What Is Vertigo? Symptoms Causes Diagnosis Treatment and Prevention Everyday Health

What Is Vertigo? Symptoms Causes Diagnosis Treatment and Prevention Everyday Health

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What Is Vertigo Symptoms Causes Diagnosis Treatment and Prevention

By Julie Lynn MarksMedically Reviewed by Sanjai Sinha, MDReviewed: March 19, 2021Medically ReviewedIf you have vertigo, you may feel like you're moving or spinning when you're not. Or you may feel like your surroundings are in motion when they aren't. Many people describe vertigo as feeling dizzy, but it's different from being light-headed. Simple movements are unusually intense for people with vertigo, and the condition can impact your everyday life.Your symptoms will probably depend on what's causing your episodes and the type of vertigo you have.

Types of Vertigo

The two main types of vertigo are:Peripheral vertigo Peripheral vertigo is caused by a problem in areas of the inner ear or the vestibular nerve, which connects the inner ear and the brain. This is the most common type of vertigo.Central vertigo Central vertigo happens when there's a glitch in the brain, particularly in an area of the brain called the cerebellum.

RSV-HSN A New Type of Vertigo

Researchers recently discovered a new kind of vertigo. In a study published in June 2018 in the journal Neurology, scientists called it "recurrent spontaneous vertigo with headshaking nystagmus" (RSV-HSN). Participants sat in a dark room while an examiner moved their heads forward and then side to side for about 15 seconds. Next, researchers made a video recording of the participants' eye motions. Results showed those with RSV-HSN had eye movements, known as "nystagmus," that lasted longer than in others with vertigo. The scientists say that, compared with other types of vertigo, RSV-HSN involves more severe bouts of motion sickness. In the study, people with RSV-HSN had attacks that included nausea, vomiting, headaches, and intolerance of head motions. They experienced symptoms anywhere from a few times a week to once a year.At this point, the cause of RSV-HSN isn't known, but the condition does seem to respond well to medication.

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Signs and Symptoms of Vertigo

Symptoms of vertigo vary from person to person. Your symptoms might be mild or severe, depending on what's causing the issue.Some common signs and symptoms of peripheral vertigo include: DizzinessFeeling like you're moving or spinningProblems focusing the eyesHearing loss in one earBalance problemsRinging in the earsSweatingNausea or vomiting Central vertigo may cause signs and symptoms such as:Double visionDifficulty swallowingFacial paralysisEye movement difficultiesSlurred speechWeak limbs

What Does It Feel Like to Have Vertigo

Many people describe vertigo as feeling like the room is spinning. It might cause you to feel like you’re tilted, rocking, unbalanced, or unsteady. Sometimes these unpleasant sensations are worse if you're standing up, walking, or moving your head around. Many people describe these feelings as physically exhausting and taxing. Sometimes, the sensations are so severe that you feel nauseated or experience vomiting. Usually symptoms of vertigo don't include light-headedness, fainting, or motion sickness.

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Causes and Risk Factors of Vertigo

Vertigo isn't a disease itself. Instead, it's a symptom of other conditions. Finding out what’s causing your symptoms is one of the first measures your doctor will take in assessing how to cure vertigo. You'll need to know what's triggering your dizziness before you can treat it. Identifying specific risk factors and medical conditions can be helpful. An array of issues can cause vertigo. Some of the most common are conditions known as benign paroxysmal positional vertigo (BPPV), Ménière's disease, and labyrinthitis. Less common causes include migraines, medication, head injuries, and stroke.Being a woman and being older than 50 can up your risk of having a vertigo episode. A family member with vertigo, or other factors, such as having a head injury, can also increase your chances of developing symptoms.

Vertigo Problems With the Inner Ear

Symptoms of vertigo are often the result of an inner ear (vestibular system) problem. Your inner ear plays a big role in helping you feel balanced. Inside your ear is a tiny organ called the vestibular labyrinth, which includes semicircular canals that contain fluid and hair-like sensors. Other structures in the ear, called otolith organs, help monitor the movement and position of your head in relation to gravity. Otolith organs contain small crystals that make you responsive to gravity. Sometimes, these crystals can break free and move into the semicircular canals. This can irritate the hair cells within the canals and make them more sensitive to head position changes. It can allow for false messages about your body's position to be sent to your brain. Basically, inner ear disorders cause your brain to obtain signals from the inner ear that don't match up with what your eyes and sensory nerves (nerves that send messages to your brain) receive. Learn More About Causes of Vertigo: Common Risk Factors, Genetics, and More

