Some symptoms of vertigo or tinnitus are caused by disease, while others are not. When should I go to the hospital right away? 1. Based only on vertigo and tinnitus symptoms, it is difficult to determine whether you need to go to the hospital right away or whether you can stay home for observation. So as soon as you have vertigo and tinnitus symptoms, it is recommended to go to the hospital for a proper examination and let the attending doctor determine whether you need to do treatment. In particular, you need to go to the hospital for examination if the following symptoms occur: ① recurrent vertigo, ② when there is a violent vertigo attack, ③ vertigo accompanied by impaired consciousness or a feeling of numbness in the hands and feet, ④ persistent balance disorder, even if the degree is mild, requires attention. ⑤ Sudden onset of deafness or tinnitus. ⑥ Have persistent tinnitus and headache. 2. Accompanying symptoms of vertigo and tinnitus I have heard that vertigo and tinnitus symptoms are accompanied by many accompanying symptoms. Can you tell what disease you have based on the accompanying symptoms? The most common concomitant symptoms of vertigo are nausea, vomiting and other vegetative symptoms. Regardless of the cause of vertigo, the physiological symptoms will be present. Vertigo caused by ear disorders is often accompanied by hearing disorders such as deafness, tinnitus, and a feeling of swelling and stuffiness in the ears. Cochlear symptoms (deafness, tinnitus, and a sense of ear swelling and stuffiness) may worsen or get better before and after vertigo, and gradually worsen, and other various changes. Central vertigo should be suspected when vertigo is accompanied by symptoms such as headache, impaired consciousness or numbness in the arms and legs. Occasionally, the symptoms of central vertigo may be more intense, but most of the symptoms of central vertigo are milder, and the symptoms of balance disorders such as balance disorder and gait instability are more prominent. The accompanying symptoms of tinnitus include deafness, a sense of ear swelling and fullness, and a sense of acoustics (Note 1), but none of these accompanying symptoms alone can determine the disease causing vertigo and tinnitus. Tip: Vertigo, tinnitus that should be seen at the hospital as soon as possible. No matter what symptoms appear, you should go to the hospital as soon as possible. The doctor will know the need for early treatment or can continue to observe the condition at home only after examination. In general, patients who have acute attacks of vertigo and other symptoms will be seen early, while patients with chronic symptoms such as balance disorders or tinnitus tend to neglect them. However, since these chronic symptoms can also occur in serious disorders such as brain tumors, early consultation is recommended to avoid delaying the course of the disease. The following is a brief description of diseases with acute or chronic onset of vertigo and tinnitus symptoms. Acute attacks of vertigo and tinnitus include: Meniere’s disease; benign attacks of positional vertigo; vestibular neuritis; exolymphatic fistula; labyrinthitis; cerebrovascular disorders; sudden deafness; shock deafness; others. Chronic vertigo and tinnitus are: auditory neuroma; spinal cerebellar degeneration.