Vertigo

Vertigo is a type of dizziness characterized by the sensation that the environment around you or you yourself are spinning or moving. It is a symptom, not a disease, and can be caused by a variety of factors.

Causes of Vertigo

  • Inner Ear Problems: The most common cause of vertigo is inner ear problems, such as benign paroxysmal positional vertigo (BPPV), labyrinthitis, and vestibular neuritis. These conditions affect the balance organs in the inner ear.
  • Migraines: Migraines can cause vertigo, especially during or before the headache phase.
  • Head or Neck Injuries: Trauma to the head or neck can cause vertigo by damaging the balance organs in the inner ear or the nerves that connect them to the brain.
  • Medications: Certain medications, such as antibiotics, antihistamines, and antidepressants, can cause vertigo as a side effect.
  • Other Medical Conditions: Vertigo can be a symptom of other medical conditions, such as multiple sclerosis, stroke, or acoustic neuroma (a type of tumor that grows on the nerve that connects the inner ear to the brain).

Symptoms of Vertigo

  • Dizziness or Lightheadedness: The sensation that you or your environment is spinning or moving.
  • Nausea and Vomiting: Many people with vertigo experience nausea and vomiting, especially when the dizziness is severe.
  • Difficulty Walking or Standing: Vertigo can make it difficult to walk or stand without losing your balance.
  • Headaches: Some people with vertigo may experience headaches, especially if the vertigo is caused by a migraine.
  • Ringing in the Ears (Tinnitus): Some people with vertigo may experience tinnitus, which is a ringing or other sound in the ears.

Diagnosis of Vertigo

Diagnosing vertigo typically involves a physical examination and a review of your medical history. Your doctor may also perform tests to determine the cause of your vertigo, such as:

  • Electronystagmography (ENG): A test that measures the movements of your eyes to help diagnose balance problems.
  • Videonystagmography (VNG): A test that uses cameras to record the movements of your eyes and help diagnose balance problems.
  • Computed Tomography (CT) Scan: A test that uses X-rays and computer technology to produce detailed images of your brain and inner ear.
  • Magnetic Resonance Imaging (MRI): A test that uses magnetic fields and computer technology to produce detailed images of your brain and inner ear.

Treatment of Vertigo

Treatment for vertigo depends on the underlying cause. In some cases, no treatment is needed and the vertigo will resolve on its own. In other cases, treatment may include:

  • Vestibular Rehabilitation Therapy (VRT): A type of physical therapy that can help improve your balance and reduce dizziness.
  • Medications: Medications such as antihistamines, benzodiazepines, and anti-nausea medications may be prescribed to help manage symptoms of vertigo.
  • Surgery: In some cases, surgery may be necessary to treat the underlying cause of vertigo, such as a tumor or injury to the inner ear.
  • Lifestyle Changes: Making lifestyle changes, such as reducing stress, getting regular exercise, and avoiding triggers that can exacerbate vertigo, can help manage symptoms.

Home Remedies for Vertigo

In addition to medical treatment, there are several home remedies that may help alleviate symptoms of vertigo:

  • Stay Hydrated: Drinking plenty of water can help reduce dizziness and nausea.
  • Get Plenty of Rest: Getting enough sleep can help your body recover from the stress of vertigo.
  • Avoid Caffeine and Alcohol: Both caffeine and alcohol can exacerbate symptoms of vertigo.
  • Try Relaxation Techniques: Stress-reducing techniques, such as deep breathing, meditation, or yoga, may help alleviate symptoms of vertigo.

Article last updated on: 11th April 2025.
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