Brief Answer:
Determining the type of balance problem is important.

Detailed Answer:
Hi,

Thank you for writing back.

1. It is important to determine the type of balance problem. The main broad division is between central (brain) and peripheral (ear) related dizziness.

2. First describe your dizziness in detail:
a. Is the dizziness true vertigo (spinning of the surrounding) or only unsteadiness? b. How often and how long do the episodes last? Is it continuous?
c. Are there any other associated symptoms, such as nausea, vomiting or sweating?
d. Is the dizziness only when there is change of position (such as when you lie down or sit up)?
e. Can you walk without support?
f. Do you get dizzy when you turn in bed or when you look up while climbing stairs?
g. Is your vision clear or blurred? Is there any tendency to blackout?

3. BPPV (Positional Vertigo) and Vestibular Neuritis can be managed without immediate care. Can you check by whether the vertigo is spinning type on movements against gravity (lying down, getting up or turning in bed)?

4. One visit, even to an ER is recommended as certain signs such as nystagmus (abnormal eye movements during vertigo), gait (difficulty in walking) cannot be evaluated on your own. Get your blood pressure checked. Hearing levels should be checked. Cervical spine problems and gastritis are also common causes for dizziness.

5. A neurological check-up is necessary to avoid missing a stroke or a TIA (Transient Ischemic Attack). Was there any blackout, nausea or vomiting?

6. You may upload the examination notes and audiogram for further discussion on treatment options.

Hope I have answered your query. If you have any follow up queries, I will be available to answer them.

Regards.

---

Brief Answer:
You can follow up here or directly at bit.ly/Dr-Sumit-Bhatti

Detailed Answer:
Hi,

Thank you for writing back.

You can follow up here or directly at bit.ly/Dr-Sumit-Bhatti

Wishing you good health.

Regards.

---