QUESTIONS YOUR DOCTOR MAY ASK:
DO YOU HAVE HEARING LOSS (NOW OR IN THE PAST)?
DO YOU HAVE TRUE VERTIGO (false sense of motion, floating, bobbing, swaying, rocking, tilting, or spinning)?
IF yes, HOW LONG DOES YOUR VERTIGO LAST?
1. SHORT EPISODES: less than 5 minutes
2. MODERATE EPISODES: 5 minutes to 24 hours
3. LONG EPISODES: 1 day to 1 week
4. PERSISTENT: longer than 1 week
IF no, DO YOU HAVE ANY OF THE FOLLOWING SYMPTOMS?
A. DYSEQUILIBRIUM (imbalance)
B. NEAR FAINTING - feeling you might faint, black out, or lose conciousness
C. SPACEY - disconnected or distanced from the world around you, panicky, tingling about mouth or hands
HOW LONG DO THESE SYMPTOMS LAST?
1. SHORT EPISODES: less than 5 minutes
2. MODERATE EPISODES: 5 minutes to 24 hours
3. LONG EPISODES: 1 day to 1 week
4. PERSISTENT: longer than 1 week
Dizziness
Dizziness is a term that is often used to describe two different symptoms: lightheadedness and vertigo.
Light-headedness is a feeling like you might faint.
Vertigo is a feeling that you are spinning or moving, or that the the world is spinning around you.
Considerations
Most causes of dizziness are not serious and either quickly get better on their own or are easily treated.
Causes
Light-headedness occurs when your brain does not get enough blood. This may occur if:
You have a sudden drop in blood pressure Your body does not have enough water (is dehydrated) because of vomiting, diarrhea, fever, and other conditions You get up too quickly after sitting or lying down (this is more common in older people)
Light-headedness may also occur if you have the flu, low blood sugar, a cold, or allergies.
More serious conditions that can lead to light-headedness include:
Heart problems, such as a heart attack or abnormal heart beat Stroke Bleeding inside the body Shock (extreme drop in blood pressure)
If any of these serious disorders is present, you will usually also have symptoms like chest pain, a feeling of a racing heart, loss of speech, change in vision, or other symptoms.
Vertigo may be due to:
Benign positional vertigo, a spinning feeling that occurs when you move your head Labyrinthitis, a viral infection of the inner ear that usually follows a cold or flu Meniere's disease, a common inner ear problem
Other causes of lightheadedness or vertigo may include:
Use of certain medications Stroke Multiple sclerosis Seizures Brain tumor Bleeding in the brain
What To Do At Home
If you tend to get light-headed when you stand up:
Avoid sudden changes in posture. Get up from a lying position slowly, and stay seated for a few moments before standing. When standing, make sure you have something to hold on to.
If you have vertigo, the following tips can help prevent your symptoms from becoming worse:
Keep still and rest when symptoms occur. Avoid sudden movements or position changes. Slowly increase activity. You may need a cane or other help walking when you have a loss of balance during a vertigo attack. Avoid bright lights, TV, and reading during a vertigo attacks, because they may make symptoms worse.
Avoid activities such as driving, operating heavy machinery, and climbing until 1 week after your symptoms disappear. A sudden dizzy spell during these activities can be dangerous.
When to Contact a Medical Professional
Call your local emergency number (such as 911) or go to an emergency room if you are dizzy and have:
A head injury Fever over 101°F, headache, or very stiff neck Seizures Trouble keeping fluids down Chest pain Heart skipping beats Shortness of breath Weakness Inability to move an arm or leg Change in vision or speech Fainting and losing alertness for more than a few minutes
Call your doctor for an appointment if you have:
Dizziness for the first time New or worsening symptoms Dizziness after taking medication Hearing loss
What to Expect at Your Office Visit
Your doctor will perform a physical exam and ask questions about your medical history and symptoms, including:
When did your dizziness begin? Does your dizziness occur when you move? What other symptoms occur when you feel dizzy? Are you always dizzy or does the dizziness come and go? How long does the dizziness last? Were you sick with a cold, flu, or other illness before the dizziness began? Do you have a significant amount of stress or anxiety?
Tests that may be done include:
Blood pressure reading Hearing tests Balance testing (ENG) MRI
Your health care provider may prescribe medications to help you feel better, including:
Antihistamines Sedatives Anti-nausea medication
Ear, Nose and Throat Physicians of North MS PA