Vertigo, nausea and vomiting in the elderly may be associated with diseases such as otolithiasis, Meniere’s disease and transient ischemic attack, which can be treated with medication or surgery. 1. Otolithiasis is a disease of transient paroxysmal vertigo and nystagmus that occurs when the head moves rapidly to a specific head position, often accompanied by anxiety and depression, and can be treated with medication such as ipratropium and betahistine. It can also be treated with otolith repositioning methods, such as Epley otolith repositioning treatment or Senwnl maneuver. 2. Meniere’s disease is an inner ear disease characterized by recurrent vertigo, tinnitus, fluctuating hearing loss, and ear swelling, often accompanied by autonomic symptoms such as nausea, vomiting, cold sweat, and pallor. Commonly used drugs include hydrochlorothiazide, flunarizine, dexamethasone and so on. Surgical methods include endolymphatic sac surgery and semicircular canal obstruction. 3. Transient ischemic attack: This disease mainly refers to transient cerebral ischemia caused by intracranial atherosclerosis and other vascular diseases. At the onset, symptoms such as dizziness, nausea, vomiting and unsteadiness appear. There are many reasons that lead to sudden dizziness, nausea and vomiting in the elderly, it is recommended that patients seek timely medical treatment under the guidance of a doctor, not blindly unauthorized use of medication, in order to avoid triggering adverse consequences. Pay attention to bed rest on weekdays and avoid excessive exertion.