Most people visiting their doctor because of dizziness will first be asked about their symptoms and medications and then be given a physical examination. During this exam, your doctor will check how you walk and maintain your balance and how the major nerves of your central nervous system are working.
Your doctor may watch the path of your eyes when you track a moving object. And you may be given an eye motion test in which water or air is placed in your ear canal. If your doctor suspects your vertigo is caused by benign paroxysmal positional vertigo, he or she may do a simple head movement test called the Dix-Hallpike maneuver to verify the diagnosis. Posturography test tells your doctor which parts of the balance system you rely on the most and which parts may be giving you problems. You stand in your bare feet on a platform and try to keep your balance under various conditions.
Dizziness often gets better without treatment. The body usually adapts to whatever is causing it. If you seek treatment, your doctor will base it on the cause of your condition and your symptoms. It may include medications and balance exercises. Even if no cause is found or if your dizziness persists, prescription drugs and other treatments may make your symptoms more manageable.
If you have Meniere's disease, your doctor may prescribe a water pill. This along with a low-salt diet may help reduce how often you have dizziness episodes. Doctor may prescribe drugs to provide immediate relief from vertigo, dizziness and nausea, including prescription antihistamines and anticholinergics. Many of these drugs cause drowsiness.
Technique called canalith repositioning usually helps resolve benign paroxysmal positional vertigo more quickly than simply waiting for your dizziness to go away. It can be done by your doctor, an audiologist or a physical therapist and involves maneuvering the position of your head. It's usually effective after one or two treatments. Before undergoing this procedure, tell your care provider if you have a neck or back condition, a detached retina, or blood vessel problems.
Be aware of the possibility of losing your balance, which can lead to falling and serious injury. Avoid moving suddenly and walk with a cane for stability, if needed
Fall-proof your home by removing tripping hazards such as area rugs and exposed electrical cords. Use nonslip mats on your bath and shower floors. Use good lighting. Sit or lie down immediately when you feel dizzy. Lie still with your eyes closed in a darkened room if you're experiencing a severe episode of vertigo.
If your dizziness is caused by overheating or dehydration, rest in a cool place and drink water or a sports drink. If you have had episodes of dizziness while driving, arrange for alternate transportation while you're waiting to see your doctor.
If your dizziness causes you to feel like you might fall, take steps to reduce your risk. Keep your home well lighted and free of hazards that might cause you to trip. Avoid area rugs and exposed electrical cords
