How long does it take for dizziness to go away. Vertigo Duration: Understanding Symptoms and Treatment Options
How long does vertigo typically last. What are the common causes of vertigo. Which treatments can help alleviate vertigo symptoms. When should you seek medical attention for vertigo.
Understanding Vertigo: More Than Just Dizziness
Vertigo is often misunderstood as simply feeling dizzy, but it’s a distinct sensation that can significantly impact daily life. Unlike general dizziness, which may cause a feeling of lightheadedness, vertigo creates the illusion that you or your surroundings are spinning or moving when they’re actually still. This disorienting experience can range from mildly annoying to severely debilitating, depending on its cause and duration.
Is vertigo a standalone condition? No, vertigo is actually a symptom of various underlying conditions rather than a disease itself. Identifying the root cause is crucial for effective treatment and management of vertigo episodes.
Key Symptoms of Vertigo
- Sensation of spinning or tilting
- Nausea and vomiting
- Balance problems
- Sweating
- Abnormal eye movements
- Ringing in the ears (tinnitus)
- Temporary hearing loss
Can vertigo symptoms vary in intensity? Yes, vertigo episodes can range from brief, mild sensations to severe, prolonged periods of disorientation. The severity often depends on the underlying cause and individual factors.

Duration of Vertigo Episodes: From Seconds to Days
The duration of vertigo episodes can vary significantly, ranging from a few fleeting seconds to several days in extreme cases. However, most commonly, vertigo episodes last from a few seconds to several minutes. Understanding the typical duration associated with different causes can help in diagnosis and treatment planning.
Common Vertigo Causes and Their Durations
- Benign Paroxysmal Positional Vertigo (BPPV): Usually lasts less than one minute per episode
- Meniere’s Disease: Severe episodes can last hours or even days
- Inner Ear Inflammation or Infection: May persist until the underlying issue resolves
- Vestibular Neuritis: Can last several days to weeks
- Stroke or Head Injury: May result in chronic or long-term vertigo
Do all vertigo episodes follow the same pattern? No, the duration and intensity of vertigo can vary greatly depending on its cause. Some people may experience brief, intense episodes, while others might have milder but more persistent symptoms.

Benign Paroxysmal Positional Vertigo (BPPV): The Most Common Culprit
BPPV is the most frequent cause of vertigo, characterized by brief episodes triggered by specific changes in head position. This condition occurs when tiny calcium crystals in the inner ear become dislodged and move into the semicircular canals, disrupting the normal fluid movement that helps maintain balance.
Characteristics of BPPV
- Short duration: Typically less than one minute per episode
- Triggered by head movements: Such as looking up, rolling over in bed, or bending down
- Recurrent nature: Episodes may come and go over time
- Generally not associated with hearing problems or tinnitus
How is BPPV diagnosed? BPPV is often diagnosed through a simple in-office test called the Dix-Hallpike maneuver, which involves moving the head in specific positions to trigger symptoms. This helps healthcare providers confirm the diagnosis and determine which ear is affected.
Meniere’s Disease: When Vertigo Lasts Longer
Meniere’s disease is a chronic inner ear disorder that can cause severe, prolonged episodes of vertigo. This condition is characterized by a buildup of fluid in the inner ear, leading to a variety of symptoms that can significantly impact quality of life.

Key Features of Meniere’s Disease
- Vertigo episodes lasting hours or even days
- Fluctuating hearing loss
- Tinnitus (ringing in the ears)
- Feeling of fullness or pressure in the affected ear
- Nausea and vomiting during severe episodes
Is Meniere’s disease curable? While there’s no cure for Meniere’s disease, various treatments can help manage symptoms and reduce the frequency and severity of vertigo episodes. These may include dietary changes, medications, and in some cases, surgical interventions.
Inner Ear Problems: A Common Source of Vertigo
Many vertigo cases stem from issues within the inner ear, which plays a crucial role in maintaining balance. Infections, inflammation, or other disturbances in this delicate system can lead to persistent vertigo symptoms until the underlying problem is resolved.
Types of Inner Ear Problems Causing Vertigo
- Labyrinthitis: Inflammation of the inner ear labyrinth
- Vestibular neuritis: Inflammation of the vestibular nerve
- Acoustic neuroma: A non-cancerous tumor on the vestibular nerve
- Perilymph fistula: Abnormal connection between the inner and middle ear
How long does vertigo from inner ear problems typically last? The duration can vary widely, from a few days to several weeks, depending on the specific condition and how quickly it’s treated. In some cases, symptoms may persist until the underlying issue is fully resolved.

Stroke and Head Injuries: When Vertigo Becomes Chronic
While less common, strokes and head injuries can lead to long-term or even permanent vertigo symptoms. These conditions can damage the areas of the brain responsible for processing balance and spatial orientation, resulting in chronic vertigo that may require ongoing management.
Vertigo as a Symptom of Stroke
- Can be sudden and severe
- Often accompanied by other neurological symptoms
- May persist long after the initial stroke event
- Requires immediate medical attention
Can vertigo be the only symptom of a stroke? While it’s possible for vertigo to be the primary symptom of a stroke, especially in cases involving the brainstem or cerebellum, it’s usually accompanied by other neurological signs. Any sudden, severe vertigo should be evaluated promptly to rule out serious conditions like stroke.
Treating Vertigo: From Home Remedies to Medical Interventions
The treatment approach for vertigo depends largely on its underlying cause. While some cases may resolve on their own or with simple home remedies, others may require medical intervention. A comprehensive treatment plan often involves a combination of strategies to address both the symptoms and the root cause.

