, and inflammatory bowel disease, can also increase the risk of developing IDA.

4. Concussion

Share on PinterestSymptoms of concussion may include headache, confusion, dizziness, fatigue, and nausea.

A concussion is a temporary brain injury, caused by a knock to the head. The injury can last a few days or weeks.

Symptoms usually appear within a few minutes of the impact, and can include:

• dizziness and fatigue
• headache
• nausea or vomiting
• confusion
• memory loss
• balance problems
• mood swings
• blurred or doubled vision

5. Migraine

A migraine is a type of throbbing, pounding headache that can last anywhere from a few hours to several days. Migraines can diminish a person’s ability to perform daily activities.

They are often accompanied by symptoms such as:

• feeling sensitive to light and sound
• nausea and vomiting

A person may experience an “aura” immediately before their migraine begins.

This can refer to:

• seeing flashes or spots of light
• a feeling of pins and needles in the face or arms
• trouble thinking and speaking

Anyone who experiences repeated episodes of dizziness and fatigue should speak to a doctor. This is particularly true if a person suspects that they have a chronic illness, such as CFS or diabetes mellitus. These require long-term management.

The symptoms below may indicate concussion. Immediately seek medical attention if any of the following are present after a head injury:

• unconsciousness
• memory problems
• a headache that will not go away
• continual vomiting
• changes in behavior

Share on PinterestAn increase of iron-rich food, such as broccoli, in the diet may help to prevent IDA.

Treatment options depend on the cause of the symptoms.

In the event of CFS, there is no cure or approved treatment, though some symptoms may be manageable.

Specialists tend to recommend habits that help to manage sleep problems. These can include having a regular bedtime, and removing TVs and computers from the bedroom. Gradual increases in exercise can also help with fatigue.

A doctor may recommend wearing support stockings, which can help with dizziness and light-headedness.

Because the cause of CFS is unknown, there is no known prevention.

In people with diabetes mellitus, mild to moderate hypoglycemia is managed by consuming glucose. People can do this in many ways. Some may consume four glucose tablets or a tube of gel. Others may prefer half a cup of fruit juice, or a tablespoon of sugar, honey, or corn syrup.

If a person with diabetes mellitus frequently needs to consume extra glucose, this shows that their condition is not being appropriately managed. Changes should be made to the dosage of insulin or other medications.

Severe hypoglycemia requires hospital treatment. People with diabetes mellitus are advised to eat regular meals and check their blood glucose levels frequently, to avoid hypoglycemia.

A doctor manages IDA by increasing the person’s intake of iron, usually with supplements. To prevent IDA, a diet rich in iron is recommended. Good sources of iron include:

• meat
• fish
• legumes
• leafy green vegetables, such as broccoli and kale

Iron supplements are available for purchase online.

Anyone with a concussion should get plenty of rest, and avoid mentally taxing activities and alcohol. Acetaminophen is recommended to manage associated headaches and is available for purchase over the counter or online.

The best treatments for migraines vary from person to person. Some find relief by using painkillers, such as aspirin or ibuprofen, available for purchase online. Others may prefer antinausea medications. Prescription medications are also available.

Avoiding the factors that trigger migraines can help prevent their occurrence. These triggers also vary but can include stress, certain foods, and sleeping too much or too little.

Dizziness and fatigue are common symptoms of a range of conditions. In most cases, the underlying cause can be managed, either at home or by a healthcare provider.

If the cause of simultaneous dizziness and fatigue is unknown, it may be a good idea to consult a doctor.

Dizziness and fatigue: 5 causes and treatments

We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission. Here’s our process.

Fatigue is described as an extreme physical and mental tiredness that does not go away with rest or sleep. Dizziness can refer to lightheadedness, unsteadiness, or vertigo.

Both symptoms result from a number of health states and conditions, only some of which are serious.

Here, we look at five common causes of dizziness and fatigue. We also discuss associated symptoms, and what can be done to help.

Share on PinterestDizziness and fatigue may be caused by hypoglycemia, concussion, or iron-deficiency anemia (IDA).

A wide variety of conditions can cause both dizziness and fatigue. Below are five of the most common causes of both symptoms.

1. Chronic fatigue syndrome (CFS)

As indicated in the name, fatigue is the main symptom of CFS, and it can be so severe that it creates difficulty in performing everyday tasks. The condition is also known as myalgic encephalomyelitis.

In addition to fatigue and dizziness, a person with CFS may experience:

• sleep problems
• muscle or joint pain
• headaches
• a sore throat
• difficulty thinking, remembering, or concentrating
• a fast or irregular heartbeat

The symptoms may be mild, moderate, or severe, and tend to worsen after exercise.

2. Hypoglycemia

Hypoglycemia happens when the level of glucose in the blood drops below normal levels. It is also known as low blood glucose or low blood sugar.

The condition commonly occurs in cases of insulin-dependent diabetes. People with this long-term condition do not properly process glucose, the body’s main energy source, and they require supplementation with insulin.

Symptoms of mild to moderate hypoglycemia can vary from person to person. They tend to come on quickly and may include fatigue and dizziness.

People with hypoglycemia can also experience any combination of the following symptoms:

• being shaky or jittery
• excessive sweating
• hunger
• headache
• blurred vision
• confusion
• poor coordination
• trouble concentrating
• weakness
• a fast or irregular heartbeat

People with severe hypoglycemia may be unable to eat or drink. They may experience seizures or convulsions and can even lose consciousness.

Severe hypoglycemia is dangerous and needs to be managed right away.

3. Iron-deficiency anemia (IDA)

Iron helps to carry oxygen around the body, maintaining healthy cells and tissues.

A lack of iron can lead to iron-deficiency anemia (IDA), which may cause dizziness and fatigue.

Other symptoms can include:

• pale or yellow skin
• shortness of breath or chest pain
• rapid heartbeat
• a pounding or “whooshing” noise in the ears
• brittle nails or hair loss

Those most at risk of IDA are:

• vegetarians or vegans
• people who are pregnant
• people who have heavy periods
• others who have lost a lot of blood

Underlying health conditions, such as peptic ulcer disease, celiac disease, and inflammatory bowel disease, can also increase the risk of developing IDA.

4. Concussion

Share on PinterestSymptoms of concussion may include headache, confusion, dizziness, fatigue, and nausea.

A concussion is a temporary brain injury, caused by a knock to the head. The injury can last a few days or weeks.

Symptoms usually appear within a few minutes of the impact, and can include:

• dizziness and fatigue
• headache
• nausea or vomiting
• confusion
• memory loss
• balance problems
• mood swings
• blurred or doubled vision

5. Migraine

A migraine is a type of throbbing, pounding headache that can last anywhere from a few hours to several days. Migraines can diminish a person’s ability to perform daily activities.

They are often accompanied by symptoms such as:

• feeling sensitive to light and sound
• nausea and vomiting

A person may experience an “aura” immediately before their migraine begins.

This can refer to:

• seeing flashes or spots of light
• a feeling of pins and needles in the face or arms
• trouble thinking and speaking

Anyone who experiences repeated episodes of dizziness and fatigue should speak to a doctor. This is particularly true if a person suspects that they have a chronic illness, such as CFS or diabetes mellitus. These require long-term management.

The symptoms below may indicate concussion. Immediately seek medical attention if any of the following are present after a head injury:

• unconsciousness
• memory problems
• a headache that will not go away
• continual vomiting
• changes in behavior

Share on PinterestAn increase of iron-rich food, such as broccoli, in the diet may help to prevent IDA.

Treatment options depend on the cause of the symptoms.

In the event of CFS, there is no cure or approved treatment, though some symptoms may be manageable.

Specialists tend to recommend habits that help to manage sleep problems. These can include having a regular bedtime, and removing TVs and computers from the bedroom. Gradual increases in exercise can also help with fatigue.

A doctor may recommend wearing support stockings, which can help with dizziness and light-headedness.

Because the cause of CFS is unknown, there is no known prevention.

