Frequent dizziness for three months, considering the possibility of otolithosis, Meniere’s disease, vestibular migraine, psychogenic vertigo, etc., it is recommended to go to the hospital as soon as possible.
1. Otolithiasis: benign episodic positional vertigo, mostly manifested as episodic vertigo, which can be accompanied by visual rotation, nausea and vomiting, etc., and can be relieved in a few seconds each time. It is mostly triggered by the change of the head position, such as lying down, waking up, turning over, lowering the head, raising the head, turning the head, etc. The treatment of this disease is based on the repositioning of otoliths. The treatment of this disease is based on otolith repositioning.
2. Ménière’s disease: the general course of the disease is longer, manifested as episodes of vertigo, accompanied by tinnitus, hearing loss and other symptoms. It can be treated with vestibular nerve inhibitors such as diazepam and iproniazid, and glucocorticoids can also be given as appropriate. In addition, a low-salt diet can also play a role in preventing the attacks of the disease.
3. Vestibular migraine: It belongs to a type of migraine, often manifested as episodic dizziness, which may be accompanied by nausea and vomiting, lasting 4~72 hours each time, and can be relieved by rest. Flunarizine can be considered to prevent its attacks.
4. Mental vertigo: mainly seen in people with high mental stress, manifested as persistent vertigo, accompanied by generalized weakness, drowsiness and other symptoms, and often lighter in the morning, gradually aggravated, to the more obvious at night, and symptoms can be alleviated or disappeared when shifting attention. Psychotherapy can be considered for this disease, and for patients with serious conditions, anti-anxiety medications can be considered under the guidance of a doctor, commonly used are sertraline, duloxetine, etc.
There are many possible reasons for recurring dizziness, and it is recommended to consult a doctor in a timely manner to clarify the cause and carry out targeted treatment to avoid delaying the condition.