Vertigo vs. dizziness Causes, Diagnosis & Home remedies
A person with vertigo will have a spinning, dizzy sensation. It is a symptom of a wide range of conditions. If there is a problem with the brain, sensory nerve path, or inner ear, this will occur. Know more about its types, diagnosis and treatment
What is vertigo?
Vertigo is a feeling of imbalance. If you have this dizziness, you may feel you are spinning or the world around you is spinning. Many people use the term to describe the fear of heights, but this is not correct. This can happen when a person looks down from a great height and refers to symptom of temporary or continuous dizziness caused by inner ear or brain problems.
It is not a disease but a symptom. It can be caused by many conditions and can occur alongside other symptoms, such as:
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Types
It can be divided into two types:
- Peripheral vertigo
- Central vertigo
Peripheral vertigo arises because of complications in the inner ear or the vestibular nerve. The vestibular nerve connects the inner ear to the brain.
Central vertigo happens when there is a problem in the brain. Causes can include
Causes
Several conditions can lead to vertigo, which usually involves an imbalance in the inner ear or a problem with the central nervous system (CNS). It can be caused by the following conditions.
Benign paroxysmal positional vertigo (BPPV)
This is the most common cause and also creates a brief, intense feeling that you are spinning or moving. These episodes are caused by a sudden shift in the brain's movement, such as a blow to the head.
Infection
Vestibular neuritis, a viral infection of the vestibular nerve, can result in severe, persistent dizziness.
Meniere's disease
When extra fluid builds up in the inner ear, the result can be unexpected episodes of dizziness that last for a few hours.
Migraine
Migraine-induced vertigo can last from minutes to hours.
Other causes are
- Head injury
- Ear surgery
- Perilymphatic fistula, when fluid from the inner ear leaks into the middle ear because of a tear in either of the two membranes between the middle ear and the inner ear
-
Herpes zoster
in or around the ear (herpes zoster oticus)
- Otosclerosis, when a bone growth problem in the middle ear leads to hearing loss
- Syphilis
- Ataxia, which leads to muscle weakness
- A stroke or transient ischemic attack, which people sometimes refer to as a mini-stroke
- Cerebellar or brainstem disease
- Acoustic neuroma, which is a benign growth that develops on the vestibulocochlear nerve near the inner ear
- Multiple sclerosis
Diagnosis
The doctor will try to figure out what triggers the dizziness. They will perform a physical exam, ask the person how dizziness makes them feel, and take their medical history. The doctor can also perform some simple tests.
Romberg test
The doctor will ask the person to stand with their arms at their sides and their feet together and ask them to close their eyes. If the person becomes unstable when closing their eyes, this could be a sign of a CNS problem.
Fukuda-Unterberger test
The doctor will ask the patient to walk with his eyes closed for 30 seconds. If they roll to one side, this may show injury to the inner ear labyrinth, which could cause peripheral vertigo.
Depending on the results of these and other tests, your doctor may recommend a CT scan or MRI of the head to get more details.
Treatment
Treatment for vertigo depends on the cause. In certain cases, vertigo is gone with no treatment. This is because your brain can adapt to changes in the inner ear, relying on other mechanisms to maintain balance.
For some, treatment is necessary and may include:
-
Vestibular rehabilitation: This is a physical therapy that helps improve the vestibular system. The function of the vestibular system is to signal the brain about the movements of the head and body about gravity.
-
Canalith repositioning maneuvers: Movements move calcium concentrations out of the canal to the chamber in the inner ear so that the body can absorb them. You will probably have vertigo signs during the procedure as the canalitos move.
- A psychiatrist or physical therapist will direct you through your movements. Movements are secure and sometimes effective.
-
Medicine: Sometimes medications may give to relieve signs such as nausea or dizziness associated with vertigo.
- This is caused by infection or inflammation, antibiotics or steroids can reduce swelling and cure an infection.
- For Meniere's disease, diuretics (water pills) may prescribe to reduce the pressure of fluid build-up.
-
Surgery: In some cases, surgery may be necessary
- It is caused by a more serious underlying problem, This can be alleviated by treating conditions like a tumor or injuries to the brain or neck
Vertigo vs. dizziness
People who experience vertigo will say that they feel they are moving or that the world is spinning the sensation of movement when there is no movement, While with dizziness, although it is an ambiguous term, patients often interpret it as a feeling of imbalance within their own space.
When to visit a Doctor?
See the doctor if you have any chronic, sudden, extreme, or persistent unexplained dizziness. See a doctor right away if you suffer from any of the following in addition to new:
- Sudden severe headache
-
chest pain
- Shortness of breath
- Numbness or paralysis of the arms or legs
- Fainting
-
Double vision
- Fast or irregular heartbeat
- Confusion or trouble speaking
- Stumbling or difficulty walking
- Continual vomiting
- Seizures
- A sudden change in hearing
- Facial numbness or weakness
In the meantime, the following self-care tips will help:
-
Move slowly: Step slowly as you get up from sitting down. Many people experience dizziness if they get up too quickly.
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Drink much liquid: Staying well-hydrated can help prevent or relieve various types of dizziness.
-
Avoid caffeine and tobacco: By blocking the supply of blood, these substances may make signs worse.
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Home Remedies
People can take steps at home to help resolve and limit its effects. Measures that may help reduce the signs:
- standstill in a dark, quiet room when the spin is intense
- sit down as soon as the feeling of dizziness appears
- take more time to perform movements that may trigger signs, such as getting up, looking up, or turning your head
- squatting instead of bending over to pick something up
- use a cane when walking if necessary
- sleep with your head raised on two or more pillows
- make home adaptations
- turn on lights when getting up at night to help prevent falls
