Sudden dizziness and lightheadedness need to identify the causes in order to solve the problem, which may be caused by anemia, hypoglycemia, otolithiasis, hypertension, cervical spondylosis, cerebrovascular disease, vestibular neuronitis, and so on, and need to be under the guidance of the doctor to carry out targeted treatment.
1. Anemia: When anemia causes insufficient blood supply to the brain, dizziness occurs. For example, ferrous sulfate is commonly used for iron deficiency anemia, and folic acid is commonly used for megaloblastic anemia.
2. Hypoglycemia: glucose can be taken orally during the attack.
3. Otolithiasis: also known as benign positional vertigo, mainly relying on manipulative reset treatment, can be assisted by betahistine and other drugs.
4. Hypertension: dizziness and vertigo may occur when blood pressure is elevated. Commonly used drugs include hydrochlorothiazide, metoprolol, nifedipine and other antihypertensive drugs.
5. Cervical spondylosis: It is common in the presence of vertebral artery-type cervical spondylosis, which can be treated with low-pillow position, mannitol, methylcobalamin, etc., and surgery can be performed in serious cases.
6. Cerebrovascular disease: Posterior circulation cerebrovascular disease can cause dizziness. Cerebral hemorrhage should be treated with mannitol to reduce cerebral edema, nifedipine to control blood pressure, and bed rest. Cerebral infarction can be treated with intravenous thrombolysis with alteplase in the hyperacute stage, and aspirin can be applied in the acute stage of cerebral infarction and insufficient blood supply.
7. Vestibular neuronitis: caused by vestibular neuron involvement, it can be taken isopromazine, diazepam, etc., and oral vitamin B1, B6 and other drugs can be taken at the same time.
8. Ménière’s disease: inner ear diseases cause dizziness and vertigo, often accompanied by tinnitus and ear stuffiness, acute attention to rest, can be given diazepam, flunarizine, dihydroclonidine and other treatments.
Dizziness is recommended to seek medical advice as soon as possible, to clarify the cause of targeted treatment.