Dizziness (Dizzy) (cont.)

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Dizziness At A Glance

  • Dizziness is a symptom that is often applies to a variety of sensations including lightheadedness and vertigo. Vertigo is the sensation of spinning, while lightheadedness is typically considered near fainting, and weakness.

  • Conditions that may cause dizziness in a patient include low blood pressure, high blood pressure, dehydration, medications, postural or orthostatic hypotension, diabetes, endocrine disorders, hyperventilation, heart conditions, and vasovagal syncope.

  • Vertigo is most often caused by a problem in the balance centers of the inner ear called the vestibular system and causes the sensation of the room spinning. It may be associated with vomiting. Symptoms often are made worse with position changes. Those with significant symptoms and vomiting may need intravenous medication and hospitalization.

  • Vertigo is also the presenting symptom in patients with Meniere's Disease and acoustic neuroma, conditions that often require referral to an ENT specialist.

  • Most often, dizziness or lightheadedness is a temporary situation that resolves spontaneously without a specific diagnosis being made.

REFERENCE: Fauci AS, et al. Harrison's Principles of Internal Medicine. 17th edition. McGraw Hill. 2008


Last Editorial Review: 1/26/2011


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