What is dizziness?
Dizziness is a term often used to describe different
symptoms. It can be a feeling of being unsteady or woozy.
It also can be a feeling of spinning. Vertigo is the term
health care providers use for when it feels like you are
spinning or the room is spinning. It is important for you
to explain to your provider what you mean by dizziness.
How does it occur?
Dizziness is not a disease. It is a symptom. Most often it
is mild and temporary and a cause cannot be found.
Sometimes it is a signal of some other problem.
Feelings of dizziness or vertigo may be caused by an
infection or disease in the inner ear. For example, one
possible cause is inflammation of the inner ear called
labyrinthitis. Other inner ear problems that can trigger
dizziness are Meniere's disease and benign positional
vertigo.
Dizziness can be caused by tiredness, stress, fever,
dehydration, low blood sugar, anemia, head injury, heart or
circulation problems, or stroke. It can also be caused by
some medicines.
Older people who have either atherosclerosis (hardening of
the arteries) or osteoarthritis of the joints in the neck
(which may cause pressure on nerves and blood vessels) may
experience vertigo when they suddenly move their heads or
look up. Dizziness occurs more often in older adults than in
other age groups but it is not necessarily caused by
disease.
Some psychological problems can cause dizziness. For
example, anxiety might cause hyperventilation (rapid,
shallow breathing), which may then cause you to feel dizzy.
Less common causes of dizziness include tumors or infections
in the brain, or multiple sclerosis.
How is it diagnosed?
Your health care provider will ask you to describe your
dizziness and how it occurs in as much detail as you can.
He or she will want to know about any other symptoms or
medical problems you are having. Your provider may try to
make you feel dizzy by asking you to repeat actions or
movements that cause your dizziness.
If disease is the suspected cause, your health care provider
will examine your ears, eyes, and nervous system. You may
have a CT scan (computerized x-rays) of the brain to look
for evidence of some possible problems, such as tumors or
strokes.
How is it treated?
The treatment will depend on the cause of your dizziness.
Your health care provider will want to treat the underlying
cause. For example, if you have Meniere's disease, your
provider may recommend a low-salt diet. Your provider may
prescribe antibiotics if he or she suspects you have an
infection.
If no cause can be found for your dizziness, your health
care provider may prescribe medicine for the balance
mechanism in your inner ear. These drugs are usually the
same drugs you might take for motion sickness, such as
meclizine (Antivert).
How long will the dizziness last?
Depending on the cause, mild dizziness usually lasts no
longer than 1 to 2 weeks. Sometimes it may last just a few
moments. More severe dizziness can last 4 to 6 weeks. With
Meniere's disease, the dizziness may come and go or become
an ongoing problem.
How can I take care of myself?
For mild dizziness, the best thing to do is lie down, relax,
and wait for the dizziness to go away. Also try to avoid
positions or activities that cause the dizziness. Move
slowly, especially when standing up.
If you become dizzy while you are driving, pull over to the
side of the road until the dizziness goes away. Do not
operate machinery when you are dizzy.
Call 911 right away for emergency help if:
- Your other symptoms are double vision, blindness,
inability to speak, or numbness or weakness on one side
of your face or body.
Call your health care provider if:
- You are following the recommended treatment but are
continuing to have severe, prolonged, or repeated attacks
of dizziness.
- You have symptoms along with dizziness, such as loss of
hearing. If your other symptoms are double vision,
blindness, or numbness or weakness on one side of your
face or body, call your provider or 911 right away.


Disclaimer: This content is reviewed periodically and is subject to
change as new health information becomes available. The
information provided is intended to be informative and educational and is not a
replacement for professional medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
HIA File SYM5054F.HTM Release 9.0/2006. Copyright © 2006 McKesson Corporation and/or one of its subdiaries. All Rights Reserved.
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