Dizziness medical therapy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: M.Umer Tariq [2]

Medical Therapy

Treatment for lightheadedness can include drinking plenty of water or other fluids (unless the lightheadedness is the result of water intoxicationin which case drinking water is quite dangerous), eating something sugary, and lying down or sitting and reducing the elevation of the head relative to the body (for example by positioning the head between the knees). If you tend to get light-headed when you stand up, avoid sudden changes in posture.

If you are thirsty or light-headed, drink fluids. If you are unable to keep fluids down from nausea or vomiting, you may need intravenous fluids. These are delivered to you at the hospital.

Most times, benign positional vertigo and labyrinthitis go away on their own within a few weeks. During attacks of vertigo from any cause, try to rest and lie still. Avoid sudden changes in your position as well as bright lights. Be cautious about driving or using machinery.

Some vertigo can be reduced by working with a physical therapist. Medications from your doctor may help you feel better.

Such medications include antihistamines, sedatives, or pills for nausea. For Meniere's disease, surgery may be necessary.

Patient with dizzinesss

Presentation episodic or countinuous?

Episodic

Countinuous

Triggered

Spontaneous

Is it associated with trauma or toxins or spontaneous?

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Provoked

Unprovoked

History of intoxication

Unknown

Apply Dix-Hallpike maneuver

Physical examination

Deafness

Headache

Psychiatric symptoms

Barotrauma

Drugs

Positive

Negative

Meniere disease

Vestibular migraine

Panic attack, psychiatric condition

Nistagmus dominantly horizontal, direction-fixed, saccade present

Nistagmus dominantly vertical, no saccade, torsion or gaze evoked bidirectionaly

Benign paroxysmal positional vertigo

Orthostatic hypotension

Vestibular neuritis

Stroke, transient ischemic attack