Otolithiasis is usually treated by repositioning, some symptoms can be relieved after repositioning, while some may have vertigo and other manifestations that require medication. Otolithiasis is caused by primary or secondary (e.g., labyrinthitis, intra-auricular surgery, etc.) dislodgment of the otolith attached to the otolithic membrane, which stimulates the hair cells of the semicircular canals of the ear and causes vertigo. Therefore, otolithiasis can be treated quickly by repositioning the dislodged otolith back to its original place. The method of repositioning varies depending on the specific area of otolithic involvement. The general principle is to change the position of the patient’s head so that the dislodged otoliths can be repositioned to their original location and avoid irritation of the semicircular canals, thus achieving a therapeutic effect. Most patients with otolithiasis can be treated with a single formal repositioning treatment, while some patients need multiple repositionings to achieve results, and those with vertigo need to take anti-vertigo medication. If you have otolithiasis, it is recommended that you go to the hospital and get better and faster results through regular repositioning treatment.