Dizziness is a non-specific term used to express a variety of sensations like lightheadedness, imbalance, or like the room is spinning.
Its causes range from standing up too quickly to more serious conditions—like vertigo—that merit medical treatment. Most of the time, dizziness is an acute symptom that resolves quickly and on its own, but sometimes it may signal a more serious problem.
This article discusses the symptoms and potential causes of dizziness and covers the risk factors and when to seek tests or treatment for your symptoms.
Symptoms of Dizziness
Dizzy is a subjective feeling that differs from person to person. Dizziness is most commonly described as one of the following sensations:1
- Feeling like your spinning or disoriented
- Unsteady (like you are going to lose your balance)
- A swimming feeling like you need to hold onto something or concentrate while walking
Sometimes dizziness is also accompanied by:
- Loss of consciousness
Types of Dizziness
The various types of dizziness are outlined below.
Vertigo is a subtype of dizziness characterized by a sensation of motion either of the body or the surrounding environment due to dysfunction of the vestibular system, which helps maintain balance.
Vertigo is most commonly described as the feeling of the room spinning while you’re still. There are many different subtypes of vertigo, such as:
- Vestibular neuritis
- Benign paroxysmal positional vertigo (BPPV)
- Vestibular migraine (the most common type)
The cause of your dizziness may differ depending on the subtype, but they all show some level of discord in how the brain interprets visual information about one’s position in space.2
Of note, vertigo can be a medical condition in and of itself—oftentimes of unknown origin—or a symptom of an underlying medical condition such as a metabolic disorder like kidney failure, multiple sclerosis, or stroke.
Presyncope is that faint feeling you feel when you get up too quickly. More commonly known as lightheadedness, presyncope occurs when blood is restricted to the brain.3
Disequilibrium is the feeling of unsteadiness or imbalance often associated with inner ear dysfunction, ear infections, and neuro-degenerative conditions, such as Parkinson’s disease.4
Causes of Dizziness
The foremost common causes of dizziness are:
- Ear infections
- Inner ear disorders (such as benign paroxysmal positional vertigo [BPPV] and Meniere’s syndrome)
- Motion sickness
- Side effects from medication
It’s also important to note that sometimes the cause of your dizziness simply cannot be explained.
What Medications Can Cause Dizziness
Any medication that is toxic to the inner ear (ototoxic) or can precipitate an electrolyte imbalance in the body has the potential to cause dizziness.
The following medications (and their drug classes) most commonly trigger medication-induced vertigo-like symptoms:5
- Analgesics (codeine)
- Antibiotics (aminoglycosides, macrolides, minocycline, nitrofurantoin, sulfamethoxazole)
- Anticonvulsants (levetiracetam, phenytoin, pregabalin)
- Anti-inflammatories (celecoxib, parecoxib, naproxen, prednisone)
- Antimalarials (mefloquine, quinine, hydroxychloroquine)
- Antivirals (oseltamivir, raltegravir)
- Anti-Parkinson’s drugs (lisuride)
- Cardiovascular drugs (nifedipine, furosemide, indapamide, prazosin, terazosin, glyceryl trinitrate, isosorbide mononitrate, sotalol, timolol)
- Gastroenterology drugs (omeprazole, lansoprazole, sucralfate)
- Rheumatology drugs (zolendronic acid, alendronate)
- Phosphodiesterase type-5 inhibitors (sildenafil, vardenafil)
- Other medicines (lithium, haloperidol, benzodiazepines, desmopressin, melatonin)
How to Treat Dizziness
Finding the root cause of your dizziness will determine the best course of action for you.
- Inner-ear issues: If the cause of your dizziness is due to inner-ear issues, it can usually be well managed with medications, at-home positional exercises, or canalith positioning procedures—a special set of exercises performed by your physical therapist designed to remove inner ear crystals.
- BPPV: This can be resolved with canalith positioning procedures, a special set of exercises performed by your physical therapist designed to remove inner ear crystals. Surgery is not usually indicated.6
- Migraines: These can be treated with triptan medication, an anti-inflammatory diet, avoiding common migraine triggers, and anti-nausea medication such as Zofran ODT (ondansetron).
- Meniere’s disease: This is an inner ear disorder characterized by severe dizziness (vertigo), ringing in the ears (tinnitus), hearing loss, and a feeling of fullness or congestion in the ear. The exact cause of Meniere’s is a mystery, and there is no cure, but your symptoms may be mitigated with a low-salt diet and balancing exercises to ‘retrain’ the nervous system. Prescription drugs such as meclizine, diazepam, glycopyrrolate, and lorazepam can also help relieve dizziness and shorten the duration of your dizzy spells. In more severe cases, injections with the antibiotic gentamicin or ear surgery may be indicated.7
- Panic disorder: If this is the cause of your dizziness, cognitive behavioral therapy may be helpful. Taking anti-anxiolytics and using breathing exercises may also provide added benefits if anxiety is at the root of your dizziness.
- Electrolyte or hormonal imbalance: To help this, drinking an energy drink such as zero-sugar Gatorade or Powerade, as well as plenty of water, can reverse your chemical imbalance and dehydration, resolving your dizziness along the way. Be sure to avoid strenuous exercise and excessively hot places for additional relief.
If your symptoms of dizziness are severe, persistent, recurrent, do not resolve with your normal at-home remedies or medications, or are associated with stroke-like symptoms, seek immediate medical attention from a healthcare provider.
Are There Tests to Diagnose the Cause of Dizziness?
Finding the root cause of your dizziness always starts with a healthcare provider taking a detailed medical history, including careful questioning about the nature of the dizziness, and a focused physical examination, which may include observing eye movements, balance and walking, positional testing, and a blood pressure check.
