Dizziness and spinning in the sky while sleeping may be caused by otoliths. The disease is a form of peripheral vertigo that can occur at any age and is caused by the detachment of the otolith from the semicircular canal. Patients usually have sudden onset of symptoms, which tend to last from a few seconds to several minutes. Most patients have episodes of dizziness related to position changes. If the patient sleeps with the head position turned, the above symptoms may appear suddenly and are mainly treated by repositioning. If the dizziness is severe, symptomatic dizziness treatment can be administered. Commonly used clinical drugs include betahistine and also oral Cipro. If the patient is dizzy and may also vomit, in severe cases, oral antiemetic drugs can also be administered. For example, metoclopramide and also oral vitamin B6 can be taken. Most of the patients have a history of recurrent attacks, and most of the symptoms are persistent and can last for about a week.