Home Remedies and Lifestyle Changes
- Epley maneuver for BPPV
- Staying hydrated
- Avoiding triggers like caffeine, alcohol, and tobacco
- Practicing relaxation techniques
- Maintaining good sleep hygiene
Medical Treatments
- Vestibular rehabilitation therapy
- Medications (antihistamines, anti-nausea drugs, diuretics)
- Canalith repositioning procedures
- In rare cases, surgical interventions
Are there any natural supplements that can help with vertigo? Some people find relief from vertigo symptoms using natural supplements like ginger, ginkgo biloba, or vitamin D. However, it’s important to consult with a healthcare provider before starting any new supplement regimen, as these can interact with medications or have side effects.
When to Seek Medical Attention for Vertigo
While many cases of vertigo are benign and self-limiting, certain situations warrant immediate medical evaluation. Recognizing the signs that indicate a potentially serious underlying condition is crucial for timely intervention and proper treatment.

Red Flags for Vertigo
- Sudden, severe vertigo with no apparent trigger
- Vertigo accompanied by severe headache, especially if it’s a new type of headache
- Vertigo with neurological symptoms like vision changes, weakness, or numbness
- Vertigo that persists for more than a few hours without improvement
- Vertigo associated with a recent head injury
- Vertigo in someone with risk factors for stroke (e.g., high blood pressure, diabetes, smoking)
Should you go to the emergency room for vertigo? If you experience severe, sudden vertigo accompanied by any of the red flag symptoms mentioned above, it’s advisable to seek emergency medical care. These symptoms could indicate a more serious condition that requires immediate attention.
Living with Vertigo: Coping Strategies and Long-term Management
For individuals dealing with recurrent or chronic vertigo, developing effective coping strategies is essential for maintaining quality of life. While treatment can often reduce the frequency and severity of episodes, learning to manage symptoms when they do occur can help minimize their impact on daily activities.
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Tips for Managing Vertigo in Daily Life
- Create a safe home environment by removing tripping hazards
- Use assistive devices like a cane or walker if balance is significantly affected
- Practice stress reduction techniques, as stress can exacerbate symptoms
- Keep a vertigo diary to identify triggers and patterns
- Plan activities around your symptom patterns when possible
- Educate family and friends about your condition and how they can help during episodes
Can lifestyle changes help prevent vertigo episodes? Yes, for many people, certain lifestyle modifications can help reduce the frequency of vertigo episodes. These may include maintaining a consistent sleep schedule, staying well-hydrated, limiting salt intake (especially for those with Meniere’s disease), and avoiding known triggers like certain head movements or dietary items.
The Importance of Vestibular Rehabilitation
Vestibular rehabilitation therapy (VRT) is a specialized form of physical therapy that can be highly effective in managing chronic vertigo. This therapy aims to retrain the brain to process balance information more effectively, reducing vertigo symptoms and improving overall function.

Benefits of Vestibular Rehabilitation
- Improved balance and reduced risk of falls
- Decreased dizziness and vertigo symptoms
- Enhanced ability to perform daily activities
- Reduced anxiety related to vertigo
- Potential reduction in medication dependence
How long does vestibular rehabilitation take to show results? The duration and effectiveness of VRT can vary depending on the individual and the underlying cause of vertigo. Some people may see improvements within a few weeks, while others might require several months of therapy. Consistency and adherence to the prescribed exercises are key factors in achieving optimal results.
The Future of Vertigo Treatment: Emerging Therapies and Research
As our understanding of the vestibular system and the mechanisms behind vertigo continues to evolve, new treatment approaches are being developed and tested. These emerging therapies offer hope for more effective management of vertigo, especially for those with difficult-to-treat or chronic cases.
Promising Areas of Research
- Gene therapy for inherited vestibular disorders
- Advanced imaging techniques for more precise diagnosis
- Virtual reality-based rehabilitation programs
- Targeted drug delivery systems for inner ear disorders
- Neuromodulation techniques to regulate vestibular function
Will there ever be a cure for all types of vertigo? While a universal cure for all types of vertigo is unlikely due to the diverse causes of the condition, ongoing research is continually improving our ability to treat and manage vertigo more effectively. The goal is to develop more targeted, personalized treatments that can provide better symptom control and improved quality of life for those affected by vertigo.

The Role of Artificial Intelligence in Vertigo Management
Artificial intelligence (AI) is increasingly being explored as a tool to enhance the diagnosis and treatment of vertigo. AI algorithms can analyze complex patterns in vestibular test results, helping to identify subtle abnormalities that might be missed by human observers. This technology has the potential to improve diagnostic accuracy and guide more personalized treatment plans.
Potential Applications of AI in Vertigo Care
- Automated analysis of vestibular function tests
- Predictive models for vertigo episode occurrence
- Personalized treatment recommendation systems
- Remote monitoring of vertigo symptoms and treatment response
- Virtual reality-based rehabilitation programs guided by AI
How might AI change the way vertigo is managed in the future? As AI technologies continue to advance, we may see more precise and timely diagnoses of vertigo, leading to earlier interventions and better outcomes. AI-driven personalized treatment plans could help optimize therapy for each individual, potentially reducing the trial-and-error approach often needed to find effective treatments.

Conclusion: Navigating the Complexities of Vertigo
Vertigo, with its varying causes and durations, presents a complex challenge for both patients and healthcare providers. Understanding the underlying mechanisms, recognizing different types of vertigo, and being aware of available treatment options are crucial steps in effectively managing this disorienting condition.
While the duration of vertigo episodes can range from fleeting moments to persistent symptoms lasting days or even longer, advances in medical understanding and treatment approaches offer hope for improved management and quality of life for those affected. By working closely with healthcare providers, utilizing appropriate treatments, and adopting lifestyle strategies to minimize triggers, many individuals can successfully navigate life with vertigo.
