What is vertigo?
![大多数的眩晕解决我没有医疗ntervention. Treatment options may depend on your symptoms, diagnosis, and underlying conditions. These treatments may include balance therapy, or medications such as Dramamine (dimenhydrinate) or Antivert (meclizine).](https://images.medicinenet.com/images/article/main_image/what-causes-vertigo.jpg?output-quality=75)
Most people have experiencedvertigoor something close to it. It is important to know whatvertigois and how to identify the signs and symptoms correctly.Vertigomight be a sign of underlying serious conditions, and it should be identified and treated early.
Vertigois a condition where you may feel your body or the environment around you spinning or moving. It may occur even with the absence of motion or when you sense a motion inaccurately. It is usually a symptom of another condition.
Depending on your symptoms, your vertigo may be considered either peripheral vertigo or central vertigo:
- Peripheral vertigo:This type of vertigo is characterized by milddizzinessand spinning that is alleviated by focusing your gaze. Symptoms are usually due to inner ear issues and can last up to a few days.
- Central vertigo:This type of vertigo is characterized by severedizzinessand spinning that does not go away with a focused gaze. It is associated with serious neurological issues and can last weeks or months.
Symptoms of vertigo
You can often identify vertigo by how you feel. It may feel like you or everything around you is spinning or you may have a general sense of imbalance. The dizziness is sometimes accompanied bynausea,vomiting, andringing in the ears(tinnitus).
Vertigo can last anywhere from a few seconds to a few days, or even weeks or months in a severe case.
Causes of vertigo
Your vertigo may be caused by a problem in your inner ear or brain, creating problems with your balance. Vertigo is generally considered a symptom of another condition, such as:
- Labyrinthitis:Thisinner ear infectionis usually viral and affects the nerves involved in the balance of the body. It is also calledvestibular neuronitis.
- Benign Paroxysmal Positional Vertigo (BPPV):This occurs when small calcium particles are displaced from their normal location and start collecting in the inner ear. This condition may be associated with age and is triggered by certain head positions.
- Meniere'sdisease:This is a rare inner ear disorder that may be caused by fluid building up and changing pressure in the ear. That in turn may cause episodes of vertigo accompanied byringing in the ears(tinnitus) andhearing loss.
- Other causes:migraine(severeheadache), head orneck injury, and medication that causes ear damage.
![](https://images.medicinenet.com//images/slideshow/tinnitus-s1-photo-of-woman-covering-ears.jpg)
SLIDESHOW
Tinnitus: Why Are My Ears Ringing?See SlideshowDiagnosis for vertigo
To diagnose vertigo your doctor will take your history and get information about any symptoms you have been facing. What you tell your doctor determines a lot in deciding the diagnosis.
Your doctor may go on to do a physical exam to look for signs and symptoms of vertigo. They may examine your ear canal, eardrums, and eye movements.
In addition, they may also conducthearingtests, including an audiometric test or an otoacoustic emissions test. If you have experiencedhearing loss, your doctor may recommend amagnetic resonance imaging(MRI) scan to take a better look at your inner ear and the surrounding structures.
Other tests include:
- The rotational chair testing:Your doctor may use this test to test whether your vertigo is central or peripheral. You are put on a mechanized chair that rotates slowly while wearing special goggles that record your eye movement as the chair rotates.
- Videonystagmography testing:This test may be used to evaluate the functioning of your inner ear using visual and sensory tests. This test also tracks eye movements and your doctor may use this to check whether your vertigo is due to dysfunction of your inner ear.
If you have central vertigo due to neurological issues, you may be referred to a neurological specialist for testing and treatment.
Treatments for vertigo
大多数的眩晕解决我没有医疗ntervention. There is no one obvious best treatment for vertigo. Your treatment options will depend on your symptoms, diagnosis, and underlying conditions.
有时对待另一个潜在disorder is necessary to help your vertigo. For example, BPPV is treated with a series of head and body positions maneuvered by a doctor to return ear calcium crystals to their usual place.
Vestibulartherapy, or balance therapy, helps you learn exercises to counteract the physical disorientation of vertigo.
Sometimes medications are helpful for vertigo, and your doctor may prescribe:
- Dramamine (dimenhydrinate):This is anantihistaminethat reduces the effects of the natural chemical histamine in your body. It is used to preventnausea,vomiting, and dizziness caused bymotion sickness.
- Antivert(meclizine):It is used to treat the dizziness and spinning symptoms of vertigo.
Complications and side effects of vertigo
Before receiving medication to treat your vertigo, it is important to inform your doctor if you have had a history ofasthmaorallergiesto anydrugs. The medication you are given may cause serious side effects. Any medication for vertigo should be discontinued as soon as symptoms have disappeared.
American Family Physician: "Initial Evaluation of Vertigo."
Harvard Health Publishing: "Vertigo."
National Health Service: "Vertigo."
NHS Inform: "Vertigo."
NYU Langone Health: "Diagnosing Vertigo."
NYU Langone Health: "Recovery & Support for Vertigo."
Vestibular Disorders Association: "Benign Paroxysmal Positional Vertigo (BPPV)."
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