In people with diabetes mellitus, mild to moderate hypoglycemia is managed by consuming glucose. People can do this in many ways. Some may consume four glucose tablets or a tube of gel. Others may prefer half a cup of fruit juice, or a tablespoon of sugar, honey, or corn syrup.

If a person with diabetes mellitus frequently needs to consume extra glucose, this shows that their condition is not being appropriately managed. Changes should be made to the dosage of insulin or other medications.

Severe hypoglycemia requires hospital treatment. People with diabetes mellitus are advised to eat regular meals and check their blood glucose levels frequently, to avoid hypoglycemia.

A doctor manages IDA by increasing the person’s intake of iron, usually with supplements. To prevent IDA, a diet rich in iron is recommended. Good sources of iron include:

• meat
• fish
• legumes
• leafy green vegetables, such as broccoli and kale

Iron supplements are available for purchase online.

Anyone with a concussion should get plenty of rest, and avoid mentally taxing activities and alcohol. Acetaminophen is recommended to manage associated headaches and is available for purchase over the counter or online.

The best treatments for migraines vary from person to person. Some find relief by using painkillers, such as aspirin or ibuprofen, available for purchase online. Others may prefer antinausea medications. Prescription medications are also available.

Avoiding the factors that trigger migraines can help prevent their occurrence. These triggers also vary but can include stress, certain foods, and sleeping too much or too little.

Dizziness and fatigue are common symptoms of a range of conditions. In most cases, the underlying cause can be managed, either at home or by a healthcare provider.

If the cause of simultaneous dizziness and fatigue is unknown, it may be a good idea to consult a doctor.

Dizziness and fatigue: 5 causes and treatments

We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission. Here’s our process.

Fatigue is described as an extreme physical and mental tiredness that does not go away with rest or sleep. Dizziness can refer to lightheadedness, unsteadiness, or vertigo.

Both symptoms result from a number of health states and conditions, only some of which are serious.

Here, we look at five common causes of dizziness and fatigue. We also discuss associated symptoms, and what can be done to help.

Share on PinterestDizziness and fatigue may be caused by hypoglycemia, concussion, or iron-deficiency anemia (IDA).

A wide variety of conditions can cause both dizziness and fatigue. Below are five of the most common causes of both symptoms.

1. Chronic fatigue syndrome (CFS)

As indicated in the name, fatigue is the main symptom of CFS, and it can be so severe that it creates difficulty in performing everyday tasks. The condition is also known as myalgic encephalomyelitis.

In addition to fatigue and dizziness, a person with CFS may experience:

• sleep problems
• muscle or joint pain
• headaches
• a sore throat
• difficulty thinking, remembering, or concentrating
• a fast or irregular heartbeat

The symptoms may be mild, moderate, or severe, and tend to worsen after exercise.

2. Hypoglycemia

Hypoglycemia happens when the level of glucose in the blood drops below normal levels. It is also known as low blood glucose or low blood sugar.

The condition commonly occurs in cases of insulin-dependent diabetes. People with this long-term condition do not properly process glucose, the body’s main energy source, and they require supplementation with insulin.

Symptoms of mild to moderate hypoglycemia can vary from person to person. They tend to come on quickly and may include fatigue and dizziness.

People with hypoglycemia can also experience any combination of the following symptoms:

• being shaky or jittery
• excessive sweating
• hunger
• headache
• blurred vision
• confusion
• poor coordination
• trouble concentrating
• weakness
• a fast or irregular heartbeat

People with severe hypoglycemia may be unable to eat or drink. They may experience seizures or convulsions and can even lose consciousness.

Severe hypoglycemia is dangerous and needs to be managed right away.

3. Iron-deficiency anemia (IDA)

Iron helps to carry oxygen around the body, maintaining healthy cells and tissues.

A lack of iron can lead to iron-deficiency anemia (IDA), which may cause dizziness and fatigue.

Other symptoms can include:

• pale or yellow skin
• shortness of breath or chest pain
• rapid heartbeat
• a pounding or “whooshing” noise in the ears
• brittle nails or hair loss

Those most at risk of IDA are:

• vegetarians or vegans
• people who are pregnant
• people who have heavy periods
• others who have lost a lot of blood

Underlying health conditions, such as peptic ulcer disease, celiac disease, and inflammatory bowel disease, can also increase the risk of developing IDA.

4. Concussion

Share on PinterestSymptoms of concussion may include headache, confusion, dizziness, fatigue, and nausea.

A concussion is a temporary brain injury, caused by a knock to the head. The injury can last a few days or weeks.

Symptoms usually appear within a few minutes of the impact, and can include:

• dizziness and fatigue
• headache
• nausea or vomiting
• confusion
• memory loss
• balance problems
• mood swings
• blurred or doubled vision

5. Migraine

A migraine is a type of throbbing, pounding headache that can last anywhere from a few hours to several days. Migraines can diminish a person’s ability to perform daily activities.

They are often accompanied by symptoms such as:

• feeling sensitive to light and sound
• nausea and vomiting

A person may experience an “aura” immediately before their migraine begins.

This can refer to:

• seeing flashes or spots of light
• a feeling of pins and needles in the face or arms
• trouble thinking and speaking

Anyone who experiences repeated episodes of dizziness and fatigue should speak to a doctor. This is particularly true if a person suspects that they have a chronic illness, such as CFS or diabetes mellitus. These require long-term management.

The symptoms below may indicate concussion. Immediately seek medical attention if any of the following are present after a head injury:

• unconsciousness
• memory problems
• a headache that will not go away
• continual vomiting
• changes in behavior

Share on PinterestAn increase of iron-rich food, such as broccoli, in the diet may help to prevent IDA.

Treatment options depend on the cause of the symptoms.

In the event of CFS, there is no cure or approved treatment, though some symptoms may be manageable.

Specialists tend to recommend habits that help to manage sleep problems. These can include having a regular bedtime, and removing TVs and computers from the bedroom. Gradual increases in exercise can also help with fatigue.

A doctor may recommend wearing support stockings, which can help with dizziness and light-headedness.

Because the cause of CFS is unknown, there is no known prevention.

In people with diabetes mellitus, mild to moderate hypoglycemia is managed by consuming glucose. People can do this in many ways. Some may consume four glucose tablets or a tube of gel. Others may prefer half a cup of fruit juice, or a tablespoon of sugar, honey, or corn syrup.

If a person with diabetes mellitus frequently needs to consume extra glucose, this shows that their condition is not being appropriately managed. Changes should be made to the dosage of insulin or other medications.

Severe hypoglycemia requires hospital treatment. People with diabetes mellitus are advised to eat regular meals and check their blood glucose levels frequently, to avoid hypoglycemia.

A doctor manages IDA by increasing the person’s intake of iron, usually with supplements. To prevent IDA, a diet rich in iron is recommended. Good sources of iron include:

• meat
• fish
• legumes
• leafy green vegetables, such as broccoli and kale

Iron supplements are available for purchase online.

Anyone with a concussion should get plenty of rest, and avoid mentally taxing activities and alcohol. Acetaminophen is recommended to manage associated headaches and is available for purchase over the counter or online.

The best treatments for migraines vary from person to person. Some find relief by using painkillers, such as aspirin or ibuprofen, available for purchase online. Others may prefer antinausea medications. Prescription medications are also available.

Avoiding the factors that trigger migraines can help prevent their occurrence. These triggers also vary but can include stress, certain foods, and sleeping too much or too little.

Dizziness and fatigue are common symptoms of a range of conditions. In most cases, the underlying cause can be managed, either at home or by a healthcare provider.

If the cause of simultaneous dizziness and fatigue is unknown, it may be a good idea to consult a doctor.

Feeling nauseous and dizzy: Symptoms and treatments

Many different factors or conditions may cause nausea and dizziness.

Headaches

Not all headaches cause head pain alone. With some types of headaches, nausea and dizziness might be the most noticeable symptoms.

Migraine headaches are neurological headaches that can cause vision problems, dizziness, unusual sensations, and vomiting, with or without head pain.

Some people also notice dizziness and nausea with other types of headaches, especially if the pain is very intense.

