If an otolith is dislodged, the patient may experience sudden and severe vertigo, spinning in the sky, and nausea, vomiting, and other discomforts. Otoliths are particles of calcium carbonate crystals that are normally attached to the oval sac or balloon sac of the inner ear. When the particles of calcium carbonate crystals are dislodged from the attachment site for various reasons, they enter and stimulate the lymphatic flow in the semicircular canal, leading to otoliths. Otoliths, also known as benign paroxysmal positional vertigo, is a motor or positional illusion caused by the body’s impaired spatial orientation. Otoliths often occur with sudden changes in head position, such as turning the head over, lying down in a sitting position, or sitting up in a lying position.