Vertigo is a false sense of spinning or movement. The inner ear's balance organ is a common source, as in BPPV (brief spinning on turning in bed), vestibular neuritis, or Ménière's disease. An ENT evaluation helps separate ear causes from other causes.
Ear Condition
Vertigo & Giddiness
A spinning sensation or imbalance — many common causes start in the inner ear and are very treatable.
Overview
Common symptoms
- Spinning on turning the head or in bed
- Imbalance while walking
- Nausea or vomiting
- Ear fullness, ringing or hearing change (in some types)
Common causes
- BPPV (loose ear crystals)
- Vestibular neuritis (inner ear inflammation)
- Ménière's disease
- Ear infections
- Other medical causes such as blood pressure or neurological conditions
How it is diagnosed
Detailed history
Ear and eye-movement examination
Positional tests (e.g. Dix–Hallpike)
Hearing tests and further tests when needed
Treatment
BPPV often settles with simple repositioning manoeuvres done in the clinic. Other causes are treated with medicines, balance exercises (vestibular rehabilitation) and lifestyle advice. Surgery is rarely needed.
See a doctor promptly if you have:
- Giddiness with severe headache, weakness, slurred speech or double vision — go to an emergency department immediately
- Vertigo with sudden hearing loss
- Repeated attacks affecting daily life
Frequently asked questions
Many types, especially BPPV, can be cured quickly with the right manoeuvre.
No. The ear is a common cause, but other causes must be ruled out — which is why examination matters.
This page is for general patient information and does not replace a medical consultation. The right treatment depends on your examination and test results.
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