Early dizziness and vomiting in the elderly is commonly due to the following etiologies: 1. Insufficient blood supply to the brain. With age, the development of atherosclerosis, the thickening of the blood vessel walls, the narrowing of the lumen, the slow flow of blood during sleep, and the flow in the narrow lumen, resulting in insufficient blood supply to the brain, the symptoms of early dizziness and vomiting. 2, to exclude potential risk factors, such as acute cerebellar or brain stem hemorrhage and infarction. 3, hypertension. Hypertension in the elderly may also manifest as early onset dizziness and vomiting. 4. Heart attack and arrhythmia. Patients with slow-onset arrhythmias due to myocardial infarction may also experience cardiogenic cerebral insufficiency, manifesting dizziness and vomiting.5 Upper respiratory tract infections may also manifest similar symptoms.6 Vestibular abnormalities, such as otoliths and Meniere’s syndrome, can lead to early dizziness and vomiting in the elderly.