Balance and vertigo
Vertigo
Vertigo is the feeling that you or the room is spinning. The length of each episode and what brings it on help identify the cause. Many inner-ear causes can be treated without surgery.
ENT care in Bandra, MumbaiAbout Dr Adip Shetty
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What causes vertigo?
One common cause is BPPV: tiny crystals move into the wrong part of the inner ear, causing brief spins with certain head movements. Other causes include inner-ear inflammation and migraine. Feeling faint can have different causes, including blood pressure changes.
What the doctor checks
Expect questions about hearing changes, headaches, medicines and the timing of episodes. The doctor checks eye movements and balance. A careful head-position test may identify BPPV. Hearing tests or scans are added when needed.
How is vertigo treated?
BPPV often improves with a series of guided head movements, such as the Epley manoeuvre, that move the crystals back. Other causes may need balance exercises or medicines. The right treatment depends on the diagnosis.
While you are dizzy
Sit down, get up slowly and keep walkways well lit. Avoid driving, ladders and machinery while symptoms affect your balance. Ask someone to accompany you if walking feels unsafe.
A note on your care
“Feeling the room spin can be frightening. Describe what happens just before a spell and how long it lasts — those small details help us make sense of it.”
A little more clarity
Common questions
Do I need a brain scan?
Not always. Typical BPPV can usually be identified by symptoms and a positional test. Unusual findings may need further investigation.
Can I do an Epley manoeuvre myself?
Have the cause and affected side checked first. If it is suitable, a clinician can teach you the correct movements and consider any neck or back problems.
Why does turning over in bed make the room spin?
Brief, position-triggered spells can occur with BPPV. A positional examination helps confirm the cause and which ear is involved.
Can vertigo come back after treatment?
Yes, particularly BPPV. A repeat assessment can check whether the same problem has returned or something else is causing the dizziness.
Sources and review
Updated . General information to help you prepare for a consultation.
Clinically reviewed by Dr Adip Shetty on .