What Disease Is Dizziness, Vertigo, and Nausea?
Apr 02, 2022
Source: Cainiu Health
Dr. Li Qi
Introduction
If the vertigo is peripheral vestibular in origin or caused by Ménière’s disease, we typically treat it with betahistine or cinnarizine. If it is due to benign paroxysmal positional vertigo (BPPV), presenting with dizziness, vertigo, and nausea, we usually perform canalith repositioning maneuvers. Additionally, cranial CT or MRI may be performed for further evaluation.
In daily life, we often observe friends experiencing symptoms such as dizziness, nausea, and vomiting—sometimes suddenly onset. So, what disease does dizziness, nausea, and vomiting indicate?
What Disease Causes Dizziness, Vertigo, and Nausea?
The most common causes include: (1) peripheral vestibular vertigo; (2) Ménière’s disease; (3) benign paroxysmal positional vertigo (BPPV, or “ear stone syndrome”); and (4) cerebellar lesions, which may also lead to dizziness, vertigo, and nausea.
If the symptoms stem from peripheral vestibular vertigo or Ménière’s disease, treatment typically involves medications such as betahistine or flunarizine. For BPPV-induced dizziness, vertigo, and nausea, canalith repositioning maneuvers (e.g., Epley maneuver) are the standard therapeutic approach. If cranial CT or MRI reveals cerebellar infarction or hemorrhage, specific management for cerebellar infarction or intracranial hemorrhage is required.
Treatment of cerebral infarction primarily focuses on secondary prevention—including lipid-lowering therapy and plaque stabilization. In eligible patients within the thrombolytic time window, intravenous thrombolysis may be administered. Management of intracerebral hemorrhage emphasizes strict bed rest and symptomatic treatment, such as appropriate intracranial pressure reduction.
Early symptoms of hypoglycemia include palpitations, fatigue, tremors, pallor, and dizziness with nausea and vomiting—thus, these symptoms may represent early signs of hypoglycemia.
Many elderly individuals experience dizziness, most commonly due to insufficient cerebral blood supply. With advancing age, cerebral vessels gradually harden and narrow, resulting in reduced cerebral blood flow and inadequate nutrient delivery to brain tissue.
Benign paroxysmal positional vertigo (BPPV) is characterized by vertigo episodes triggered by specific head positions—typically occurring during changes in head posture. It is not associated with tinnitus or hearing loss, lasts only seconds (usually less than 60 seconds), and repeated head movements often fail to provoke recurrence.
We hope the above information is helpful to you. Wishing you a happy and healthy life!
