How to Diagnose Vertigo

Vertigo is a type of dizziness in which you may feel as if you are spinning or that your surroundings are spinning. It is most commonly caused by a peripheral vestibular system disorder and affects people of all ages, though it is more common in women. It’s possible that you have Benign Paroxysmal Positional Vertigo (BPPV), which means you get dizzy when you change positions. However, it can also indicate other conditions, so if you have vertigo, you should see your doctor.

Part 1 Checking for Symptoms

1. Take note of any dizziness or feelings of imbalance. Dizziness and a sense of imbalance are common vertigo symptoms. Vertigo is indicated if you feel as if you are spinning or if your surroundings are spinning. Feeling like you’re going to fall over or being unable to balance yourself are also signs of vertigo.

These symptoms could be caused by inflammation of the vestibular cranial nerve, so see your doctor for a proper diagnosis.

2. Determine whether your dizziness is caused by moving your head. Changing your head position can often exacerbate dizziness or vertigo symptoms. Everyday activities such as lying down, turning over in bed, bending down, and tilting your head can cause dizziness or nausea.

Benign Paroxysmal Positional Vertigo is the most common cause of this type of recurring positional dizziness (BPPV).

3. Keep an eye out for nausea and vomiting. The sensation of unsteadiness can make you feel nauseated. This, in turn, may cause you to vomit. You most likely have vertigo if you notice these symptoms in addition to dizziness.

4. Take note of any numbness, weakness, or slurred speech. If parts of your body feel numb or weak, or if you have difficulty walking in addition to vertigo symptoms, you may be suffering from a more serious condition. Take note of any slurred speech, which could indicate a stroke or transient ischemic attack.

5. Determine whether your symptoms are recurring. If you have these symptoms on a regular basis rather than just once in a while, you may have vertigo. Meniere’s disease is characterised by recurrent episodes of dizziness, nausea, vomiting, imbalance, and hearing loss.

Ringing in the ears or a feeling of fullness in the ears are also symptoms of this disease. If you are experiencing any of these symptoms, consult your doctor.

Part 2 Visiting the Doctor

1. Make a list of your symptoms. It can be beneficial to write down your symptoms ahead of time so that you are prepared to speak with your doctor. Make a note of when the symptoms worsen and how frequently they occur, for example. You won’t forget when you get to the doctor this way.

Make a note of any related symptoms, such as ringing in your ears or difficulty hearing.

2. Make an appointment with your primary care physician. Even if your vertigo isn’t life-threatening, you should still see your doctor. This allows them to determine whether your vertigo is harmless or a symptom of something else.

3. Expect a physical examination. Typically, your doctor will begin with a physical examination. They may examine your ears, for example, because your inner ear regulates your sense of balance. They may also ask you to stand and lie down to determine when you are experiencing the symptoms, as well as examine your eye movement.

4. If you have vertigo along with other symptoms, go to the emergency room right away. Vertigo is a good reason to see your doctor as soon as possible, but if you also have a severe or different headache, a fever, double vision, limb weakness, difficulty walking, slurred speech, or fainting spells, you should go to urgent care.

Other symptoms include difficulty speaking, tingling, numbness, or loss of vision.

Part 3 Looking for Underlying Causes

1. Prepare for an eye movement test. To assess eye movement, two tests are used: electroencephalography (ENG) and videonystagmography (VNG). The first employs electrodes, while the second employs miniature cameras. Essentially, this test examines the movements of your eyes when air or water is used to stimulate the organs that keep you balanced.

The technician or doctor will place electrodes around your eyes to test movement during an ENG. VNG wears specialised goggles.

The doctor is checking to see if your eyes are moving involuntarily. If they are, you may have a problem with the organs that keep you balanced.

2. Imaging tests are to be expected. Imaging tests, such as an MRI, may also be ordered by your doctor. During this test, the doctor will scan your body for anything else that could be causing your problems.

Vertigo can be caused by a benign brain tumour, for example.

3. Try out a typography test. This test is intended to identify problems with your balance. It examines how you use your inner ear, feet, and eyes to maintain balance and where they may be causing problems. This information, in turn, can be used to help you work on your vertigo.

4. In the case of hearing loss, inquire about an ear, nose, and throat (ENT) specialist. If you have ear problems, such as hearing loss or ringing in your ear, you should consult an audiologist. The ENT specialist will most likely perform an audiometry test to assess your hearing as well as examine your ears for infection or blockages.

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