If a patient experiences dizziness after lowering his head, two causes should be considered: the first is cervicogenic dizziness, which is caused by the compression of the vertebral artery or spasm of the vertebral artery during prolonged ambulation or lowering of the head, and the patient will experience dizziness, and in severe cases, even nausea and vomiting. This dizziness is usually accompanied by pain in the neck or discomfort in the back of the shoulder. If the patient has dizziness after lowering the head, it is considered to be caused by benign paroxysmal positional vertigo, which is commonly known as otoliths. The dizziness is usually episodic and occurs when the head is lowered. The dizziness may not last more than one minute and is accompanied by visual rotation, nausea, vomiting, and rotational nystagmus of the eyeballs can be observed during the dizziness. If you cannot tolerate it, you can give intramuscular injection of gastrofacial or finasteride to stop the dizziness and vomiting, and then give the treatment of manual repositioning.