Dizziness from sitting up may be caused by otolithiasis if the symptoms last for a brief period of time, a few seconds to 1-2 minutes. Otolithiasis is caused by an otolith detaching from the semicircular canal and is a form of peripheral vertigo, also known clinically as benign positional vertigo. The patient’s main manifestation is the sudden appearance of dizziness when the head is turned, and at the same time, there is rotation of vision as well as deafness, tinnitus phenomenon. The dizziness is usually more severe and is mainly treated with repositioning. It can also be caused by Meniere’s syndrome, which can occur at any age, with a higher incidence in middle-aged and elderly patients. The majority of patients with severe dizziness, deafness, tinnitus and rotating vision have a history of recurring episodes of the disease, and the symptoms are mostly persistent and can last for a few days to a week. Symptomatic treatment is the mainstay, and commonly used medications include pethidine. Elevated blood pressure or cerebrovascular disease should also be ruled out, and if necessary, the patient’s blood pressure should be monitored and a CT scan of the skull and brain should be performed to clarify the diagnosis.