Also known as: Lightheadedness - dizzy, Loss of balance or Vertigo
- You have a sudden drop in blood pressure.
- Your body does not have enough water (is dehydrated) because of vomiting, diarrhea, fever, and other conditions.
- You get up too quickly after sitting or lying down (this is more common in older people).
- Heart problems, such as a heart attack or abnormal heart beat
- Bleeding inside the body
- Shock (extreme drop in blood pressure)
- Benign positional vertigo, a spinning feeling that occurs when you move your head
- Labyrinthitis, a viral infection of the inner ear that usually follows a cold or flu
- Meniere's disease, a common inner ear problem
- Use of certain medicines
- Multiple sclerosis
- Brain tumor
- Bleeding in the brain
- Avoid sudden changes in posture.
- Get up from a lying position slowly, and stay seated for a few moments before standing.
- When standing, make sure you have something to hold on to.
- Keep still and rest when symptoms occur.
- Avoid sudden movements or position changes.
- Slowly increase activity.
- You may need a cane or other help walking when you have a loss of balance during a vertigo attack.
- Avoid bright lights, TV, and reading during vertigo attacks because they may make symptoms worse.
- A head injury
- Fever over 101°F (38.3°C), headache, or very stiff neck
- Trouble keeping fluids down
- Chest pain
- Irregular heart rate (heart is skipping beats)
- Shortness of breath
- Inability to move an arm or leg
- Change in vision or speech
- Fainting and loss of alertness for more than a few minutes
- Dizziness for the first time
- New or worsening symptoms
- Dizziness after taking medicine
- Hearing loss
- When did your dizziness begin?
- Does your dizziness occur when you move?
- What other symptoms occur when you feel dizzy?
- Are you always dizzy or does the dizziness come and go?
- How long does the dizziness last?
- Were you sick with a cold, flu, or other illness before the dizziness began?
- Do you have a lot of stress or anxiety?
- Blood pressure reading
- Electrocardiogram (ECG)
- Hearing tests
- Balance testing (ENG)
- Magnetic Resonance Imaging (MRI)
- Anti-nausea medicine
Dizziness is a term that is often used to describe 2 different symptoms: lightheadedness and vertigo.
Lightheadedness is a feeling that you might faint.
Vertigo is a feeling that you are spinning or moving, or that the world is spinning around you. See also: Vertigo-associated disorders
Most causes of dizziness are not serious, and they either quickly get better on their own or are easy to treat.
Lightheadedness occurs when your brain does not get enough blood. This may occur if:
More serious conditions that can lead to light-headedness include:
If any of these serious disorders are present, you will usually also have symptoms like chest pain, a feeling of a racing heart, loss of speech, change in vision, or other symptoms.
Vertigo may be due to:
Other causes of lightheadedness or vertigo may include:
If you tend to get light-headed when you stand up:
If you have vertigo, the following tips can help prevent your symptoms from becoming worse:
Avoid activities such as driving, operating heavy machinery, and climbing until 1 week after your symptoms disappear. A sudden dizzy spell during these activities can be dangerous.
When to Contact a Medical Professional
Call your local emergency number (such as 911) or go to an emergency room if you are dizzy and have:
Call your health care provider for an appointment if you have:
What to Expect at Your Office Visit
Your provider will perform a physical exam and ask questions about your medical history and symptoms, including:
Tests that may be done include:
Your provider may prescribe medicines to help you feel better, including:
Surgery may be needed if you have Meniere's disease.
Baloh RW, Jen JC. Hearing and equilibrium. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 428.
Chang AK, Olshaker JS. Dizziness and vertigo. In: Marx JA, Hockberger RS, Walls RM, eds. Rosen's Emergency Medicine. 8th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 99.
Post RE, Dickerson LM. Dizziness: a diagnostic approach. Am Fam Physician. 2010 Aug 15;82(4):361-8, 369.
- Review date:
- November 04, 2015
- Reviewed by:
- Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2008 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.