Many people who have a migraine headache also experience chronic pain. Some migraines develop in response to specific triggers, such as stress or caffeine.

Drugs and alcohol

Getting drunk or high can cause dizziness or nausea. As the body works to get rid of toxins, such as alcohol, a person may vomit.

Some prescription medications may also cause dizziness and vomiting, especially when they affect brain functioning.

People who notice these symptoms after starting a new drug should tell a doctor. Some of the most common drugs that may cause dizziness and nausea include:

Motion sickness

Motion sickness can happen when the body perceives unusual motion. This may occur when a person is not moving but is more likely when a person is in a moving vehicle, such as a car, boat, or plane.

Motion sickness can cause nausea, headaches, and dizziness. Some people experience other symptoms, such as yawning, drowsiness, or sweating.

It usually gets better once a person gets out of a moving vehicle.

When a person who is not in a moving vehicle experiences motion sickness, something has usually triggered the sensation, such as watching someone else move, a video game, or a video with movement.

Motion sickness is not dangerous.

Stomach illnesses

A stomach virus or bacterial infection can cause nausea and vomiting. Some people with a stomach infection also feel dizzy or become dizzy because of dehydration.

One of the most common causes of stomach illnesses is norovirus. This highly contagious infection causes vomiting and nausea that can last for a day or longer. Some people also get a fever, headache, or muscle pain.

Bacterial infections, often from food, may also cause stomach illnesses.

Salmonella and Escherichia coli bacteria are two of the most common causes.

While most such infections clear on their own, these illnesses can cause dangerous dehydration in young children, the elderly, and people with underlying medical conditions.

Other infections

Numerous other infections, ranging from mild to life-threatening, may cause nausea and dizziness.

In most cases, a person will also get a fever. Some infections that might cause nausea and dizziness include:

• herpes zoster oticus, a rare variant of herpes that infects the ear
• any ear infection, especially of the inner ear
• infections of the eye that affect vision, since this may cause a person to feel dizzy

Any untreated infection can spread to other areas of the body, causing a condition called sepsis. Sepsis may cause dizziness and nausea, but it is a life threatening condition, and people need immediate medical treatment.

Dehydration

Sometimes dehydration can make a person feel dizzy.

Dehydration is relatively common after an episode of vomiting, so people who are dehydrated may already feel nauseated.

Drinking plenty of fluids may ease the dizziness. People who cannot keep anything down should see a doctor.

Anxiety

Anxiety is more than just a psychological sensation. It can also cause physical symptoms.

Some people experience dizziness and nausea as a result of anxiety. People’s symptoms may worsen if the dizziness and nausea cause even more worry and anxiety.

Anxiety is the most likely cause of dizziness and nausea if a person’s symptoms worsen when they feel stressed or overwhelmed or after a panic attack.

Pregnancy

Morning sickness is one of the most common early pregnancy symptoms.

It can cause nausea and sometimes dizziness and vomiting.

Morning sickness can be very unpleasant but is not dangerous unless a person cannot keep down food and becomes dehydrated.

People who feel dizzy and who cannot stop vomiting should see a doctor immediately.

Vertigo

Vertigo is not a single diagnosis but rather a group of symptoms that cause dizziness and sometimes nausea or spinning sensations.

One of the most common types of vertigo is benign paroxysmal positional vertigo. This happens when tiny crystals in the inner ear move, making it difficult for the brain to assess movement.

A doctor can treat this condition, as well as other types of vertigo.

Brain injuries and tumors

Brain injuries are the most serious potential cause of nausea and dizziness but also the least common.

A stroke happens when a blockage in a blood vessel or a bleeding vessel disrupts blood flow to the brain.

It is more common with people who have risk factors for cardiovascular disease, including people over 50, those with high blood pressure, and people who lead a sedentary lifestyle. However, anyone can have a stroke.

Symptoms of a stroke include numbness or tingling on one side of the body, a drooping face, confusion, and muscle weakness on one side of the body. Nausea and dizziness are not typically the only symptoms.

Very rarely, a brain tumor might cause nausea or dizziness. It almost always causes other symptoms, such as headaches, balance issues, vision problems, and personality changes.

Feeling nauseous and dizzy: Symptoms and treatments

Many different factors or conditions may cause nausea and dizziness.

Headaches

Not all headaches cause head pain alone. With some types of headaches, nausea and dizziness might be the most noticeable symptoms.

Migraine headaches are neurological headaches that can cause vision problems, dizziness, unusual sensations, and vomiting, with or without head pain.

Some people also notice dizziness and nausea with other types of headaches, especially if the pain is very intense.

Many people who have a migraine headache also experience chronic pain. Some migraines develop in response to specific triggers, such as stress or caffeine.

Drugs and alcohol

Getting drunk or high can cause dizziness or nausea. As the body works to get rid of toxins, such as alcohol, a person may vomit.

Some prescription medications may also cause dizziness and vomiting, especially when they affect brain functioning.

People who notice these symptoms after starting a new drug should tell a doctor. Some of the most common drugs that may cause dizziness and nausea include:

Motion sickness

Motion sickness can happen when the body perceives unusual motion. This may occur when a person is not moving but is more likely when a person is in a moving vehicle, such as a car, boat, or plane.

Motion sickness can cause nausea, headaches, and dizziness. Some people experience other symptoms, such as yawning, drowsiness, or sweating.

It usually gets better once a person gets out of a moving vehicle.

When a person who is not in a moving vehicle experiences motion sickness, something has usually triggered the sensation, such as watching someone else move, a video game, or a video with movement.

Motion sickness is not dangerous.

Stomach illnesses

A stomach virus or bacterial infection can cause nausea and vomiting. Some people with a stomach infection also feel dizzy or become dizzy because of dehydration.

One of the most common causes of stomach illnesses is norovirus. This highly contagious infection causes vomiting and nausea that can last for a day or longer. Some people also get a fever, headache, or muscle pain.

Bacterial infections, often from food, may also cause stomach illnesses.

Salmonella and Escherichia coli bacteria are two of the most common causes.

While most such infections clear on their own, these illnesses can cause dangerous dehydration in young children, the elderly, and people with underlying medical conditions.

Other infections

Numerous other infections, ranging from mild to life-threatening, may cause nausea and dizziness.

In most cases, a person will also get a fever. Some infections that might cause nausea and dizziness include:

• herpes zoster oticus, a rare variant of herpes that infects the ear
• any ear infection, especially of the inner ear
• infections of the eye that affect vision, since this may cause a person to feel dizzy

Any untreated infection can spread to other areas of the body, causing a condition called sepsis. Sepsis may cause dizziness and nausea, but it is a life threatening condition, and people need immediate medical treatment.

Dehydration

Sometimes dehydration can make a person feel dizzy.

Dehydration is relatively common after an episode of vomiting, so people who are dehydrated may already feel nauseated.

Drinking plenty of fluids may ease the dizziness. People who cannot keep anything down should see a doctor.

Anxiety

Anxiety is more than just a psychological sensation. It can also cause physical symptoms.

Some people experience dizziness and nausea as a result of anxiety. People’s symptoms may worsen if the dizziness and nausea cause even more worry and anxiety.

Anxiety is the most likely cause of dizziness and nausea if a person’s symptoms worsen when they feel stressed or overwhelmed or after a panic attack.

Pregnancy

Morning sickness is one of the most common early pregnancy symptoms.

It can cause nausea and sometimes dizziness and vomiting.

Morning sickness can be very unpleasant but is not dangerous unless a person cannot keep down food and becomes dehydrated.

People who feel dizzy and who cannot stop vomiting should see a doctor immediately.

Vertigo

Vertigo is not a single diagnosis but rather a group of symptoms that cause dizziness and sometimes nausea or spinning sensations.

One of the most common types of vertigo is benign paroxysmal positional vertigo. This happens when tiny crystals in the inner ear move, making it difficult for the brain to assess movement.

A doctor can treat this condition, as well as other types of vertigo.

Brain injuries and tumors

Brain injuries are the most serious potential cause of nausea and dizziness but also the least common.

