Otolithiasis with dizziness to the left and right should be treated promptly in a regular hospital using otolith repositioning and medications (betahistine, flunarizine). Otolithiasis is a common peripheral vestibular disorder in which transient vertigo occurs when the head moves to a particular position and is accompanied by nystagmus, nausea, vomiting and other symptoms. The cause of the disease is complex, with some patients having an unknown etiology and others secondary to other diseases. When a patient experiences vertigo to the left or right due to otolithiasis, the more effective treatment is otolith repositioning. This can be done by a specialist or with an otolith repositioning device. In general, the symptoms of vertigo can be significantly improved after otolith repositioning. If the patient still suffers from dizziness and balance disorders after resetting, medications such as iproniazine, betahistine, flunarizine, etc. can be given appropriately for treatment. If patients are diagnosed with otolithosis, they should go to regular hospitals and receive standardized treatment under the guidance of professional doctors to reduce the adverse effects of the disease.