How Is Vertigo Diagnosed

Diagnosing vertigo isn't always simple. In fact, it can be a tricky and involved process, because people with dizziness often have trouble describing their specific symptoms.First, your doctor will try to find out if you have "true vertigo" by asking about your specific complaints. Then, the focus will be on diagnosing a cause. Your physician might inquire about your family and medical history, perform a physical exam, and conduct various tests. They may perform a maneuver with you, called the Dix Hallpike maneuver, to re-create vertigo symptoms. If positive, this is diagnostic of peripheral vertigo. Other physical examinations measure your balance, analyze your eye movements, or assess what side of your body is affected by vertigo. Imaging tests, such as a computerized tomography (CT) scan or magnetic resonance imaging (MRI), can be used to let doctors see what’s going on inside your body. In some cases, hearing tests, vision tests, blood work, and even allergy tests are also used. Each person may require different testing, depending on the suspected cause of vertigo. RELATED: Learn More About Tests for VertigoYour general practitioner may refer you to a specialist, such as an otolaryngologist or a neurologist — specialists who focus on inner ear or balance problems — to help diagnose or treat your condition. When choosing a specialist, you should consider his or her education, training, and experience. You might also want to ask if the specialist's facility has equipment for diagnosing and treating vertigo disorders. While the diagnostic process may seem tedious at times, it's important to stay the course so you can find out what's causing your symptoms.

When Should You Call Your Doctor About Your Symptoms

You should see a doctor if you have vertigo symptoms that come back periodically for more than one week. It's also a good idea to see your healthcare provider if you have any type of dizziness that interferes with your daily activities.

When Should You Seek Out Emergency Care

Symptoms of vertigo are rarely caused by a serious, life-threatening condition. But you should visit your doctor immediately or seek emergency medical care if you experience dizziness along with the following: A new, different, or severe headacheHearing lossDouble vision or loss of visionFeverSlurred speech or trouble speakingLimb weaknessLoss of consciousnessNumbness or tinglingDifficulty walkingLoss of coordinationInability to keep food down, or continuous vomiting Learn More About Diagnosing Vertigo: Tests and Screenings, Early Diagnosis, and Your Doctors

Prognosis of Vertigo

In many cases, symptoms of vertigo will resolve on their own within a few days. But for other people, it's chronic. Living with vertigo can be frustrating. Your episodes may be unpredictable and sporadic. Some days, you may not experience any symptoms, while other days, you might have debilitating bouts of dizziness. The good news is there are effective treatment options and most of the time, these treatments can help you control or eliminate your symptoms, so you can enjoy everyday activities.

Duration of Vertigo

Symptoms can last a few minutes, or they can persist for hours. In some people the vertigo persists for weeks or months.

Treatment and Medication Options for Vertigo

Several treatment options are available to help symptoms of vertigo.The Canalith Repositioning Procedure (also known as the Epley maneuver), a popular therapy that involves exercises to reposition canaliths (calcium crystals) in your inner ear, has a success rate of about 80 percent, in helping people with the most common cause of vertigo. Other types of physical therapy are used to relieve vertigo caused by inner ear problems. Sometimes medicines, injections, psychotherapy, or surgery are needed. Your doctor can help you decide which options are best for you.

Medication Options

Some medications used to treat vertigo symptoms include: DramamineAntivertValium

Alternative and Complementary Therapies

What if you could cure your vertigo at home? Your doctor may be able to provide you with detailed instructions for doing modified repositioning exercises, like the Epley maneuver, at home. more on Neurology

Home Remedies and Integrative Treatments for Vertigo


Many people also report that changing their diet and eliminating foods that are salty, sugary, or high in caffeine can improve their symptoms. Good hydration is another way to help combat vertigo.Dietary supplements, such as ginkgo biloba extract, have also been shown to improve symptoms. Additionally, yoga, tai chi, relaxation techniques, and adequate sleep might help you improve balance and ward off a vertigo episode. Talk to your doctor before performing any at-home remedies. Learn More About Treatment for Vertigo: Medication, Alternative and Complementary Therapies, Surgery Options, and More

Prevention of Vertigo

Most of the time, vertigo can’t be prevented. But knowing and avoiding certain risk factors may help prevent it. For instance, you can protect yourself from a head injury by wearing a helmet when bicycling or playing sports or taking measures to prevent a fall.

Complications of Vertigo

Vertigo can take a toll on your daily life. If your episodes are frequent or severe, you may not be able to work, drive, or perform other tasks. Typically, people with persistent vertigo are advised not to drive or operate machinery because these activities can pose dangers to themselves and others.Vertigo can also lead to falls, which may cause injuries. Falling is particularly a concern for older people, who are more prone to bone fractures and other complications. According to the National Council on Aging, falling is the number one cause of fatal and nonfatal injuries in older Americans. editors’ pick

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Research and Statistics Who Has Vertigo

Vertigo is considered a common symptom. Nearly 40 percent of all adults in the United States experience vertigo at least once during their lifetime, according to the University of California San Francisco Medical Center. Vertigo is typically more prevalent in older people, but it can affect anyone at any age. Women are slightly more likely to experience vertigo symptoms than men.Other research has shown that about 12.5 million adults over age 65 in the United States have a dizziness or balance issue that significantly interferes with their lives. According to the National Dizzy and Balance Center, there are between five million and eight million doctor’s visits for dizziness in the United States each year, and dizziness is a primary reason for an office visit in people over age 75.

