Frequent vertigo and nausea

Frequent vertigo and nausea can be seen as central vertigo or peripheral vertigo. Central vertigo is mainly caused by cerebrovascular diseases such as ischemia of the posterior circulation, transient cerebral ischemia, and other infectious diseases such as encephalitis, meningitis or tumors, which can also cause central vertigo. If the vertigo is caused by cerebrovascular disease, symptomatic treatment can be given to improve the circulation, and if it is caused by meningitis, symptomatic anti-inflammatory treatment should be given actively. For peripheral vertigo, it can be clinically seen in Meniere’s syndrome, vestibular neuritis, otoliths, etc., and Meniere’s is more common in clinical practice. Meniere is caused by vestibular labyrinth edema, and the general vertigo and nausea can be accompanied by tinnitus and hearing loss, which can be treated symptomatically, such as betahistine mesylate or some antihistamines.