This afternoon, I saw several patients with “otoliths” in the specialist’s clinic, and they were all given position triggering tests and some were treated with repositioning. However, there are some patients who claim to have “otolithiasis” but not “otolithiasis”, so in order to let more patients know about “otolithiasis” and to have a preliminary judgment of their vertigo, we would like to write the following article. In order to let more patients know about “otolithiasis” and have a preliminary judgment of their vertigo, and to improve the efficiency of consultation, we write the following article: otolithiasis, which is called “benign paroxysmal positional vertigo”, refers to the transient paroxysmal vertigo induced in a specific head position. It is usually seen in middle-aged patients. The prominent clinical manifestation is that patients often complain that they feel a “spinning” sensation when they get up or lie down for a short period of time, less than one minute each time, which is very much related to their head position. Typical patients say that they feel dizzy the moment their head touches the pillow. Therefore, patients are very careful when getting up and lying down, because they do not know in which position they will cause vertigo and are often very nervous, and over time, some patients are accompanied by a state of anxiety. This disease is common in middle-aged people and is mostly self-limiting, with most of them gradually recovering after a few days to a few months. However, there are cases that do not heal beyond 3 months and are called “intractable”. This disease is very common, with an annual incidence of 64/100,000, accounting for about 1/3 of all patients with vertigo, and many patients come to the clinic already mostly recovered. My advice to patients who have recovered is to rest in bed if they have another attack, preferably in a side-lying position, to the healthy side, which is the side that does not cause vertigo attacks, and the vertigo symptoms will often be significantly reduced after a day’s rest. At the same time, avoid bending low and tilting your head, don’t shake your head violently, and don’t exercise strenuously for a month, usually otoliths can get better on their own. If it is still not good, you can visit a neurologist. My experience is that no medication is needed. Several patients have had many tests and taken many medications before coming to my office. If the patients themselves can also raise awareness of this disease, they will take a lot less detours. Today, I would like to share some experience of seeing a doctor, and I hope this knowledge will be useful to you. Of course, vertigo has many causes and is very complicated, so if you have persistent vertigo with vomiting and other symptoms, you should come to the neurology department as soon as possible to avoid delaying the diagnosis and treatment. Typical “otoliths” rarely have vertigo that lasts more than a few minutes, and they can be quickly relieved with a change in head position, so they are very easy to identify. Do you know how to diagnose “otoliths”?