Black and Asian Americans and Vertigo

Vertigo can affect people of all colors and ethnicities, but some research has shown minorities may have a higher risk for certain types of dizziness. One study, published in 2016 in the Journal of Vestibular Research, found that Black Americans were more likely to have BPPV compared with white Americans. The authors of the study say this may be because diabetes rates are higher in Black Americans.The data from this study also suggested that BBPV was more prevalent in Asian Americans.

Related Conditions and Causes of Vertigo

Some medical conditions that are closely related to vertigo include: Ménière’s diseaseBPPVLabyrinthitis StrokeMigraineCholesteatoma (a skin growth that occurs in the middle ear behind the eardrum) Otosclerosis (abnormal bone tissue growth in the middle ear)Perilymph fistula (an abnormal connection of membranes in the middle and inner ear) Acoustic neuroma or vestibular schwannoma (a noncancerous tumor on the balance and hearing nerves leading from the brain to the inner ear) Multiple sclerosis (MS)Parkinson’s diseaseBrain tumorsDiabetes

Resources We Love

Managing vertigo can seem overwhelming and difficult at first. Fortunately, there are a variety of resources out there that can help you learn more about the problem and navigate getting treatment.

Favorite Organizations for Vertigo

Vestibular Disorders Association (VeDA) VeDA's goal is to educate, support, and empower people who suffer from vestibular disorders, like vertigo. One unique feature is their patient registry — a database of health info that documents patient experiences. American Institute of Balance This is one of the country's largest multispecialty centers for the evaluation and treatment of dizziness and balance disorders. Check out their self-quiz for dizziness and balance problems. National Institute on Deafness and Other Communication Disorders (NIDCD) The NIDCD provides a wealth of information about balance disorders, Ménière's, and vestibular schwannoma.

Favorite Online Support Networks

Balance and Dizziness Canada This organization aims to increase awareness of balance disorders and empower those affected by dizziness. Their Ask an Expert section lets you submit questions to top health professionals. You might also want to check out the legal services page, which offers advice on finding a lawyer if you need help navigating disability benefits. VeDA Support Groups Connecting with others might be just what you need to cope with your vertigo episodes. VeDA’s website helps you find support groups in your area. Or, you can join an online group.

Favorite Apps Products and Gadgets

aVOR This free app demonstrates how vestibular disorders happen in the body. It was designed as a teaching tool for college-level students and medical professionals, but the information could help laypeople, too. Vestibio Need a personal trainer for your vertigo exercises? Try Vestibio. It’s an easy-to-use vestibular rehabilitation therapy app that keeps track of your recovery process. It helps you complete your prescribed exercises and automatically saves your results to share with your doctor later.

Favorite Patient Blogs

Vertigo Detective Dr. Kimberley Bell, DPT, the "Vertigo Detective," writes this informative blog. She offers tips on managing dizziness, recognizing symptoms, and more. Mummy Seeing Double Written by a mom of twins, this blog chronicles the writer's experience with vestibular migraines and other chronic illnesses.

Favorite Annual Meetings

American Academy of Neurology The American Academy of Neurology's annual meeting covers some of the latest breakthroughs for neurological disorders. You can browse the program here.

Editorial Sources and Fact-Checking

Vertigo-Associated Disorders. MedlinePlus. October 2, 2019.Lee S, et al. Recurrent Spontaneous Vertigo With Interictal Head-Shaking Nystagmus. Neurology. June 12, 2018.Dix Hallpike Maneuver. StatPearls. September 5, 2020.Benign Paroxysmal Positional Vertigo (BPPV): Symptoms and Causes. Mayo Clinic. August 18, 2020.Benign Paroxysmal Positional Vertigo (BPPV): Diagnosis and Treatment. Mayo Clinic. August 18, 2020.Vertigo. USCF Health.Vertigo. Harvard Health Publishing. February 2019.Home Epley Maneuver. Johns Hopkins Medicine.Dietary Considerations — Does Diet Really Matter? VeDA.Complementary and Alternative Medicine. VeDA.Get the Facts on Falls Prevention. National Council on Aging. February 24, 2021.What Causes Dizziness/Vertigo. National Dizzy & Balance Center.D'Silva LJ, et al. Retrospective Data Suggests That the Higher Prevalence of Benign Paroxysmal Positional Vertigo in Individuals With Type 2 Diabetes Is Mediated by Hypertension. Journal of Vestibular Research. 2016.Types of Vestibular Disorders. VeDA.Show LessNEWSLETTERS

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