As research continues to uncover new insights into vestibular function and dysfunction, the future holds promise for even more effective and targeted treatments for vertigo. From innovative rehabilitation techniques to cutting-edge medical interventions, the field of vertigo management is evolving rapidly, offering new possibilities for those seeking relief from this challenging condition.
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Ultimately, the key to managing vertigo lies in a comprehensive, personalized approach that addresses both the symptoms and underlying causes. By staying informed about the latest developments in vertigo research and treatment, individuals can take an active role in their care and work towards achieving the best possible outcomes in their journey with vertigo.
How Long Does Vertigo Last? Mild-to-Severe Symptom Duration
Vertigo isn’t a disease or a condition on its own but a symptom of an underlying condition. Identifying the cause of your vertigo can help find a treatment that works to prevent episodes from occuring.
Overview
Episodes of vertigo can last a few seconds, a few minutes, a few hours, or even a few days. In general, however, an episode of vertigo typically lasts just seconds to minutes.
Vertigo isn’t a disease or condition. Instead, it’s a symptom of a condition. Identifying the underlying cause of your vertigo can help you and your doctor find a treatment that works to prevent the episodes.
Vertigo is different from dizziness. This is because the sensations from vertigo make you feel like your surroundings are moving, or that you’re moving when you’re actually standing still. Dizziness typically causes you to feel woozy or lightheaded.
Vertigo episodes may come and go and cause sudden, severe episodes of disorientation.
They can also be incredibly mild, or be chronic and last for longer periods of time.
Other symptoms of vertigo include:
- feeling nauseated
- sweating
- vomiting
- abnormal or unusual eye movements, such as jerking
- loss of balance
- ringing in the ears
- hearing loss
The cause of your vertigo plays a big role in how long your symptoms will last.
Benign paroxysmal positional vertigo (BPPV)
BPPV is one of the most common causes of vertigo. The average episode reoccurs but usually lasts for one minute or less.
Meniere’s disease
A severe episode of vertigo caused by Meniere’s disease can last for several hours or even days. This condition causes vertigo that can often cause vomiting, nausea, and hearing loss, as well as ringing in the ear.
Inner ear problems
Vertigo caused by inflammation or an infection in the inner ear may remain until the inflammation subsides. If you have any signs of inner ear problems, it’s important to talk to your doctor about treatment so they can get the vertigo under control.
They’ll determine if there are any medications that may be right for the condition.
Stroke or head injury
Vertigo may be a permanent or semi-permanent state for some individuals. People who’ve had a stroke, head injury, or neck injury may experience long-term or chronic vertigo.
Other factors
There are other conditions and injuries that may cause episodes of vertigo. The length of your vertigo episode will depend on what that underlying cause is.
When you experience an episode of vertigo, it’s wise to practice these do’s and don’ts so you can stay safe and also reduce your chances of greater side effects or complications.
Get a diagnosis
If you haven’t already been diagnosed, see a doctor after you experience vertigo symptoms for the first time. Together, you and your doctor can review your symptoms and decide on a treatment plan that fits what you’re experiencing and what’s causing the symptoms.
Check out this list of vertigo-associated disorders for more information.
Sit somewhere safe
Take precautions to prevent injury as soon as you begin experiencing signs and symptoms of vertigo. The sensations you experience from an episode can be disorienting and may make you more likely to stumble or fall. This can lead to injury.
Get off the road
If you’re driving when a vertigo episode starts, pull over as soon as you’re able. Wait out the episode before you continue driving so you don’t put yourself and others at risk.
Begin home remedies
When vertigo symptoms start, your doctor may instruct you to perform self-care home remedies or physical therapy maneuvers to ease the symptoms. Do them as soon as you safely can.
Seek treatment
If vertigo is the result of a health complication you’re not treating, vertigo symptoms may become worse. You can begin to experience long-term health complications as a result of not treating the underlying cause for your vertigo.
Vertigo is bothersome, but it’s rarely a sign of a serious health problem.
Treatment for vertigo aims to treat the underlying cause that’s producing the disorienting sensations in order to eliminate the symptoms. If a cause isn’t known, your doctor may also treat the symptoms of vertigo alone.
The most common treatments for vertigo include:
Home remedies
The majority of home remedies are designed to prevent or reduce the risk for a vertigo episode, but some can be used when the disorientation begins. These include:
- trying acupuncture
- avoiding caffeine, tobacco, and alcohol
- staying hydrated
- taking herbal supplements
Medications
Some medications may help stop severe vertigo episodes. The most commonly prescribed medications for vertigo are:
- anti-nausea medicines, such as promethazine (Phenergan)
- sedative medicines, such as diazepam (Valium)
- antihistamines, such as diphenhydramine (Benadryl)
These medicines may be administered by mouth, patch, suppository, or IV.
Both over-the-counter (OTC) and prescription options are available.
Physical therapy maneuvers
Two main physical therapy maneuvers are used to treat symptoms of vertigo. Your doctor will work with you to learn the proper technique so you can perform them correctly. These maneuvers include:
- Modified Epley maneuvers. The Epley maneuver is a type of treatment that uses head and body movements to encourage the inner ear to reabsorb any matter that’s floating in the inner ear and causing vertigo. The relief can be immediate, or it may take several days.
- Vestibular rehabilitation exercises. Moving your head and body when you’re experiencing a vertigo episode may feel too difficult. Your doctor can teach you rehabilitation exercises that can help your brain adjust to the changes in the inner ear. These balancing techniques will help your eyes and other senses learn to cope with the disorientation.
