Dizziness and nausea when sleeping, the possible causes are cerebral infarction, vestibular neuritis, otoliths, etc., according to the patient’s condition, medication, otolith reset and so on.
1. Cerebral infarction: mainly refers to the infarction of the posterior circulation, mostly seen in middle-aged and old people, especially those with hypertension, diabetes mellitus and long-term smoking history, in addition to dizziness, dizziness, nausea and other symptoms, often accompanied by choking on drinking water and coughing, speech is not favorable and other focal neurological deficits, and cranial nuclear magnetism can assist in the diagnosis.
The treatment of this disease is based on improving the circulation, regulating lipid stabilization, and nutritive nerves, etc. Commonly used drugs include aspirin and atorvastatin.
2. Vestibular neuritis: it can be seen at any age, and there is often a history of upper respiratory tract infection and mumps a week before the onset of the disease. Patients often manifest persistent vertigo, which can be accompanied by nausea and vomiting, visual rotation, and unsteadiness. Vestibular function tests may assist in the diagnosis. The treatment of this disease includes glucocorticosteroids such as prednisone and nutritive drugs such as methylcobalamin.
3. Otolithiasis: benign episodic positional vertigo, the etiology of which is still unclear, can be seen at any age. It is characterized by episodic vertigo, which can be accompanied by nausea and vomiting as well as visual rotation. Each episode lasts for a few seconds and can be relieved, which is often triggered by lying down, getting up, turning over, lowering the head, lifting the head, turning the head, and other head position changes, etc. The treatment of this disease mainly involves the resetting of otoliths.
There are many reasons that can cause dizziness and nausea when sleeping, so it is recommended to consult a doctor in time, improve the cranial nuclear magnetic, vestibular function examination and other relevant auxiliary examinations, and then carry out standardized treatment under the guidance of a doctor after a clear diagnosis.