A stroke happens when a blockage in a blood vessel or a bleeding vessel disrupts blood flow to the brain.

It is more common with people who have risk factors for cardiovascular disease, including people over 50, those with high blood pressure, and people who lead a sedentary lifestyle. However, anyone can have a stroke.

Symptoms of a stroke include numbness or tingling on one side of the body, a drooping face, confusion, and muscle weakness on one side of the body. Nausea and dizziness are not typically the only symptoms.

Very rarely, a brain tumor might cause nausea or dizziness. It almost always causes other symptoms, such as headaches, balance issues, vision problems, and personality changes.

90,000 Dizziness can be a prophet of various diseases.

2019.11.06

Vertigo is a condition that creates the illusion of the environment or body rotation. There are two forms of this: vertigo and fake.
The duration of the vertigo can be described as acute or chronic. Acute dizziness lasts from a few seconds to several hours and can last for days or weeks. Chronic dizziness is diagnosed when you have been suffering from it for a month or more.

Dizziness may be accompanied by changes in nausea, vomiting, sweating, pulse rate and blood pressure. This is one of the most common and unpleasant symptoms for doctors, as it occurs in various conditions.
Since it can be a symptom of a number of serious medical conditions, people suffering from this disorder are advised to seek treatment from a specialist who, after examining the patient and finding out the cause of the disorder, rather than waiting for the condition to pass.

Common causes of dizziness.

Dizziness is sometimes misleading in terms of general weakness, distraction, fatigue, lack of sleep, or lack of regular exercise.
The causes of vertigo are different. Dizziness is often also caused by diseases of the brain. These include conditions such as migraine, cerebrovascular disease, epilepsy, or multiple sclerosis.
Dizziness in the head can also be a warning of serious medical conditions such as a cerebrovascular accident, and although a cerebrovascular accident is not a common cause of dizziness, it is very dangerous, you should see your doctor immediately if you experience such medical conditions.
False dizziness can also be caused by a malfunction of other body systems: respiratory or heart failure, high blood pressure, or anemia can also be accompanied by dizziness. The head can be dizzy, even if it is in good health, due to alcohol, drug poisoning, extreme stress, instability, hesitation, or fear of falling. Anxiety-related dizziness often occurs in certain conditions, such as in supermarkets or while driving.
Dizziness, nausea, sweating, hand tremors, rapid heart rate, and changes in blood pressure are often associated with both true and false dizziness.

Significantly more frequent dizziness and imbalance in the elderly. They may also feel dizzy due to various medications used to treat other conditions, such as prolonged sedation,
medicines that lower your blood pressure or increase your heart rate. As a result, when a person suddenly gets up from a standing or lying position, his head is spinning, he becomes blind and loses consciousness.Sometimes it is enough to give up unnecessary medications and the dizziness decreases.

Diagnosis of the cause of dizziness
In the polyclinic, patients with dizziness are examined by a family doctor, and then, according to the suspected cause of the dizziness, the patient is consulted with a specialist. The complaints of “dizziness” are very widespread. Therefore, the patient’s complaints should first be listened to and analyzed so that we can distinguish between dizziness, when everything revolves around, dizziness, instability, fainting, and the like.When explaining the possible causes of dizziness, patients are asked if it is difficult for them to stand up, walk when they feel dizzy, or maybe they stand like a revolving room feeling weak. The patient is also asked how often his head is spinning, how long it lasts. During the examination, the movements of the eyeball, the patient’s balance, and coordination are assessed.

When examining the cause of dizziness, neurologists or otoneurologists prescribe a videoonystagmograph to patients. This is one of the most reliable ways to find out the cause of dizziness.This study evaluates involuntary eye movements. This helps to more accurately determine the cause of the disorder, find the lesion and the side of the labyrinth or vestibular nerve of the inner ear.
To understand why a patient is dizzy, doctors always assess their balance or coordination.

Video onystagographic research – how does it work?
The patient is placed, his head is raised 30 degrees, and special glasses with an infrared camera are worn over his eyes.The patient’s eye is then illuminated with infrared light in complete darkness. The eye, illuminated by the beam, is removed and the image is transmitted directly to the monitor. Color stimulation is used to test eye movements, i. e. at. a stream of warm or cold air blowing into the patient’s ear canal for a period of time that causes nystagmus, that is. causes eye movements. When the air stops blowing, eye movements are monitored for a set period of time. Eye movements are converted into digital signals, processed by specialized computer programs and presented in the form of standardized graphs, which are then analyzed by a physician.
Dr. Kilda’s Clinic conducts research using the latest generation VN415 video nistography camera, which uses an ultra-sensitive camera that records every movement of the pupil of the eye, resulting in extremely accurate test results.
How is vertigo treated?
Vertigo drug, vestibulosuppressant, should be suppressed only with very sudden and severe vertigo. Such drugs should not be used for more than 3-5 days.Because of the wide variety of causes of vertigo, vertigo can be reduced by using drugs to improve circulation or nerve swelling, or in the case of vestibular migraines, to reduce the frequency of migraines, or specific exercises during benign paroxysmal vertigo.
There are cases when the treatment of vertigo in the elderly, who are already taking a large number of different drugs, does not help with the appointment of new drugs, but with the refusal of unnecessary ones.For this reason, you should not take medication for dizziness and choose your own medication – your doctor may recommend the best treatment for you after complaints, examinations and examinations.
Experienced doctors conduct consultations and research at the clinic of Dr. pa Kilda.

90,000 Dizziness, loss of balance: causes, symptoms, diagnosis, treatment

Dizziness is considered the most common cause of visits to doctors in various specialties.The fact is that dizziness can be a symptom of a specific disease and a specific pathological condition of a person. It is very important to establish the cause of this vestibular disorder in order to provide informed treatment and to determine the choice of prevention.

Dizziness or vertigo is a condition that makes a person feel that objects around him are moving, rotating, spinning. This condition, as a rule, can be accompanied by weakness, bouts of vomiting and nausea, which can occur without connection with the disease.This phenomenon is often observed after a long ride on a merry-go-round or a boat and is typical for childhood. But when the causes of dizziness are not established in adulthood, then this is a signal of certain deviations in the functioning of the patient’s vestibular apparatus and disturbances in the functioning of the inner ear. There is a loss of balance control not only in the standing position, but also in the prone position. Many patients feel unsteadiness under their feet – “the earth is leaving from under their feet”, and some feel a state of intoxication, in which objects begin to fly.

Causes and symptoms of dizziness.

Hearing loss, nausea and vomiting, tinnitus are the most common signs of Meniere’s disease, which can be traced not only in adults, but also in children. It is very important to have the right treatment to precede the appearance of neuritis.

Unilateral nature of noise and deafness (hearing loss), bouts of vomiting and nausea can be characteristic of perilymphatic fistula and tumors of the auditory nerve.

Hearing problems, in which there is bloody or purulent discharge from the ears (otorrhea), indicate an inflammatory process in the middle and inner ear.

A sharp nature of dizziness with a simple movement of the head, and sometimes when looking away – may indicate vestibular neuritis (neuronitis) .

Severe headache, vomiting, drowsiness, disorientation in space, floating images when lying down can be symptoms of acute onset of stroke.

If, during head turns, there is a shooting pain of stiffness in the cervical-occipital region, some stiffness during movement, then this may be evidence of compression of the nerve root of the cervical spine.

The causes of repeated attacks of dizziness can be conditions such as traumatic brain injury and its consequences, basilar and vestibular migraines, transient circulatory disorders in the vertebrobasiryre, tumors of the cranial nerves.

Some somatic diseases also occur with complaints of dizziness, for example, cardiac arrhythmia, arterial hypertension.

Dizziness is often reported by patients taking antibiotics or other medications.