Time
Waiting out the symptoms of vertigo may be the best option for some people.
After all, vertigo can ease in a matter of hours, minutes, or even seconds. In those cases, you’re better off waiting for the body to correct itself than trying another treatment option.
If you experience episodes of vertigo, make an appointment to see your doctor. If you don’t already have a primary care provider, you can browse doctors in your area through the Healthline FindCare tool. Describe what you’re experiencing, how long the episodes last, and what makes them end, if you’ve used any type of treatment. Your doctor will perform a physical exam. They may also conduct several tests to check your eyes, hearing, and balance.
If those results aren’t enough for a conclusive diagnosis, your doctor may request some imaging tests to look at your brain. An MRI can give your doctor a detailed image of your brain.
You should seek emergency medical help if you experience vertigo with any of the following:
- a severe headache
- a high fever
- weakness in your arms or legs
- inability or trouble walking, speaking, hearing, or seeing
- passing out
- chest pain
It’s important to talk with your doctor any time you experience vertigo.
They can work with you to understand the underlying cause and find treatments that can both prevent vertigo attacks and ease them if and when they occur.
Fortunately, most of the underlying causes of vertigo aren’t serious. They can be treated easily, which will eliminate vertigo episodes. If the underlying cause can’t be treated, your doctor can work with you to reduce disorientation and hopefully prevent future complications.
How Long Does Vertigo Last? Mild-to-Severe Symptom Duration
Vertigo isn’t a disease or a condition on its own but a symptom of an underlying condition. Identifying the cause of your vertigo can help find a treatment that works to prevent episodes from occuring.
Overview
Episodes of vertigo can last a few seconds, a few minutes, a few hours, or even a few days. In general, however, an episode of vertigo typically lasts just seconds to minutes.
Vertigo isn’t a disease or condition. Instead, it’s a symptom of a condition.
Identifying the underlying cause of your vertigo can help you and your doctor find a treatment that works to prevent the episodes.
Vertigo is different from dizziness. This is because the sensations from vertigo make you feel like your surroundings are moving, or that you’re moving when you’re actually standing still. Dizziness typically causes you to feel woozy or lightheaded.
Vertigo episodes may come and go and cause sudden, severe episodes of disorientation. They can also be incredibly mild, or be chronic and last for longer periods of time.
Other symptoms of vertigo include:
- feeling nauseated
- sweating
- vomiting
- abnormal or unusual eye movements, such as jerking
- loss of balance
- ringing in the ears
- hearing loss
The cause of your vertigo plays a big role in how long your symptoms will last.
Benign paroxysmal positional vertigo (BPPV)
BPPV is one of the most common causes of vertigo. The average episode reoccurs but usually lasts for one minute or less.
Meniere’s disease
A severe episode of vertigo caused by Meniere’s disease can last for several hours or even days. This condition causes vertigo that can often cause vomiting, nausea, and hearing loss, as well as ringing in the ear.
Inner ear problems
Vertigo caused by inflammation or an infection in the inner ear may remain until the inflammation subsides. If you have any signs of inner ear problems, it’s important to talk to your doctor about treatment so they can get the vertigo under control. They’ll determine if there are any medications that may be right for the condition.
Stroke or head injury
Vertigo may be a permanent or semi-permanent state for some individuals. People who’ve had a stroke, head injury, or neck injury may experience long-term or chronic vertigo.
Other factors
There are other conditions and injuries that may cause episodes of vertigo. The length of your vertigo episode will depend on what that underlying cause is.
When you experience an episode of vertigo, it’s wise to practice these do’s and don’ts so you can stay safe and also reduce your chances of greater side effects or complications.
Get a diagnosis
If you haven’t already been diagnosed, see a doctor after you experience vertigo symptoms for the first time. Together, you and your doctor can review your symptoms and decide on a treatment plan that fits what you’re experiencing and what’s causing the symptoms.
Check out this list of vertigo-associated disorders for more information.
Sit somewhere safe
Take precautions to prevent injury as soon as you begin experiencing signs and symptoms of vertigo. The sensations you experience from an episode can be disorienting and may make you more likely to stumble or fall. This can lead to injury.
Get off the road
If you’re driving when a vertigo episode starts, pull over as soon as you’re able. Wait out the episode before you continue driving so you don’t put yourself and others at risk.
Begin home remedies
When vertigo symptoms start, your doctor may instruct you to perform self-care home remedies or physical therapy maneuvers to ease the symptoms. Do them as soon as you safely can.
Seek treatment
If vertigo is the result of a health complication you’re not treating, vertigo symptoms may become worse. You can begin to experience long-term health complications as a result of not treating the underlying cause for your vertigo.
Vertigo is bothersome, but it’s rarely a sign of a serious health problem. Treatment for vertigo aims to treat the underlying cause that’s producing the disorienting sensations in order to eliminate the symptoms. If a cause isn’t known, your doctor may also treat the symptoms of vertigo alone.
The most common treatments for vertigo include:
Home remedies
The majority of home remedies are designed to prevent or reduce the risk for a vertigo episode, but some can be used when the disorientation begins.
These include:
- trying acupuncture
- avoiding caffeine, tobacco, and alcohol
- staying hydrated
- taking herbal supplements
Medications
Some medications may help stop severe vertigo episodes. The most commonly prescribed medications for vertigo are:
- anti-nausea medicines, such as promethazine (Phenergan)
- sedative medicines, such as diazepam (Valium)
- antihistamines, such as diphenhydramine (Benadryl)
These medicines may be administered by mouth, patch, suppository, or IV. Both over-the-counter (OTC) and prescription options are available.
