Residual dizziness in otolithiasis, i.e. dizziness remains after otolithiasis is reset, is common and can be treated with medication or reset again. Otolithiasis is also called benign paroxysmal positional vertigo, which is often related to positional changes, such as getting up, turning over, tilting the head, bending over, shaking the head and other movements, it is easy to have dizziness, nausea and vomiting, walking unsteadily, body tipping and other symptoms. The duration is short, usually less than one minute, and obvious nystagmus can be seen during the attack. After clear diagnosis, otoliths can be reset by manipulation or machine, but it may take several times. If dizziness still exists after manipulation, medications such as betahistine mesylate tablets can be taken orally to improve microcirculation in the inner ear and alleviate the discomfort caused by dizziness. In daily life, we should also pay extra attention to avoid strenuous exercise to minimize the attack of otolithiasis. Otolithiasis is a common clinical disease, otolithiasis is not terrible, the face of otolithiasis should be timely to the regular hospital otorhinolaryngology consultation, follow the doctor’s instructions standardized medication and treatment.