The main symptoms of otolithiasis include vertigo, nausea, and vomiting. After otolithiasis is reset, there is a possibility of fatigue in the short term due to the disease itself. However, there is usually no physical fatigue after it has cleared up. There are many reasons for fatigue, including lack of exercise, poor diet, lack of sleep, lack of vitamin D, iron or magnesium deficiency, overwork, and hypothyroidism. The treatment of otolithosis is based on manipulation and repositioning, supplemented by medication and other symptomatic treatment. Patients with otolithosis should live a regular life, avoid staying up late, eat a light diet, eat easy to digest, rich in vitamins, avoid anger and fatigue. If the patient has symptoms of fatigue, it is recommended to go to the hospital in time to improve the blood life, thyroid gland consolidation and other related examinations, to clarify the cause, targeted treatment.