[29F] Experiencing dizziness with room spinning sensation

Patient Description

A 29-year-old female reports experiencing dizziness characterized by a sensation of the room spinning. These episodes have been occurring for a couple of months, lasting approximately 5-10 seconds, and happen at least four times a week. The dizziness can occur even when sitting still, and there are no specific triggers identified. The patient feels as though she might pass out during these episodes. There is no relief from any interventions, and she has not started any new medications recently. The patient is deaf in one ear, but there is no associated ringing or fullness in the ear. She has no diagnosed conditions or chronic illnesses, no known allergies, and does not take any regular medications, vitamins, or supplements, except for occasional ibuprofen or Tylenol for headaches.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Benign Paroxysmal Positional Vertigo (BPPV): This is a common cause of dizziness where small crystals in your inner ear become dislodged, leading to brief episodes of spinning sensations. It often occurs with changes in head position.

    • Treatment: BPPV can often be treated with specific head and body movements known as the Epley maneuver, which a healthcare provider can guide you through.
  • Vestibular Neuritis: An inflammation of the inner ear, often following a viral infection, can cause dizziness and a spinning sensation.

    • Treatment: This may improve on its own, but medications to reduce dizziness and nausea can be prescribed.
  • Meniere’s Disease: This condition involves fluid buildup in the inner ear, leading to episodes of vertigo, hearing loss, and sometimes ringing in the ears.

    • Treatment: Lifestyle changes, such as reducing salt intake, and medications can help manage symptoms.

What you can do

  • Consult a Healthcare Provider: It's important to see a doctor for a proper diagnosis and treatment plan.
  • Symptom Tracking: Use MDandMe to journal your symptoms, track their frequency and severity, and share this information with your healthcare provider.
  • Stay Hydrated: Ensure you are drinking enough fluids, as dehydration can worsen dizziness.
  • Avoid Triggers: If you notice certain movements or positions trigger your dizziness, try to avoid them.

What you should look out for

Seek medical attention if you experience:

  • Severe or persistent dizziness
  • New or worsening symptoms
  • Difficulty walking or standing
  • Sudden hearing loss or ringing in the ears

Remember, this information is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and treatment.

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3 mo ago

Top picked over-the-counter products for BPPV (Benign Paroxysmal Positional Vertigo)

People Also Ask


What is Benign Paroxysmal Positional Vertigo (BPPV) and how is it treated?

BPPV is a condition where small crystals in the inner ear become dislodged, causing brief episodes of spinning sensations, often with changes in head position. It can be treated with the Epley maneuver, a series of head and body movements performed by a healthcare provider.


Can vestibular neuritis resolve on its own, and what are the treatment options?

Vestibular neuritis is an inflammation of the inner ear, often following a viral infection, that can cause dizziness. It may improve on its own, but medications to reduce dizziness and nausea can be prescribed to help manage symptoms.


What lifestyle changes can help manage Meniere’s Disease symptoms?

To manage Meniere’s Disease, lifestyle changes such as reducing salt intake, avoiding caffeine and alcohol, and managing stress can be beneficial. Medications may also be prescribed to help control symptoms.


When should someone seek medical attention for dizziness?

Medical attention should be sought if dizziness is severe or persistent, if there are new or worsening symptoms, difficulty walking or standing, or sudden hearing loss or ringing in the ears.


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