Otolithiasis, i.e., benign paroxysmal positional vertigo, is somewhat self-limiting, i.e., it can partially resolve on its own, but is prone to recurrence. Otolithiasis is the most common peripheral vestibular disorder and is usually triggered by changes in head position, such as tilting the head forward, tilting the head backward, and turning the head rapidly. It manifests as transient vertigo with nystagmus, nausea, vomiting, etc., which gradually disappears after keeping the head position unchanged. Otolithiasis is self-limiting, and some untreated otolithiasis may resolve on its own, with the duration of the disease ranging from a few days to a few months. However, otolithiasis is recurrent and can affect daily life in severe cases. The most effective treatment is otolith repositioning. The most effective treatment is otolith repositioning. In most cases, the symptoms can be relieved and the quality of life can be improved after active treatment. Consult your physician for specific advice.