Recently, many parents have been asking about vertigo in children. In children with vertigo, the first thing you need to do as a doctor is to find out if the patient has any possibility of inner ear malformation, and this can be obtained from an audiogram and an MRI. Most children with paroxysmal vertigo, will get better on their own, so sometimes you will see the term benign paroxysmal vertigo in children. If the child has undergone various tests and no organic problems in the inner ear or center are found, and there is no hearing loss, then it may be what doctors refer to as benign paroxysmal vertigo in children. Many of these patients get motion sickness, or have a parental relative with motion sickness. The child will have headaches on their own, or relatives will have headaches. The parents are more afraid of the cold. Then when they grow up, 40% of these children will develop migraines. Migraines are inherited. Migraines can also manifest as vertigo, unexplained abdominal pain and diarrhea, unexplained eye pain, and facial pain. For this vertigo, the pathological mechanism is that the child’s brain is in a state of sensitivity and excitement. Then the first step is to reduce the stress and excitement state that the child may have. Then, pay attention to the diet and avoid any food that can cause excitement in the brain. You can search the internet for dietary considerations for migraine. The general rule is not to eat any food or drink that has been produced in a factory, not to eat fermented foods such as yogurt, cheese, cake, sausage, red sausage, salted meat, etc. Do not eat seasonings other than salt and sugar, and do not put MSG, chicken essence, soy sauce, vinegar, wine, etc. Do not eat red dates, nuts. Do not eat chocolate, any snacks, any commercially available drinks, convenience foods. Diet is not absolutely forbidden, reduce it appropriately. Take proper rest and improve your mood. After adjustment, most can get better without medication, and our principle is to try not to give medication to children. The few children who do not improve will require medical attention, and the medications used will be the same as those for migraine. Of course, some of them with similar symptoms may be other diseases, such as Meniere’s disease, otoliths (benign paroxysmal positional vertigo BPPV), otitis media, cholesteatoma, vagal fistula, etc. It requires a doctor with expertise in vertigo diagnosis and treatment to better identify them.