At the Federal State Budgetary Institution NCC otolaryngology FMBA of Russia, the treatment of diseases of the vestibular apparatus / analyzer is carried out by specialists of the scientific and clinical department of vestibulology and otoneurology. The specialists of the Center have accumulated a great deal of positive experience in the treatment and rehabilitation of patients with disorders of the vestibular apparatus / analyzer and neurological diseases. One of the best specialists in otoneurology of Russia, candidate of medical sciences, head of the scientific and clinical department of vestibulology and otoneurology, O. Zaitseva, works in our Center.V., who uses not only the most modern techniques in the practice of treating patients with vestibular disorders, but also applies her own developments. We advise you to immediately consult a doctor if there are signs of dizziness, as it may indicate serious illnesses, a pathological state of the body and become dangerous to human health.

For effective drug and non-drug treatment, determination of preventive measures, it is very important to identify the cause of such a disorder.

In our Center, patients who have complained of dizziness undergo a comprehensive examination, developed by the best domestic and foreign specialists. In the Center, examination is carried out not only by a neurologist (neuropathologist), but also by an otoneurologist. Patients are prescribed vestibulometry without fail, which allows the otoneurologist-otorhinolaryngologist to assess the degree and level of damage to the vestibular analyzer. Modern otoneurological examination of the Center includes a number of sometimes rather lengthy tests (examination of one patient takes 1.5-2 hours).Caloric tests / tests (heat and cold), rotational tests, optokinetic test, akkad test, smooth tracking test at the Center are performed on special equipment with video oculography (videonystagmography). A mandatory component of testing the vestibular system is the Dix-Holpike test (to detect BPPV – benign positional vertigo or BPPV).

Disorder of the function of balance (ataxia) , as a rule, is an integral part of cochleovestibular disorders / disorders that lead to a significant deterioration in the quality of life: people become helpless, lose their ability to work, sometimes they lose the ability to move without assistance.In such situations, a detailed study of the vestibular function is very important, including the function of a person’s balance and his ability to maintain an upright position of the body, to carry out stato-locomotor acts. Non-profit organizations of vestibulology and otoneurology use diagnostically reliable and traditional tests for assessing vestibular function, which include Romberg’s test, Unterberger’s test, Babinsky-Weil’s test, and Barany’s index test.

To determine the degree and identify the cause of ataxia (balance disorder), the Center uses digital posturography.The use of modern equipment of the Center significantly expands the diagnostic capabilities in the study of the statokinetic sphere, allows for a qualitative and quantitative assessment of the equilibrium function. The most modern version of the Romberg test, aimed at identifying statokinetic disorders, is carried out on posturographic / stabilometric platforms / complexes. It should be noted that our Center is equipped with the most modern posturographic complex, which allows not only to identify and interpret statokinetic disorder, but also to assess the possible effect of vestibular rehabilitation. In addition, our posturographic system is equipped with the function of creating / writing individual rehabilitation exercises that meet the needs of each individual patient, which significantly increases the effectiveness of treatment.

To confirm or exclude endolymphatic hydrops (dropsy) – Meniere’s disease, electrocochleography and / or a dehydration test are performed at the Center.

Treatment for dizziness, cochlear, vestibular, cochleovestibular disorders is carried out immediately, taking into account the causative factor and other characteristics of each of our patients! To improve metabolic processes and enhance regeneration processes, slow down the onset of neuropathy, we use a comprehensive and individual approach in the treatment of diseases of the organ of hearing and balance.We use according to indications: vestibular rehabilitation, vasoactive, anticholinergic, neurotropic drugs (including increased doses of B vitamins), hirudotherapy, acupuncture.

In our Center, quality assessment is carried out on an ongoing basis, monitoring of well-being, including recovered patients, is carried out in the most distant terms (even years later).

Thus, during the last year, during the computed posturography, 72 patients were found to have static ataxia due to the vestibular component.Posturographic test, a test of sensitive organization, a modern version of the Romberg test, performed in 6 stages: with open and closed eyes on a stationary platform with a stationary environment, with open eyes on a stationary platform with a mobile environment, with closed and open eyes on a mobile platform with a stationary environment and with open eyes on a movable platform in a movable environment.

The cause of cochleovestibular disorders in 16 out of 72 patients was an acute respiratory viral infection, in 30 – a stress factor, in 21 – an increase in blood pressure, in 3 – sudden changes in atmospheric pressure (during air travel and / or deep-sea diving), in 1 – go – manipulations (roughly performed manual therapy) on the cervical spine, one patient associated the onset of the disease with an inadequate diet for weight loss.

In addition to certain drug treatment, for 3-6 weeks, classes were conducted on vestibular rehabilitation at the posturographic complex (from 3 to 5 times a week), developed for each patient individually. Also, if necessary, some patients were provided with psychological assistance.

The results of post-treatment control posturography showed that all patients showed a significant decrease in ataxia, which was reflected in an increase in the vestibular stability index, and in 23 examined patients the equilibrium function indices were within the accepted age norm.Restoration of vestibular function at rest was recorded in all patients, which was combined with positive dynamics of repeated vestibulometry data. Evaluation of otoneurological and audiological studies carried out immediately after the end of treatment and after 3-9 months did not differ significantly. For 3-9 months after the end of treatment, not a single case of rotational dizziness and ataxia was recorded in any of all 23 subjects.

For each patient, the NCC otolaryngology develops an individual treatment and rehabilitation program, and the professional approach and attention of the Center’s staff are guaranteed to everyone!

90,000 When the vessels are spinning their heads | Official website of the Scientific Center of Neurology

N.S. Alekseeva
Doctor of Medical Sciences
State University Scientific Center of Neurology, Russian Academy of Medical Sciences

Dizziness is a feeling of disturbance in the position of the body in space. Patients with dizziness represent a very heterogeneous group and seek help from doctors of various specialties – otorhinolaryngologists, therapists, neurologists, neurosurgeons. This is due to the fact that dizziness can be a symptom of a variety of conditions – diseases of the inner ear, auditory nerve, as well as cerebral vestibular structures (circulatory disorders in the vertebrobasilar basin, multiple sclerosis, tumors, neurodegenerative diseases).

The most adequate method for diagnosing the exact level of damage to the vestibular analyzer is a special otoneurological examination. The otoneurological examination is based on a detailed study of the vestibular and auditory function using objective methods, comparing the results obtained with the data of the study of the function of other analyzers, neurological status, and the characteristics of the cerebral circulation.

Sometimes patients under “dizziness” mean a wide variety of sensations that are not related to damage to the vestibular apparatus: lightheadedness, “light-headedness”, a feeling of slight intoxication, blurred vision, etc.etc., which may be associated with diseases of the circulatory system (arterial hypotension, heart rhythm disturbances, intracranial hypertension) and other factors.

Patients with dizziness often have ear diseases (up to 47% of patients), vegetative-vascular dystonia (58-71%), and vertebral-basilar insufficiency. More than 70% of patients with dizziness have a pathology of the cervical spine. An epidemiological study found that vertigo syndrome is significantly more common in women (60%) than in men (30%).

The Otoneurological group of the Scientific Center of Neurology of the Russian Academy of Medical Sciences has been analyzing the patterns of development, manifestations and treatment options for various variants of dizziness, especially in vascular diseases of the brain (due to atherosclerosis, arterial hypertension, deformities of the carotid and vertebral arteries, etc.) for many years. As a result of studies, it turned out that in 77% of patients with this pathology, the duration of dizziness attacks ranged from several minutes to several hours, in 15% of patients they were very short-lived and lasted for seconds, and in other cases the dizziness was protracted and could last for days.In the vast majority of cases (97.5%), seizures were associated with a change in the position of the head or trunk. Vascular dizziness is often accompanied by a number of additional symptoms. There may be instability when walking (80% of patients according to our data), headache (90%), noise in the head (50%), memory impairment (90%), fatigue (95% of patients).

Half of the patients had a hereditary burden of diseases of the circulatory system (arterial hypertension, ischemic heart disease or vascular diseases of the brain in the parents).65% had, most likely, constitutionally conditioned vestibulopathy: from childhood, there was an increased sensitivity to vestibular loads and intolerance to swings, carousels, dizziness and nausea when using cars, etc.

