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What might be happening

Based on the information you have provided, possible diagnoses include:

• Meniere's Disease: This is a condition of the inner ear that can cause vertigo (a spinning sensation), tinnitus (ringing in the ear), hearing loss, and a feeling of fullness or congestion in the ear. Meniere's disease usually affects only one ear.

  • Treatment typically involves a combination of medications, lifestyle changes, physical therapy, and sometimes surgery.

• Vestibular Migraine: This is a type of migraine that may or may not cause a headache, but can cause dizziness, problems with balance, and other symptoms. The dizziness and balance problems can be severe enough to cause problems with standing and walking.

  • Treatment typically involves medications to treat and prevent the migraines, as well as lifestyle changes to avoid triggers.

• Benign paroxysmal positional vertigo (BPPV): This is a condition characterized by brief episodes of mild to intense dizziness. Symptoms are triggered by specific changes in the position of your head, such as tipping your head up or down, and by lying down, turning over or sitting up in bed.

  • Treatment typically involves a series of movements you can do at home to help dislodge the tiny particles from the semicircular canals.

• Anisocoria: This is a condition characterized by an unequal size of the eyes' pupils. A slight difference in pupil size is normal for many people. However, a more noticeable difference can be a sign of a neurological issue.

  • Treatment depends on the cause. If an underlying condition is found, treatment will focus on that condition.

Please note that these are potential diagnoses based on the symptoms you've described. Only a healthcare provider can provide a definitive diagnosis.

What you can do

1. Keep a symptom diary: Note down when your symptoms occur, what you're doing at the time, and what foods you've eaten that day. This can help identify any patterns or triggers to your symptoms.
2. Stay hydrated: Dehydration can make symptoms of vertigo and migraines worse.
3. Limit caffeine and alcohol: These can trigger migraines and vertigo in some people.
4. Regular exercise: This can help reduce symptoms of vertigo and migraines.
5. Consult a healthcare provider: They can provide a definitive diagnosis and appropriate treatment.

What you should look out for

Seek immediate medical attention if:

• Your symptoms worsen or don't improve
• You experience new symptoms, such as double vision, difficulty speaking, or severe balance problems
• You have a severe headache unlike any you've had before

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.