Physical therapy maneuvers
Two main physical therapy maneuvers are used to treat symptoms of vertigo. Your doctor will work with you to learn the proper technique so you can perform them correctly. These maneuvers include:
- Modified Epley maneuvers. The Epley maneuver is a type of treatment that uses head and body movements to encourage the inner ear to reabsorb any matter that’s floating in the inner ear and causing vertigo.
The relief can be immediate, or it may take several days. - Vestibular rehabilitation exercises. Moving your head and body when you’re experiencing a vertigo episode may feel too difficult. Your doctor can teach you rehabilitation exercises that can help your brain adjust to the changes in the inner ear. These balancing techniques will help your eyes and other senses learn to cope with the disorientation.
Time
Waiting out the symptoms of vertigo may be the best option for some people. After all, vertigo can ease in a matter of hours, minutes, or even seconds. In those cases, you’re better off waiting for the body to correct itself than trying another treatment option.
If you experience episodes of vertigo, make an appointment to see your doctor. If you don’t already have a primary care provider, you can browse doctors in your area through the Healthline FindCare tool. Describe what you’re experiencing, how long the episodes last, and what makes them end, if you’ve used any type of treatment.
Your doctor will perform a physical exam. They may also conduct several tests to check your eyes, hearing, and balance.
If those results aren’t enough for a conclusive diagnosis, your doctor may request some imaging tests to look at your brain. An MRI can give your doctor a detailed image of your brain.
You should seek emergency medical help if you experience vertigo with any of the following:
- a severe headache
- a high fever
- weakness in your arms or legs
- inability or trouble walking, speaking, hearing, or seeing
- passing out
- chest pain
It’s important to talk with your doctor any time you experience vertigo. They can work with you to understand the underlying cause and find treatments that can both prevent vertigo attacks and ease them if and when they occur.
Fortunately, most of the underlying causes of vertigo aren’t serious. They can be treated easily, which will eliminate vertigo episodes. If the underlying cause can’t be treated, your doctor can work with you to reduce disorientation and hopefully prevent future complications.
What is dizziness, possible causes
Dizziness (vertigo) is an alarming symptom that accompanies a variety of diseases. Depending on the severity of the manifestations, a person may feel discomfort, disorientation in space, and nausea. In rare cases, dizziness is so severe that the patient loses consciousness, cannot stand on his own feet. The symptom is widespread among people of different sex and age, but is especially common among the elderly and women.
Causes of dizziness
There are two groups of reasons why the head is spinning: physiological (due to the natural state of the body) and pathological (caused by disease).
Physiological factors
Among them:
- abrupt start of movement, eg jumping from a height;
- oversaturation of the lungs with oxygen;
- strong fright;
- low blood hemoglobin;
- malnutrition or long period without food;
- menstruation, menopause or pregnancy (the main cause of dizziness in women).

Meteorological sensitivity is a separate group of physiological factors. In the world, a huge number of people complain about poor health due to the weather. Violations cause changes in humidity, temperature, changes in atmospheric pressure before a blizzard or thunderstorm.
Pathological factors
Among them:
1. Diseases of the ear. Any disturbance in the vestibular apparatus can lead to the fact that a person will constantly feel dizzy. For example, labyrinthitis – a septic inflammation of the inner ear – provokes severe dizziness. The patient has a fever, headache, regular vomiting.
2. Pathologies of the cervical spine. Diseases such as osteochondrosis, hernias, whiplash injuries lead to impaired blood supply to the brain. This is one of the reasons why the head is spinning.
3. Various phobias. Fear of heights, open space, crowds may cause dizziness.
Sometimes a person feels bad just thinking about his fear.
4. Vascular pathologies. Ischemias, strokes, thrombosis cause cerebral hypoxia. Chronic oxygen starvation causes frequent dizziness.
5. Neuritis. The vestibulocochlear structure is affected, which transmits information from the vestibular apparatus directly to the brain. With neuritis, dizziness may weaken and intensify, accompanied by wandering headaches.
6. Meniere’s disease. In 5-8% of cases, this pathology is the cause of dizziness. Meniere’s disease is characterized by an increase in the volume of endolymph, which accumulates inside the labyrinth. The fluid creates excess pressure in the inner ear, edema develops, and the work of the vestibular nerve is disturbed. The head is spinning in short attacks, sporadically. The main symptom is accompanied by hearing loss, tinnitus.
7. Intoxication. When the head begins to feel dizzy, it may be a symptom of poisoning with chemicals, products, various toxic substances.
Mercury, arsenic, and lead are especially dangerous for the brain.
8. Tumors of the brain. Neoplasm in the process of growth compresses the surrounding tissues, disrupts their trophism.
9. Minor strokes. Transient disturbance of cerebral circulation impairs the trophism of cerebral structures. Dizziness with a microstroke is strong, pronounced, accompanied by a sharp headache, paresis, and speech disorders. An episode can last several hours and requires urgent treatment.
10. Head injuries. Dizziness is caused by concussions, bruises. If a hematoma forms in the brain, an increase in the volume of CSF causes compression of the surrounding tissues. The nutrition of the brain is disturbed, the vessels are compressed.
Classification
Depending on the nature of the manifestations, there are several types of dizziness in men and women:
1. True. Pathology caused by abnormalities in the extrapyramidal system or vestibular apparatus.
True dizziness occurs with vertebral artery syndrome, cerebellar pathology, inflammatory diseases of the inner ear, due to traumatic brain injuries.
