How to feel spinning in bed

If the patient feels spinning in bed, if it occurs when the position of the head changes, it is considered to be caused by otoliths, and the patient should consult a hospital for manual repositioning treatment, and the disease can be improved. If the patient has persistent vertigo, it should be considered as posterior circulation ischemia, Meniere’s disease, vestibular paroxysm, or vestibular neuronitis, and the patient should immediately go to the hospital for transcranial Doppler and head CT examination. If posterior circulation ischemia is considered to be the cause, the patient should be given medications to improve blood supply to the brain and improve the symptoms of dizziness. If Meniere’s disease is considered to be the cause, the patient should be treated with intramuscular finasteride to stop dizziness and vomiting, and hormones to reduce the edema in the inner ear. If vestibular neuronitis is the cause, the patient should be given symptomatic anti-dizziness and antiemetic, intramuscular finasteride, and antiviral medication.