Dizziness of vascular origin significantly reduces the ability to work and social adaptation of patients. According to our data, 87% of patients noted a decrease in working capacity due to dizziness, and a limitation of the ability to do household chores was noted by all patients.Temporary disability associated with dizziness was noted in 37% of patients, and often repeatedly. Almost all patients with vascular vertigo complain of a decrease in the quality of life. Thus, the problem of adequate treatment of such patients is extremely urgent from a medical and social point of view.

Treatment of patients with vascular dizziness involves the use of a combination of drugs that improve blood circulation in the brain and have a positive effect on the elimination of vestibular disorders.In recent years, an important role in the functioning of the vestibular structures of a special neurotransmitter and biologically active substance, histamine, has been shown. That is why it is now customary to use betahistine dihydrochloride (Betaserc, Solvay Pharma), a drug that has a structural similarity to histamine, as the basic treatment for vertigo syndrome. Previous studies indicate the specific action and high efficiency of Betaserc in the treatment of vertigo.The drug is not addictive or sedative, has a different dosage and therefore is very convenient to use, including in outpatient practice. Betasercom treatment has a positive effect on concomitant symptoms (headaches, manifestations of autonomic dysfunction, imbalance, etc.), and on the parameters of cerebral blood flow.

Our experience of 2-month use of Betaserk for dizziness of vascular origin demonstrated that after completing such a course, 97% of patients showed a decrease in the severity and frequency of dizziness attacks, while in 13% of patients they completely stopped, in 60% the achieved improvement was significant. in 23% – relatively small and only in some patients there was no improvement in their condition.Our data confirmed the available information about the possibility of positive dynamics when using Betaserk and in relation to concomitant complaints and syndromes. So, with hearing loss, improvement occurred in 73.3% of patients, with noise in the head or ears – in 91% of patients. Out of 24 patients who noted instability when walking, 22 (91.7%) noted an improvement in gait, and in 9 of them, staggering when walking completely stopped.

After treatment with Betasercom, more than 83% of patients improved their working capacity, it became much easier for them to do household chores, and 96% of patients had an increase in their quality of life, including 19 – significantly.

It is important to emphasize that the indicated subjective dynamics is confirmed by the data of objective research methods. Thus, during the otoneurological and electrophysiological examination after treatment with Betasercom, 76% of patients showed an improvement in the functional state of the vestibular analyzer, increased the symmetry of vestibular reactions, and also established a significant improvement in the conduction of an acoustic signal in the brain stem and auditory nerves (according to the data of acoustic evoked potentials of the brain).

Thus, the results of many years of research show a significant prevalence of dizziness syndrome in patients of working age, and one of the first places among the causes of this disorder are various vascular diseases of the brain. It is necessary to note once again the complex nature of the developing disorders in such patients and the frequent combination of dizziness with additional complaints of hearing loss, tinnitus and head noise, instability when walking. Almost all dizziness sufferers note a decrease in working capacity, rapid fatigue, and a change in mood.The above symptoms should make the patient, his relatives and the attending physician alert and take all necessary measures to prevent the progression of the disease and the development of more serious and severe stages of cerebrovascular insufficiency. Treatment with Betaserc at a dose of 48 mg per day (24 mg twice a day, the average duration of the course is 2 months), carried out as prescribed by a doctor, improves the condition of most patients with dizziness with initial and reversible forms of cerebrovascular diseases.
© Journal “Nerves”, 2007, №2

The child is dizzy – causes of vertigo in children

otorhinolaryngologist, otoneurologist-vestibulologist, Ph.D.

Vertigo can be systemic and non-systemic. Abroad, they even use two separate concepts: vertigo (systemic dizziness) is a feeling of rotating oneself or surrounding objects around, a feeling of falling, and dizziness (non-systemic) – a feeling of swaying, blurredness in the head, weakness, approaching loss of consciousness, difficulty concentrating.The type of dizziness depends largely on the underlying cause. In children, the pathological conditions leading to dizziness are somewhat different from the pathologies of adults.

Causes of dizziness in a child

The most common causes and types of systemic vertigo in children :

1. Benign paroxysmal vertigo of childhood. These are short (less than a minute) episodes of sudden dizziness and imbalance.Usually go away on their own by the age of 5 and are often replaced by migraine attacks.
2. Migraine. In this case, dizziness occurs simultaneously with a headache or is a harbinger of a migraine attack (aura). Its duration can be different: from 15-20 minutes to several hours. At the same time, there are no signs of damage to the vestibular system.
3. Otitis media. With inflammation of the middle ear in children, dizziness can occur for two reasons: due to irritation of the vestibular system due to an increase in pressure in the tympanic cavity or with the development of labyrinthitis (inflammation directly in the inner ear).Therefore, when diagnosing dizziness, an otoscopy is required.
4. Motion sickness (kinetosis, motion sickness). Despite the name, this condition is not a disease. This is just an individual feature of the vestibular system. Science still cannot explain why someone is numb and someone is not. With kinetosis, the head may spin while moving on land, water and / or air transport. In addition to dizziness, nausea occurs, there may be vomiting, pallor and sweating.Such manifestations can persist for several days after the end of the trip.
5. Injuries to the head or middle ear, such as fracture of the temporal bone, concussion, whiplash, and others. In this case, dizziness is pronounced and prolonged, often accompanied by vomiting. Requires urgent specialist advice.

Slightly less often, the cause of systemic dizziness in children is vestibular neuronitis (viral lesion of the vestibular part of the VIII cranial nerve), accompanied by prolonged severe dizziness with nausea and vomiting.

Also, dizziness can be a side effect of certain drugs (for example, aminoglycoside antibiotics, loop diuretics, cytostatics, and others). Psychogenic vertigo associated with anxiety or depressive disorder sometimes occurs in adolescents.

Very rare but dangerous conditions that can cause dizziness: infections of the central nervous system (meningitis, encephalitis, brain abscess), neoplasms of the brain, stroke (rare, but can also occur in children), poisoning with certain substances (ethanol, ketamine, barbiturates).

Most common causes of non-systemic vertigo in children :

1. Anemia – a decrease in the number of red blood cells (erythrocytes) in the blood or a decrease in the concentration of hemoglobin (a protein that carries oxygen to organs and tissues). Other common symptoms of anemia include pallor of the skin, tachycardia, fatigue, drowsiness, and many others.

2. Infectious diseases accompanied by fever and intoxication.

3. Anxiety or depression. In addition to dizziness, mood disorders will be noted here: depression, apathy, or, conversely, anxiety, increased excitability. Sometimes dizziness is one of the manifestations of a panic attack, for which the other most characteristic symptoms are palpitations, feeling short of breath, severe anxiety or fear.

4. Orthostatic hypotension – a temporary decrease in blood pressure by more than 20 mm.Hg, with a sharp rise from a lying or sitting position. In this case, a short-term (several seconds) dizziness occurs, there may be weakness in the legs, darkening in the eyes, tinnitus. Occasionally, this condition can lead to loss of consciousness.

The last two points are more typical for adolescence.

The infrequent but dangerous causes of non-systemic dizziness include arrhythmias and other heart diseases, hypoglycemia (low blood sugar), heatstroke or poisoning (overdose of antidepressants, anticonvulsants, etc.).)

When to see a doctor if a child has dizziness

If a child complains that he is dizzy, or you notice an imbalance, unsteadiness when walking, be sure to consult a specialist. It is very important to exclude dangerous, life-threatening conditions as soon as possible. After they have been eliminated, you can begin to identify the cause of the dizziness.

First, you need to determine if dizziness is associated with damage to the vestibular system – this will help a vestibulologist (ENT doctor specializing in dizziness). If such a lesion is found, then the next step will be to establish the level of the lesion: if pathology of the inner ear or vestibulocochlear nerve is suspected, you should contact an otorhinolaryngologist, if signs of damage to the structures of the central nervous system are detected, it is better to consult a neurologist.

In the absence of problems with the vestibular system, the cause of dizziness should be sought among cardiovascular and endocrine pathologies. Sometimes a psychogenic disorder or anemia can also be the cause.Usually, all these pathologies are manifested not only by dizziness, but also by some other symptoms.