2. Pseudo-vertigo (organic syndrome). The patient feels unwell immediately after sleeping or when trying to get up quickly after sitting for a long time. As such, there is no dizziness, but the person loses balance and falls. The cause of false pathology may be a sharp violation of cerebral blood flow, insufficient trophism of tissues and organs. A similar symptom, when dizzy when standing up, is more often experienced by people with overweight or underweight, patients with neurological diagnoses. Rapid movement does not allow the body to adapt to the changed load. As a rule, pseudovertigo is harmless and does not require treatment. It is important to exclude the state of orthostatic hypotension, when a person’s blood pressure drops sharply when standing up.
3. Peripheral vertigo. The cause of malaise is diseases of organs and systems that are not related to the brain.
The head is spinning due to damage to the vestibular apparatus. Trauma, toxic poisoning, viral and bacterial infections can lead to inflammation or destruction of the labyrinth. By itself, peripheral dizziness is not dangerous, but it is necessary to treat the underlying disease. Inflammation of the inner ear can progress to meningitis, spread to the sinuses, to the throat. Even without development, the disease interferes with daily life.
4. Central vertigo. Pathology is formed against the background of damage to the central nervous system. Possible causes: tumor, inflammation, tissue compression in the frontal, occipital or parietal lobes, disorders of the cerebellum, extrapyramidal system. Central vertigo begins abruptly. Especially often, the symptom occurs during a quick turn of the head, an unsuccessful tilt, or other incorrect and abrupt movements. If dizziness is accompanied by weakness, hallucinations, you should consult a doctor immediately. Early diagnosis of pathologies is the key to successful treatment.
5. Secondary disorder. Dizziness develops as a consequence of the underlying disease. For example, the cause of a secondary disorder may be a violation of the body’s sensitivity to insulin.
6. Sensual form. The appearance of a symptom provokes problems in the functioning of the sensory organs. The patient may have impaired vision, hearing. Disorientation is possible with a combination of light and noise stimuli, for example, when a person begins to feel dizzy when entering the dance floor. Dizziness in a sensual form is always provoked by some external factor. Removing the trigger relieves the symptom.
Symptoms
The condition usually occurs suddenly, for no apparent reason. A person begins to feel dizzy, due to disorientation, he is led to one side or the other. If the patient is sitting at this time, there may be a feeling of inclination in space or movement of surrounding objects. The manifestations are similar to those that occur after a long ride on a carousel.
The patient is unsteady on his feet. In order not to fall, he needs support. Symptoms of dizziness usually subside quickly. Sometimes it is enough to sit or lie down and be at rest for a while.
Depending on the causes of dizziness, others may be added to the main symptom:
- cold hands or feet;
- feeling short of breath;
- feeling of fear, anxiety;
- excessive sweating in one area (for example, on the palms) or all over the body;
- confusion of thoughts, feeling of lightness in the head;
- nausea, vomiting;
- numbness of face, lips;
- tinnitus;
- accelerated heartbeat;
- increase or decrease in pressure;
- flashing “flies” before the eyes, darkening;
- involuntary twitching of eyeballs, etc.
Diagnostics
In total, about 80 diseases of various systems and organs can cause dizziness. For an accurate diagnosis, it is necessary to undergo a comprehensive examination by a general practitioner.
The patient is prescribed procedures according to his condition:
1. General analysis of urine and blood.
2. Biochemical analysis of blood.
3. Dopplerography of cerebral vessels.
4. Electroencephalography.
5. Hearing research. Results of acoustic impedancemetry, threshold audiometry may be needed.
6. Posturography. During the study, the doctor evaluates the mechanisms of interaction between the vestibular, visual and musculoskeletal systems that provide balance. Carry out rotational tests, caloric test.
7. Rheoencephalography. The study allows you to evaluate the trophic tissue of the brain.
8. MRI. From the images, the doctor receives information about the state of the blood supply system, the presence and location of the tumor, the location of the focus of inflammation, and other important data.
How to deal with dizziness
When dizzy, you need to calm down. Panic will make things worse.
It is recommended to squat down or just on the floor, try to focus on one of the furnishings. Do not close your eyes! Dizziness will increase if the brain stops receiving visual information.
If for some time the symptom worsens, the palms begin to sweat, nausea sets in, there is a feeling of tightness in the chest, it is necessary to call a doctor. Before the arrival of the ambulance, it is better to lie horizontally, not to make sudden movements.
If you witness another person having a dizzy spell, help him sit up. You can unbutton your outerwear and open the window for fresh air. The patient is laid on a sofa or any other horizontal surface, the shoulders and neck are placed on a pillow. In an elevated position, the arteries will not kink and ensure the flow of blood to the brain. A cold towel applied to the forehead will help ease the attack.
Treatment of dizziness
The treatment is complex, selected individually for each patient. To prescribe adequate therapy, the doctor must have a clear answer to the question of why the patient is dizzy.
Medical therapy
If the cause of dizziness in a woman or a man is a circulatory disorder, vasodilators are prescribed. An additional intake of antihistamines or other drugs that improve the rheological properties of the blood is possible.
If the head is spinning due to a neurological disease, the doctor prescribes nootropics. Medicines improve nerve conduction.
Osteochondrosis causing dizziness requires complex treatment. Non-steroidal anti-inflammatory drugs, muscle relaxants are prescribed.
Dizziness in women that occurs during menopause or on certain days of the menstrual cycle, resolves after hormonal therapy. Treatment is carried out under the supervision of a gynecologist.
Compliance with the regime of work and rest
The patient is recommended to normalize sleep, if possible, reduce the time spent in front of the computer. It is important to observe the alternation of physical and mental stress.
Diet
From the diet it is necessary to exclude products that increase or decrease blood pressure, spasm blood vessels, and have an exciting effect on the nervous system. The patient is advised to give up salty, spicy foods, strong tea and coffee.
