Hi, 1. As a rule of Tumb: if there is vomiting, headache [dizziness], one has to rule out Meningitis so immediately visit an ER or nearest hospital to exclude the same. PS. An immediate Neurologist opinion and C.T. scan [if needed] is required since best treatment is to address the underlying cause. 2. but since I m unable to examine you directly, thus my approach in your case would be: i. As the age advances Cervical spondylitis is the commonest cause, even then: ii. If symptoms are severe or associated with any neurological sign, consult a Neurologist. iii. Check with your blood pressure, neck movements and look for pallor & murmur [Cardiologist opinion], and ask for cochlear symptoms [deafness & tinnitus] & vestibular symptoms [vertigo & nystagmus] iv. If the symptoms are not promptly controlled, ask for Hb%, X-ray cervical spine [AP & Lateral], ENT & Ophthalmic checkup till then: - bed rest, avoid movements if symptoms are severe. - tablet cinnarizine till symptoms are controlled. - capsules B complex. Check baseline investigations like serum electrolytes, thyroid, and cholesterol profile and blood sugar level. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Munish Sood, Ayurveda Specialist