What Is Vertigo?

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What Is vertigo?

Vertigo is the sensation that either you or the environment around you is spinning uncontrollably. The feeling might come on abruptly and last anywhere from several seconds to a few minutes, possibly triggering nausea and vomiting.

There are two types of vertigo: peripheral vertigo and central vertigo. Peripheral vertigo is caused by a problem with the inner ear, a small organ that communicates with the brain to control balance, and can be caused by certain medications and head injuries. Central vertigo is often caused by a problem in the region of the brain called the cerebellum (which also controls balance) or the brain stem, which transmits messages between the cerebellum and the spinal cord; this can be triggered by a stroke, migraine, and other causes.

Signs and symptoms of vertigo

The main symptom of vertigo is the feeling of spinning—it feels as if either you or the room is moving, but you’re standing still. For some people, vertigo can feel like “the childhood game of spinning round and round, then suddenly stopping,” according to the Merck Manual; other people may “simply feel pulled to one side.”

People sometimes experience vertigo when they roll over in bed or lift up their head. During an episode, people can experience nausea and vomiting, have trouble keeping their balance, and may also develop a vision condition called nystagmus, in which the eyes move uncontrollably, throwing off depth perception.

If you’re experiencing vertigo, try staying completely still—this may help relieve the symptoms. Moving your head, changing your position, or standing up can all make the dizziness worse. If you’re experiencing vertigo for the first time, experts recommend calling a doctor or 911; if you need to go to the hospital, you may need help walking and should also avoid driving.

Other symptoms of peripheral and central vertigo can include:

  • Hearing loss
  • Tinnitus (ringing in the ears)
  • Loss of balance

Central vertigo can also cause additional symptoms, like:

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gettyimages-141483965 gettyimages-141483965 medications, lifestyle changes, and in some cases, ear surgery.

  • Labyrinthitis: an irritation or swelling in the inner ear that is caused by a virus or bacterial infection, throwing off your balance and triggering vertigo and hearing loss. Labyrinthitis should go away within a few weeks; taking antihistamines and anti-nausea medications can help in the meantime.
  • Central vertigo

    Central vertigo is caused by a problem in the brain. Some triggers include blood vessel disease, migraines, multiple sclerosis, seizures, strokes, and tumors.

    People who get migraines may develop migraine-associated vertigo, although the symptoms often subside after the headaches are treated.

    RELATED: 16 Multiple Sclerosis Symptoms

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    How is vertigo diagnosed?

    It can be difficult for doctors to pinpoint what, exactly, is causing a person’s vertigo. For starters, some people might not realize that they’re experiencing vertigo at all—or, they may confuse it with feeling lightheaded or faint. In fact, even though dizziness accounts for approximately 5% of all primary care visits, about 20% of people will never identify the cause of their dizziness, according to a 2010 report in the journal of American Family Medicine.

    Your doctor will likely start by taking your medical history and a list of your current medications. (This is important, because vertigo can be a side effect of some medications.) During the exam, the doctor may ask you specific questions about your symptoms to try to narrow down whether you have vertigo or another type of dizziness. Common tests include blood tests, an electroencephalogram (EEG), which measures electrical activity in the brain, or a magnetic resonance imaging (MRI) test or computerized tomography (CT) scan, both of which can spot tumors or other abnormalities in the brain or around the inner ear that might be triggering your symptoms.

    Depending on what’s causing your vertigo, you may be given medications, exercise recommendations, or a referral to a specialist for additional tests.

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    GettyImages-108150023 GettyImages-108150023 or blood vessel disease. Likewise, people who experience migraine-associated vertigo often see an improvement in their symptoms after treating their headaches with medications like benzodiazepines or selective serotonin reuptake inhibitors (SSRIs) or cutting out alcohol and dietary triggers.

    For those with BPPV, a doctor can often relieve vertigo by performing a movement called the Epley maneuver, which involves rotating the head to move the deposits in the inner ear tubes to a different part of the ear. Those who develop labyrinthitis—which can be triggered by a cold, flu, or ear infection, and last for a few weeks—can treat vertigo with antihistamines and medications that relieve nausea and vomiting. People with Ménière’s disease may also be prescribed a diuretic or advised to start a low-sodium diet; cutting back on salt can lower the fluid buildup in the inner ear, reducing your chances of experiencing an episode of vertigo.

    RELATED: 24 Low-Salt Recipes for Every Meal

    Vertigo medications

    To help combat vertigo and its symptoms, your doctor might prescribe one of the following medications:

    1. Meclizine: Taken in chewable or capsule form, meclizine is an antihistamine that’s used to prevent and quell nausea, vomiting, and dizziness. Some side effects include dry mouth, drowsiness, or fatigue.

    2. Benzodiazepines (including diazepam and lorazepam): Commonly used to help relieve anxiety, benzodiazepines can also quell vertigo that’s caused by a problem in the inner ear. These drugs carry both short- and long-term risks, however; common side effects include lethargy and fatigue, and over time, can cause dependence and withdrawal.

    3. Dimenhydrinate: Used to treat Ménière’s disease, dimenhydrinate is an antihistamine that helps prevent and relieve nausea, vomiting, and dizziness by heading off balance problems. The medicine is available in tablet or chewable form, and can cause side effects like drowsiness and headaches.

    Vertigo exercises

    A type of treatment called the Epley maneuver can help relieve the symptoms of vertigo for people with BPPV. A doctor will perform the movement, which involves changing the position of your head and tilting it back. The goal is to move the small, calcium deposits out of the canals in your inner ear. Although the short-term effects can include nausea and dizziness (and it may not be safe for people with neck problems), a 2014 Cochrane review found that the Epley maneuver was both safe and effective.

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    GettyImages-521983717 GettyImages-521983717 of experiencing episodes of vertigo.

    If you have vertigo, you may want to make your home safer in case you lose your balance. Try putting non-skid mats in the bathroom, cleaning up any cords on the floor, and removing any area rugs.

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    How long does vertigo last?

    Vertigo lasts anywhere from a few minutes to a few days, but because it may also be a sign of a more serious health condition like migraines or a side-effect of a medication, you may want to talk to your doctor about the episode.

    Vertigo can also be dangerous on its own: If it triggers a fall, you could sustain a serious injury, like a hip fracture. That’s one reason why you may want to wait at least a week after a severe spell before doing any potentially dangerous activities—you don’t want to risk a return of your symptoms during, for example, a hike or long drive.

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