Gymnastics
Between attacks it is useful to do simple physical exercises. Gymnastics will improve blood circulation, relieve muscle spasms, and stabilize the psychological state. You can perform head and torso rotations. If you do exercises with open and closed eyes, the vestibular apparatus will be additionally strengthened.
Simple complexes for balance, swimming, any other feasible loads are welcome.
Prevention of dizziness
To reduce the frequency of seizures and prevent their occurrence, it is recommended to adhere to the principles of a healthy lifestyle:
- giving up bad habits: smoking and drinking alcohol;
- exclusion from the diet of salty, spicy, smoked, fatty foods;
- limited consumption of sweets and caffeine;
- daily morning exercises, physical activity;
- regular outdoor walks;
- fractional proper nutrition with plenty of vegetables, fruits rich in vitamins;
- sleep on orthopedic mattresses and pillows if there are problems with the spine.

If the main cause of dizziness is frequent stress at work, it is better to find another position. Lost health is very difficult to restore.
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Why dizziness and what to do about it
Health
October 23, 2022
There are a lot of reasons: from dehydration to stroke.
What are the signs to call an ambulance?
Dial 103 or 112 immediately if you or someone close to you first experience severe dizziness or dizziness and one of these symptoms:
- sudden severe headache;
- chest pain;
- labored breathing;
- numbness or inability to move hands or feet;
- numbness and weakness of facial muscles;
- fainting;
- double vision;
- fast and irregular heartbeat;
- difficulty walking, stumbling;
- slurred or confused speech;
- repeated vomiting;
- convulsions;
- sudden change in hearing.

What is dizziness and how does it manifest itself
Dizziness is a general term for sensations that can range from mild weakness and unsteadiness to feeling like you or things around you are spinning and spinning. It rarely indicates some kind of life-threatening condition, but in some cases it can be a symptom of a stroke or other cardiovascular problems.
Everyone gets dizzy from time to time, but if seizures become more frequent, you need to go to a therapist and start an examination. If there are any other specific symptoms, you can immediately make an appointment with a specialist. For example, in case of hearing loss – to an otorhinolaryngologist, in case of headaches – to a neurologist, in case of pain in the heart – to a cardiologist.
Why dizziness is dangerous
Dizziness can be a symptom of a dangerous disease that will harm your health in the long run if the cause is not found and treated. In addition, such attacks increase the risk of falling or injury.
And if it suddenly starts, for example, while driving, it can lead to disaster.
What to do if you feel dizzy
If you feel dizzy, you need to start by looking for the cause. To temporarily alleviate your condition, you can:
- lie down with your head slightly above your feet until the dizziness subsides, then slowly rise;
- try to move smoothly without sharp inclinations and changes in position;
- take enough time to rest;
- drink plenty of fluids, especially water;
- avoid coffee, cigarettes, alcohol and drugs.
Things not to do if you feel dizzy
Don’t do anything that could make your dizziness worse or put you in danger, such as:
- tilt head sharply;
- get up abruptly after sitting or lying down;
- lie flat on a flat surface;
- drive, climb stairs, use heavy equipment.
Galina Kaspranskaya
Otorhinolaryngologist, Otoneurologist at the Rassvet clinic.
First of all, the cause of dizziness must be determined, because the recommendations on what to do and what not to do are not suitable for all cases. It is definitely not necessary to drive and climb stairs, because it is dangerous. But even the seemingly innocuous advice to drink more fluids for certain diseases, such as Meniere’s disease, can aggravate the condition.
Why you feel dizzy
Most often, dizziness occurs due to diseases of the inner ear, the part of the body that is responsible for the sense of balance. Also, the head is spinning due to circulatory problems, neurological diseases, taking certain medications and other reasons. So you need to go to the doctor.
Benign paroxysmal positional vertigo (BPPV)
Microscopic calcium crystals – otoliths – grow in the vestibule of the inner ear. Normally, they should not go deeper (into the semicircular canals), but sometimes come off, for example, due to injury or aging. Then, when you turn or tilt your head, they move, irritate the inner ear and cause short-term bouts of dizziness.
What to do
Fortunately, the treatment is quite simple. There are special maneuvers that an otorhinolaryngologist will teach you. With their help, you can move the crystals so that they no longer interfere. These movements can be performed at any time, even at home. Most people report relief after the first time.
Galina Kaspranskaya
For the treatment of BPPV of the posterior semicircular canal, the Epley maneuver is most often used, which really helps. Sometimes the crystals “stick” to the jelly-like cap on sensitive cells, then it is more difficult to remove them with the help of movements. There are also other maneuvers for BPPV of the lateral and anterior canals.
Meniere’s disease
This is a disease that develops when fluid builds up in the inner ear and presses on the vestibular apparatus. It is still unknown why it accumulates. The disease can occur in anyone, but most often occurs between the ages of 40 and 60 years. It is characterized by sudden attacks of severe dizziness lasting from 20 minutes to 12 hours.
May also be:
- muting or distorting sounds;
- hearing loss;
- ringing in the ears;
- nausea and vomiting.
What to do
Lifestyle changes may help:
- low salt diet;
- alcohol and caffeine restriction;
- smoking cessation;
- replacement for certain medications.
Medicines for dizziness are also prescribed, and if they do not help, they recommend injections of drugs directly into the ear and surgery.
Infections
The vestibular apparatus, which is responsible for balance, is located in the inner ear. If the ear infection has penetrated so deeply, or somewhere else in the body there were viruses that have moved with the bloodstream, then characteristic symptoms appear. Inflammation of the vestibular nerve (vestibular neuritis) can cause severe dizziness for a long time. If hearing is lost at the same time, it may be labyrinthitis – an infection in the semicircular canals.