To determine what might be causing your dizziness, your healthcare provider may recommend/perform one of these tests:1
- CT scan or MRI of the head and neck: These imaging techniques can look for physical abnormalities or blockages that might explain the lack of blood flow to the brain, which can cause dizziness.
- Blood work: A blood test can identify electrolyte or vitamin deficiencies.
- Electronystagmography (ENG or electrooculography): This test uses electrodes to measure electrical impulses in the eye associated with nystagmus (rapid involuntary eye movement). If nystagmus does not occur upon electrical stimulation, it may indicate inner ear dysfunction.
Consult your healthcare provider if your test results are unclear or if you have any questions. After taking these exams, you should meet with your healthcare provider, who will explain the results and discuss your treatment options.
When to See a Healthcare Provider
If your symptoms of dizziness are recurrent, sudden, worsening, not going away with your typical treatments, or worrying you, seek immediate medical attention.
If you or a loved one experiences any of the following associated symptoms, call 911, as it may be a sign of a stroke or some other life-threatening problem:1
- Difficulty speaking or understanding others who are speaking
- Slurred speech or a hoarse voice
- Numbness or weakness in the face or extremities, especially if it’s on one side
- Tremors or clumsiness
- Vision problems, like difficulty seeing or double vision
- Unequal pupil size
- A drooping eyelid on one side
- Loss of balance or inability to stand even if holding onto a stationary object
- Inability to move one or more extremities
- Sudden or severe vomiting without known cause
- Sudden, severe headache or neck pain without known cause
Dizziness is a non-specific term used to express a variety of sensations like lightheadedness, imbalance, or like the room is spinning triggered by a range of conditions and activities, from unknown causes and standing up too fast to heart failure or inner ear disorders.
A Word From Verywell
If you’re feeling dizzy, make sure you prevent yourself from falling and injuring yourself. If your dizziness goes away, it may not be cause for concern. If your dizziness repeats, consider seeing a healthcare provider to better understand what’s causing your dizziness.
FREQUENTLY ASKED QUESTIONS
- What causes dizziness?
The exact cause of dizziness is unknown, and there are many subtypes of dizziness. But in vertigo, one of the most common causes, dizziness is caused by inner ear dysfunction that impacts balance, position, and proprioception.
- Is dizziness a sign of a brain issue?
Dizziness is rarely a sign of a brain issue, although it may be associated with low blood flow to the brain, stroke, Parkinson’s disease, or hypertensive crisis, all of which affect the brain.
- How can I get rid of dizziness?
Treating the underlying cause of your dizziness is the best way to resolve your symptoms. Changing positions, doing home exercises, and taking medications (as mentioned above) may be enough to ameliorate your dizziness. However, if your symptoms worsen, do not resolve within a couple of days, or begin affecting your ability to perform daily tasks, contact a healthcare provider as soon as possible.
- Drug-induced true vertigo and balance disorders. Prescrire Int. 2015;24(156):18.
- Patel PR, Quinn JV. Syncope: a review of emergency department management and disposition. Clin Exp Emerg Med. 2015;2(2):67-74. doi:10.15441/ceem.14.049
- Rubin DI, Cheshire WP. Evaluation of “dizziness” in the neurology office. Semin Neurol. 2011;31(1):29-41. doi:10.1055/s-0031-1271306
- Walker B, Colledge N, Ralston S, et al.Davidson’s Principles and Practice of Medicine 22nd edition. Edinburgh: Churchill Livingstone. 2014.
- Hain TC. Vertigo and Disequilibrium. In: Current Treatment in Neurologic Disease, 5th ed. Eds: Johnson R, Griffin J. 2007; 8-12. Also In: Current Therapy in Adult Medicine, 4th ed.Kassirir JP, Greene HL. Mosby;2007:1358-1361.
- Meniere’s disease.
The watching, interacting, and participation of any kind with anything on this page does not constitute or initiate a doctor-patient relationship with Dr. Farrah™. None of the statements here have been evaluated by the Food and Drug Administration (FDA). The products of Dr. Farrah™ are not intended to diagnose, treat, cure, or prevent any disease. The information being provided should only be considered for education and entertainment purposes only. If you feel that anything you see or hear may be of value to you on this page or on any other medium of any kind associated with, showing, or quoting anything relating to Dr. Farrah™ in any way at any time, you are encouraged to and agree to consult with a licensed healthcare professional in your area to discuss it. If you feel that you’re having a healthcare emergency, seek medical attention immediately. The views expressed here are simply either the views and opinions of Dr. Farrah™ or others appearing and are protected under the first amendment.
Dr. Farrah™ is a highly experienced Licensed Medical Doctor certified in evidence-based clinical nutrition, not some enthusiast, formulator, or medium promoting the wild and unrestrained use of nutrition products for health issues without clinical experience and scientific evidence of therapeutic benefit. Dr. Farrah™ has personally and keenly studied everything she recommends, and more importantly, she’s closely observed the reactions and results in a clinical setting countless times over the course of her career involving the treatment of over 150,000 patients.
Dr. Farrah™ promotes evidence-based natural approaches to health, which means integrating her individual scientific and clinical expertise with the best available external clinical evidence from systematic research. By individual clinical expertise, I refer to the proficiency and judgment that individual clinicians acquire through clinical experience and clinical practice.
Dr. Farrah™ does not make any representation or warranties with respect to the accuracy, applicability, fitness, or completeness of any multimedia content provided. Dr. Farrah™ does not warrant the performance, effectiveness, or applicability of any sites listed, linked, or referenced to, in, or by any multimedia content.
To be clear, the multimedia content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any website, video, image, or media of any kind. Dr. Farrah™ hereby disclaims any and all liability to any party for any direct, indirect, implied, punitive, special, incidental, or other consequential damages arising directly or indirectly from any use of the content, which is provided as is, and without warranties.