Each disease has its own manifestations, therefore a detailed conversation with the child and his parents is important. Based on complaints, the child’s life history and illness, as well as studies of the vestibular function, an individual plan for further actions is drawn up: additional studies, analyzes, specialist consultations.

Behavior of young children with dizziness

It is more difficult to identify the cause of dizziness in a small child, since it is still difficult for him to describe his feelings, and most tests involve the patient’s attention and cooperation.Nevertheless, this is a very important and quite doable task.

What to do if a child has dizziness

If your child is dizzy, keep him calm and comfortable to minimize the risk of falling. And see your doctor as soon as possible.

How to avoid complications of dizziness in a child

Dizziness in itself is not dangerous, because it is only a symptom, but it can be a manifestation of one of the potentially dangerous conditions listed above.That is why dizziness itself has no complications, in addition to falling due to impaired balance function. But the complications of the disease, which led to the appearance of dizziness, can be avoided by timely identifying it and starting treatment.

Author: Ekaterina Dovlatova, otorhinolaryngologist, otoneurologist-vestibulologist, Ph. D.

Dizziness and nausea – a: care

Dizziness, nausea, weakness … At first glance, these symptoms do not seem too dangerous, so we often try to just ignore them and continue to live as before.In some cases, they really aren’t that scary. For example, if unpleasant sensations have arisen due to lack of sleep or prolonged fasting, it is easy to get rid of them: it is enough to get a good sleep and eat. But what if the symptoms recur or “attack” suddenly and with unprecedented force?

In this situation, it is important to see a doctor as soon as possible, undergo all the necessary examinations and, of course, a full course of treatment. However, more on that later. First, let’s try to understand what nausea is and what causes it most often.

The main causes of vertigo in the elderly are:

Nausea is an unpleasant sensation in the epigastric region and pharynx, which often leads to vomiting. Both nausea and vomiting are the body’s defense mechanisms, which, with their help, is trying to “get rid” of what prevents it from working normally. [1] In addition, nausea can be a reaction to the inconsistency of information coming to the vestibular analyzer from different senses. Such nausea, for example, appears when traveling on a ship or with injuries and diseases of the inner ear and eyes.[2]

The field of medicine that studies nausea and vomiting is called emetology.

The main causes of nausea are:

Diseases of the gastrointestinal tract (GIT). This can be, for example, gastritis, gallbladder disease, ulcer, pancreatitis or appendicitis. Usually, in addition to nausea, they are accompanied by heartburn, weight loss, abdominal pain, belching, vomiting, etc. [3]

• Pregnancy, especially in the early stages, is often accompanied by nausea.Most often it is provoked by hormonal changes, increased sensitivity to aromas and tastes, or a lack of B vitamins.
• Infectious diseases. Nausea is one of the symptoms of many infectious diseases. It can occur due to irritation of the walls of the gastrointestinal tract directly by infection or due to the circulation of microbes and other products of inflammation in the blood. [1]
• Food and alcohol poisoning. Almost everyone, probably, felt nauseous after hectic holiday feasts (especially those that last several days).Nausea in this case occurs due to the ingress of toxic substances into the body: these are not fresh products, and an excess of ethyl alcohol, which the liver cannot cope with. [3] It can also be caused by overeating, which overloads the liver and the digestive tract.
• Taking medicines. Nausea and dizziness are, alas, side effects of many drugs. Unpleasant sensations are especially often associated with polypharmacy, i.e. taking several medications at the same time. [2] [3]
• Brain injuries and tumors also cause nausea.Other symptoms include dizziness, weakness, impaired sensation and speech, headache, and vomiting. By the way, the vomiting center is located in the human brain. [3]

If nausea is accompanied by dizziness, then among the causes of these symptoms include cervical osteochondrosis, Meniere’s disease, stroke, migraine, benign paroxysmal positional vertigo (BPPV) and other diseases and conditions. Both of these symptoms can also be caused by disturbances in the functioning of the vestibular apparatus and disturbances of a psychogenic nature (stress, anxiety disorders, panic attack, etc.).etc.). [1] [4] [5] [6] [7]

What to do if an attack of dizziness and nausea caught you

First of all, try to lie down, or at least sit down. Provide fresh air, as heat and stuffiness can exacerbate symptoms. Drink a few sips of weak tea or water (but be sure not to gas, as carbonated drinks contribute to bloating).

If a drug is causing your nausea, be sure to tell your doctor. Perhaps together you can find a similar drug that does not cause such unpleasant symptoms. [2]

If you feel an upcoming vomiting attack, do not try to contain it. And do not hesitate to call an ambulance, especially if the bouts of vomiting are repeated and worse. Severe vomiting is life-threatening! [3]

Antiemetics may be prescribed to relieve your condition. They will help to cope with the attack, but, unfortunately, they will not cure the cause.This can only be done by a qualified specialist after examination and diagnosis. Be attentive to your health and make an appointment with your doctor in a timely manner!

List of used literature:

1. Syndrome of nausea and vomiting // Medical portal Eurolab. – https://www.eurolab.ua/encyclopedia/565/43596/ (Access date: 10.07.2016).

2. Nausea // Medical portal toshno.net. – https://toshno.net/toshnota (Access date: 19.07.2016).

3.Yakovenko EP et al. Vomiting and nausea: pathogenesis, etiology, diagnosis, treatment // Farmateka. – 2005. – No. 1. – https://medi.ru/doc/143603.htm (Access date: 19.07.2016).

4. Drapkina O.M., Chaparkina S.M., Ivashkin V.T. Dizziness in the practice of an internist // Cardiovascular therapy and prevention. – 2007. – No. 6 (4). – S. 107-114.

5. Manvelov L. Do you feel dizzy? // Science and life. – 2012. – No. 10. – S. 56-61.

6. Markova T.P. Actual problems of prevention and treatment of influenza // BC.- 2004. – No. 1. – https://www.rmj.ru/articles/obshchie-stati/Aktualynye_problemy_profilaktiki_i_lecheniya_grippa/?33 (Access date: 10.07.2016).

7. Tolmacheva VA Causes of dizziness // Neurology, neuropsychiatry, psychosomatics. – 2010. – No. 4. – 18-24.

Co-author, editor and medical expert:

Volobueva Irina Vladimirovna

Born on September 17, 1992.

Education:

2015- Sumy State University, specialization “General Medicine”.

2017 – Graduated from an internship in the specialty “Family Medicine” and also defended her master’s work on the topic “Features of the development of antibiotic-associated diarrhea in children of different age groups.”

Dizziness

IMPORTANT!

The information in this section cannot be used for self-diagnosis and self-medication. In case of pain or other exacerbation of the disease, only the attending physician should prescribe diagnostic tests.For a diagnosis and correct treatment, you should contact your doctor.

Dizziness – causes of appearance, in what diseases it occurs, diagnosis and methods of treatment.

Every person during his life at least once experienced dizziness – a state in which it seems that the body and / or the environment are rotating, there is a feeling of instability, balance is lost, orientation in space is disturbed.

One-time dizziness is not a cause for concern, but if attacks recur regularly, and also become prolonged, accompanied by other symptoms (nausea, vomiting, heart palpitations, etc.), this is a reason to see a doctor.

It is very important to promptly identify the cause of dizziness, because, firstly, it can be a symptom of serious diseases, and secondly, dizziness is dangerous in itself, i.e.can cause injury.

Types of dizziness

It is customary to distinguish between the following types of dizziness:

– proprioceptive – with a sense of movement (rotation) of the body in space;

– tactile – with a feeling of movement, swing, instability of support under the feet;

– visual – with a sense of the movement of the environment around itself.

Also, dizziness is divided into central and peripheral.Peripheral vertigo begins acutely: a person cannot stand without support, is forced to sit down or even lie down. In this case, as a rule, nausea, vomiting, increased sweating, heart palpitations, and tinnitus occur. Central dizziness is less pronounced, but differs in duration. With this type of dizziness, neurological symptoms such as blurred vision, impaired tactile and pain sensitivity, and coordination are observed.