What to do
You need to go to the doctor and treat the infection that caused the symptoms. Medicines are usually prescribed to relieve nausea and dizziness, and antivirals, antibiotics, and steroids may also be needed.
Galina Kaspranskaya
In the treatment of vestibular neuronitis, antiviral drugs do not help, so symptomatic treatment and sometimes steroids are usually prescribed, which do not improve the prognosis, but slightly shorten the acute period.
Seasickness
Motion sickness develops because the signals from the eyes, muscles, joints and inner ear are different: objects outside the window move, the inner ear feels rocking, and the body is still. The brain does not understand where the contradiction comes from, so we feel bad and experience:
- nausea and salivation up to vomiting;
- dizziness;
- weakness;
- drowsiness;
- irritability.
What to do
Sleep helps to reduce motion sickness.
Therefore, first-generation antihistamines are used, for example, based on dimenhydrinate. Also facilitates the state of fresh air, water, lollipops. And in no case should you read or look at your phone!
Orthostatic hypotension
In some people, if you stand up abruptly, the pressure drops dramatically, because the blood rushes to the legs under the influence of gravity, and the body does not have time to reorganize to keep it and the brain has enough oxygen. Because of this, it gets dark in the eyes, dizzy and weakness rolls.
What to do
Usually the attack goes away fairly quickly without any help. If there is a tendency to such a drop in pressure, do not jump out of bed or get up abruptly from a chair. Contact your doctor to be examined if such episodes are frequent or cause severe discomfort.
Atherosclerosis
Due to atherosclerosis, the lumen of the arteries narrows, so the organs receive less oxygen. When the brain feels its lack, dizziness occurs.
If the vessel is suddenly clogged, for example, when a plaque is damaged, this can result in a heart attack or stroke. Therefore, sometimes dizziness becomes an early sign of a vascular accident.
Atherosclerosis of the arteries leading to the brain can be suspected by the following signs:
- hearing loss;
- double vision;
- blurred vision;
- numbness of the face, hands or feet.
What to do
To avoid heart attack and stroke, you need to make lifestyle changes, take medications to control blood pressure and blood clots, and in severe cases, restore blood flow surgically.
Certain medications
Sometimes dizziness occurs as a side effect of certain medications, such as:
- anticonvulsants;
- antidepressants;
- sedatives;
- tranquilizers.
Dizziness to the point of fainting can also occur if hypertension drugs have lowered the pressure too much.
What to do
If you associate dizziness with a new drug, ask your doctor if you can change it or reduce the dosage to adapt.
Severe stress and anxiety disorders
A person who is in traumatic circumstances or experiencing unreasonable panic has a sharp increase in breathing, which causes hyperventilation – a condition in which there is too much oxygen in the blood, and carbon dioxide, on the contrary, few. This is manifested by such signs as:0003
- dizziness;
- pre-syncope;
- rapid, irregular breathing;
- belching, bloating, dry mouth;
- weakness, confusion;
- drowsiness or insomnia;
- numbness or tingling in the hands and around the mouth;
- muscle spasms in the arms and legs, chest pain, palpitations.
What to do
During such an attack, others should try to calm and distract the person. In a calm, soft and friendly voice, you need to convince him that he is safe, not dying, everything is in order. To make the symptoms go faster, you need to consume less oxygen and increase the concentration of carbon dioxide.
To do this, breathe through closed lips as if blowing out a candle, or close your mouth and one nostril to inhale and exhale through the other.
If such seizures occur for no apparent reason, a psychologist, psychotherapist or psychiatrist should be contacted to help sort out the situation.
Low iron
Low iron leads to iron deficiency anemia, a condition in which the number of red blood cells decreases. Because of this, organs, including the brain, receive less oxygen, so various disorders develop. Anemia is indicated by:
- fatigue;
- weakness;
- dizziness;
- pallor;
- brittle nails;
- pain in the heart, shortness of breath, palpitations;
- cold hands and feet;
- cravings for inedible foods such as earth, ice and starch;
- loss of appetite.
What to do
When these symptoms appear, you should go to a general practitioner and be examined under his supervision.
If you prescribe iron supplements on your own, and this is not the problem, then the liver can seriously suffer from overload.
Low blood sugar
The brain uses glucose as fuel, so it cannot function properly if there is not enough energy. In addition to dizziness, weakness and irritability appear. This is especially true for people with disorders of carbohydrate metabolism, such as diabetes, in which jumps in sugar levels are more pronounced.
What to do
All people should not forget about meals and stick to comfortable intervals between them. Those who have diabetes need to monitor their sugar levels to prevent the development of a hypoglycemic coma.
Carbon monoxide poisoning
Carbon monoxide binds to red blood cells faster than oxygen. When there is too much of the first in the air, organs, especially such as the brain and heart, suffer from hypoxia. Carbon monoxide also binds to proteins in the body and damages cells and tissues.
Poisoning may be suspected by the following symptoms:
- chest pain;
- dizziness;
- fainting;
- confusion;
- loss of coordination;
- severe headache;
- nausea and vomiting.
What to do
If poisoning is suspected, call an ambulance. To avoid poisoning:
- check gas appliances regularly;
- follow instructions when using gas or kerosene fueled appliances;
- do not sit for a long time in a closed car with the engine running;
- do not start the car in a closed garage;
- do not use a charcoal grill indoors;
- do not use a gas stove as a heater;
- do not sleep in rooms with unventilated gas or kerosene heaters.
Overheating and dehydration
Dizziness is often due to overheating or dehydration. Due to the lack of fluid, the blood becomes thicker and its flow to the brain is reduced, so these symptoms appear.

The relief can be immediate, or it may take several days.

