78 years old dizziness and vomiting without appetite may be cervical spondylosis, Meniere’s disease, gastrointestinal flu and other disease factors caused by the need for targeted treatment under the guidance of a doctor, such as drug therapy, surgical treatment. 1. Cervical spondylosis: pressure on blood vessels and nerves in the neck can cause dizziness, vomiting and lack of appetite. You can strengthen the neck and shoulder muscle exercise, with pain symptoms can use ibuprofen pain relief, can also use physical therapy to relieve, with serious nerve root or spinal cord compression need to consider surgical treatment. 2. Gastrointestinal cold: there may be dizziness, nasal congestion and other cold symptoms and nausea, vomiting, diarrhea and other digestive symptoms, with fever symptoms can be treated with ibuprofen, with symptoms of dehydration need to be rehydrated, but also the use of phentermine to improve the symptoms of cold. 3. Ménière’s disease: the symptoms of vertigo can appear, nausea, vomiting; diazepam, ipecac, and other drugs to control the acute attacks of vertigo, but also the use of betahistine to improve the blood supply of the inner ear, regulating the nerves, and for the attacks of frequent and ineffective medical treatment can be considered for surgical treatment. 4. Cerebral ischemia: the elderly generally have hypertension, diabetes and other basic diseases, if there is posterior circulation cerebral ischemia, such as blood clots in the brain stem, cerebellar thrombosis, there will be dizziness and vomiting, should be given to improve the cerebral circulation of drugs, such as thromboxane. The 78-year-old dizziness and vomiting without appetite is recommended to go to the hospital, improve the examination, clear diagnosis, symptomatic treatment.