Possible causes of dizziness

Dizziness can occur for a variety of reasons, including in completely healthy people: for example, under stress, as a result of poor nutrition, frequent smoking and alcohol intoxication, impaired focus of vision, rapid nonlinear movement (for example, on a carousel), etc.etc.

Dizziness can be caused by medication

including antibiotics, diuretics, non-steroidal anti-inflammatory drugs (diclofenac, ibuprofen, etc.), antineoplastic drugs (used for chemotherapy), angiotensin-converting enzyme inhibitors (enalapril, fosinopril), antidepressants, antimalarial and other drugs (blockers) and other blockers etc.

To find out the exact cause of dizziness, you need to consult a doctor who will conduct an initial examination and prescribe methods for further diagnosis.It should be remembered that

dizziness can be a symptom of a dozen different diseases, the diagnosis of which requires various studies.

What diseases cause dizziness

Diseases of the inner ear

Intense rotational dizziness is a typical symptom of diseases of the inner ear (an organ that is responsible not only for hearing, but also for balance),

such as:

– benign paroxysmal positional vertigo (BPPV).The cause of this pathology is the displacement of otoliths – the smallest crystals located on the surface of the cells of the inner ear, and a change in the normal fluid mechanics of the inner ear fluids. BPPV is manifested by sudden, short-term, severe dizziness when changing body position, sometimes accompanied by nausea and vomiting;

– Meniere’s disease. A disease in which there is an increase in the volume of fluid in the inner ear and an increase in pressure in it. The patient develops recurrent attacks of progressive deafness (usually one-sided), tinnitus and dizziness. The causes of this disease are not fully understood, but they can be associated with vascular pathologies, the consequences of trauma (head, ear), inflammatory and infectious diseases of the inner ear.

Dizziness can be caused by inflammation (labyrinthitis) and trauma (acoustic, mechanical, barotrauma) of the inner ear.

Diseases of the cerebral vessels (cerebrovascular diseases)

Dizziness can be associated with pathologies in which the blood supply to the brain is disrupted:

– atherosclerosis of the vessels of the brain (cerebral atherosclerosis) – a serious disease accompanied by the formation of atherosclerotic plaques in the vessels of the brain and leading to impaired cerebral circulation.In the early stages, it manifests itself with symptoms such as dizziness, fatigue, irritability, difficulty concentrating;

– Chronic cerebral ischemia – a disease characterized by a progressive deterioration of the blood supply to the brain. A person suffers from dizziness, headaches, lack of coordination, memory deteriorates, general psychological state.

Volumetric intracranial lesions

Dizziness may be associated with neoplasms (for example, acoustic neuroma, etc.)), inflammatory lesions of the cerebellum, etc.

Cardiovascular diseases

Dizziness can occur with various cardiovascular pathologies: cardiac arrhythmias (arrhythmias, tachycardia, bradycardia), arterial hypo- or hypertension, heart failure, etc.

Degenerative-dystrophic changes of the cervical spine

Dizziness often occurs in patients with problems of the cervical spine, such as osteochondrosis, protrusion and herniated intervertebral discs, uncovertebral arthrosis of the cervical spine.Dizziness occurs due to the difficulty of blood flow to the brain due to compression of the vertebral arteries.

Also, dizziness can be caused by neurological and mental diseases such as Parkinson’s disease, migraine, Alzheimer’s disease, a number of infectious diseases, anemia (a decrease in the level of hemoglobin in the blood).

Which doctors should I go to?

If dizziness occurs, you should first contact a therapist (children – a pediatrician), who will determine which specialist to refer to next.If a possible cause of dizziness is associated with diseases of the cardiovascular system, you will need to consult a cardiologist. If the symptoms indicate a pathology of the inner ear – a neurologist and otolaryngologist. With neuroses, anxiety, the patient will be referred to a psychotherapist, neurologist.

Diagnostics and examinations

Accurate diagnosis of cerebrovascular diseases leading to dizziness is possible with an ultrasound examination of the vessels of the brain,

90,000 Vertigo: symptoms, diagnosis, treatment of vertigo

Dizziness is one of the most frequent complaints with which patients turn to a neurologist.Indeed, there is no person who has never experienced dizziness.

The term “dizziness” describes completely different sensations: from a feeling of faintness and impending loss of consciousness to the rotation of one’s own body or surrounding objects.
Dizziness is called this incorrect awareness of your body in space or the feeling of imaginary rotation or movement of the body in space. Dizziness is a symptom of various neurological and somatic diseases and occurs in almost 80 different pathologies.Dizziness can occur with diseases of the cardiovascular system, diseases of the eye and ear, with diseases of the blood, mental and neurological diseases. Dizziness is an extremely unpleasant subjective symptom that significantly reduces a person’s quality of life. It is customary to distinguish systemic (true) and non-systemic dizziness.

True dizziness is called the illusion of movement of your body or objects around (this happens if you quickly rotate, for example, on a carousel).True dizziness is accompanied by: nausea, vomiting, pale skin, sweating, anxiety. True, systemic vertigo is associated with irritation of certain areas of the vestibular analyzer and, depending on the level of the lesion, is peripheral and central. The most common causes of true dizziness are impaired blood supply to the brain and inner ear, inflammatory and degenerative processes in the organs of hearing and balance, and intoxication.

Non-systemic dizziness is a feeling of instability in the surrounding space, a feeling of instability.This type of dizziness occurs with lightheadedness, emotional disorders, damage to the visual analyzer, cerebellar disorders.

Dizziness occurs most often in neurological practice in vascular diseases of the brain, pathology of the cervical spine, and emotional disorders.

Pathology of the cervical spine . The vestibular system is very sensitive to a lack of blood supply. The inner ear and vestibular centers of the brain receive their blood supply from the vertebral artery system.The vertebral arteries pass through narrow channels in the cervical spine. Instability, trauma, osteochondrosis of the cervical vertebrae often lead to spasm or compression of these arteries; and consequently – to a deficiency of blood flow in them and to dizziness. The main symptoms of such diseases are: dizziness, unsteadiness, aggravated by turning or tilting the head; flies and “ripples” in the eyes, decreased vision in the dark; pain, tension or discomfort in the neck, lower back of the head, temples; fatigue, irritability; possibly an increase in blood pressure, accompanied by nausea and vomiting.

Emotional disorders . Neurotic disorders, depression, and just overwork can mimic almost any symptoms of “bodily” diseases. Moreover, the only symptom may be dizziness, noise or “fog” in the head, ringing or noise in the ear. Dizziness in these diseases is accompanied by a constant fixation of attention on one’s well-being, severe fatigue, bad mood and tearfulness, combined with increased anxiety, impaired appetite and sleep.

In case of vascular lesions of the brain , dizziness can occur, both as a result of hypertension, and in atherosclerotic lesions of the arteries. Prolonged increases in blood pressure damage small-caliber arteries in the brain. The arteries become narrow, not elastic. As a result, the flow of arterial (oxygenated) blood to the brain is limited, leading to dizziness, noise in the head and ears. With atherosclerosis, plaques appear on the inner walls of the arteries – bulges that gradually block the blood flow.Plaques in the arteries of the brain are especially dangerous. In the area of ​​plaques, the movement of blood can be turbulent, which limits the flow of arterial blood to the brain, auditory nerves, receptors that perceive auditory stimuli. Dizziness with CVP is characterized by a combination with noise in the head or ear, the presence of pre-syncope and imbalance, increased fatigue, memory loss. With impaired cerebral circulation, dizziness is the first and sometimes the only complaint.

Diagnosis of dizziness. If dizziness occurs, you should consult a neurologist and otolaryngologist. When a dizziness attack occurs for the first time, hospitalization is indicated to clarify the diagnosis and select therapy. The diagnostic program includes computer or magnetic resonance imaging of the brain, X-ray examination of the cervical spine, Doppler ultrasound of the brachiocephalic arteries and Doppler scanning of the head vessels, vestibular tests (caloric test, rotational tests).To diagnose a possible disease of the hearing aid, tone threshold audiometry and acoustic impedance measurement can be performed.

Treatment.