Otoliths, also known as benign paroxysmal positional vertigo, is the most common disease that causes vertigo, but it is not commonly understood. Such patients often feel that the roof is going to collapse or the bed is going to turn over when they sleep or wake up or turn over in bed, accompanied by severe nausea, vomiting and cold sweat, which lasts for a few seconds, a dozen or even tens of seconds. The attacks recur as soon as the position is changed to a certain position, and there is a serious fear of cerebral hemorrhage, cerebral thrombosis, cerebral embolism, etc., causing hemiplegia and endangering life. He was afraid to move around, to sleep, and even to go to bed, and was very distressed, which seriously affected his life. In a hurry, they visit the hospital, and because of their fear, they ask the doctor to check CT, MRI and blood test, and often the diagnosis is not clear yet. In fact, such a condition is likely to suffer from otoliths. When you have the following symptoms, you may have otolithiasis: people who have been bedridden for a long time or lack of exercise, when lying down or getting up, turning over in bed, lowering or raising the head, or turning the head, vertigo can last for a short time, a few seconds, a dozen seconds, or a maximum of 1 or 2 minutes; it can be accompanied by nausea or vomiting, not accompanied by tinnitus, dullness in the ears, or hearing loss. What should I do if I suspect that I have otoliths? You should go to the vertigo clinic or ENT clinic of the hospital to see a professional doctor for diagnosis. The diagnosis should be made initially by the doctor through medical history, specialized examination and postural test, and if necessary, depending on your specific situation, CT, MRI, cerebral blood flow and other tests may be needed to exclude neurological diseases. The most effective treatment for otoliths is otolith repositioning manipulation, with some patients also needing adjunctive medication. The efficiency of otolith repositioning treatment is over 90%, and most patients can be relieved of their pain after one or two treatments. What should I pay attention to after otolith repositioning treatment? Studies have shown that otoliths in middle-aged and elderly women are related to osteoporosis, so patients need to check bone density and actively treat osteoporosis. After the reset treatment, patients should be psychologically relaxed and exercise appropriately, but avoid rapid and large head movements, such as jerking the head down, lifting the head, turning the head or playing strenuous sports, and pay attention to rest to avoid strain. Some patients may feel dizzy or light-headed within 2 weeks after the reset, which is also the follow-up reaction after the reset treatment and is normal, and can be gradually relieved with medication. It is normal and can be gradually relieved with medication. After reset, the otoliths may come out again and the vertigo may recur, if the vertigo is obvious again, it may be a recurrence of otoliths.