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Summary

Dizziness is a feeling of losing balance when you stand up suddenly or feeling that you are moving even when you are standing still. It is most commonly caused by low blood sugar, dehydration, low blood pressure, and motion sickness. Sometimes, the cause of dizziness is unknown. Dizziness can be a symptom of an underlying problem such as a migraine, motion sickness or some ear diseases which can affect the perception of balance. It can be diagnosed by your doctor through a detailed history along with some tests related to the possible causes that may lead to the problem. The treatment for dizziness is treating the underlying condition and by taking some precautions, along with, prescribed medications. If not treated, repeated episodes of dizziness could to injuries due to falling or fainting. The outcome for dizziness usually good since most of the times the underlying condition causing dizziness is treatable.

  1. What is dizziness
  2. Dizziness symptoms
  3. Dizziness causes and risk factors
  4. Prevention of dizziness
  5. Diagnosis of dizziness
  6. Dizziness treatment
  7. Dizziness complications
  8. Medicines for Dizziness
  9. Doctors for Dizziness

What is dizziness

Dizziness, also known as lightheadedness, is a feeling of unsteadiness or loss of balance. This feeling may be with or without loss of consciousness and is a very common condition. It is common in children as well as adults. Most times, it is treatable. Rarely, the cause can be serious requiring hospitalisation. You may have vague symptoms of dizziness which disappear after some time but you should never ignore these symptoms and should visit your doctor immediately if the episodes of dizziness are frequent. Sometimes you may feel dizzy during travel (such as in a moving bus or car) and this type of dizziness is caused due to motion sickness. It can be managed by taking medicines for motion sickness as suggested by a doctor. But, at times, dizziness could be the result of an underlying health condition. Hence, consulting a doctor and undergoing proper health examination is essential to find out the cause of dizziness and to initiate proper treatment.

What Is Dizziness?

Dizziness is a feeling of losing balance when you stand up or just before you lose your consciousness. When you feel dizzy, you may feel like you are moving even if you are standing in one place.

Dizziness symptoms

Dizziness is a vague symptom. It can be difficult to explain to your doctor what exactly you are feeling. You may feel like:

  • Losing your balance as soon as you stand up suddenly from a lying down position.
  • An unsteady feeling in which you are not able to stand still.
  • Feeling you are moving even when you are standing in one place.
  • Having a feeling that you will faint anytime.

If you experience such symptoms then you should seek your doctor’s advice immediately.

Dizziness causes and risk factors

There are many causes of dizziness, most of which can be identified and treated. So, you need to take the advice of your doctor to find out the cause of your dizziness.

Causes

Usually, the causes of dizziness are less serious such as motion sickness, dehydration, low blood sugar levels, low blood pressure, anxiety and alcohol intake. But sometimes, dizziness could be a symptom of a more serious underlying condition such as a migraine, ear infections, stroke, neurological problems and brain tumours.  

The causes of dizziness can be divided into following groups:

Neurogenic causes

These include:

  • Migraine
    This is a condition in which there is a throbbing headache usually involving one side of the head. It is triggered by various factors such as noise, light or certain foods. Dizziness, nausea, and vomiting accompany the headache.
  • Motion sickness
    In motion sickness, a person feels sick during travel due to the moving vehicle. Symptoms of motion sickness include nausea, headache, dizziness, and vomiting only when the vehicle is moving.
  • Diseases causing vertigo
    Conditions which affect the inner ear function like Meniere’s disease where there is a defect in the unilateral hearing along with imbalance.
  • Stroke
    Due to blockage in some arteries of the brain, there may be inadequate blood flow to the brain which causes a decrease in the oxygen supply to that area. This can also lead to dizziness and fainting.
  • Vestibular neuritis
    Inflammation of the vestibular nerve reaching the organ that maintains balance can cause dizziness.
  • Brain tumours
    Rarely, dizziness can be due to a tumour in the brain, which can obstruct the blood flow to a specific area of the brain.

Cardiogenic causes

The cardiogenic cause of dizziness is hypotension. A sudden drop in blood pressure due to a decrease in the blood volume or suddenly getting up from a lying down position can cause dizziness.

Metabolic causes

The causes include:

  • Hypoglycemia
    A decrease in the blood sugar level may reduce the blood supply to the brain which can cause dizziness.
  • Dehydration
    It may be due to inadequate water consumption or a continuous exposure to heat and sun.

Other causes

  • Alcohol intoxication
    Excessive consumption of alcohol may affect the brain function and consciousness. You can feel dizzy, if you have consumed more than 2-3 drinks, especially, if you have consumed them very fast.
  • Anxiety
    People with anxiety may experience dizziness. In such cases, the causative factor is difficult to identify.
  • Drugs
    There are many drugs which can cause dizziness as a side effect such as sedatives, antihypertensive drugs and some antibiotics. Hence, if you are taking certain drugs and feeling dizzy, consult your doctor to know whether or not the drug you are taking is the causative agent of your dizziness.

Risk Factors

There are various diseases that can make a person prone to dizziness. These include:

Inner ear diseases like:

  • Benign paroxysmal vertigo
    It is positional vertigo when a person has episodes of dizziness and fainting.
  • Labyrinthitis
    It is the inflammation of the inner part of the ear.
  • Meniere’s disease
    It is a disorder with unilateral hearing impairment, along with, vertigo episodes. Vertigo is a false sensation that the body or the environment is moving.
  • Vestibular neuritis
    In this disease, there is an inflammation of the vestibular nerve reaching to the part of the ear which maintains balance, causing dizziness.
  • Migraine
    In this, the person has an episodic unilateral headache, along with, some other symptoms like dizziness, nausea, and vomiting. These symptoms can be aggravated due to some factors like noise, sound.
  • Diabetes
    People with diabetes who are on insulin therapy can have hypoglycemic attacks due to a sudden drop in glucose level.
  • Long working hours
    Working for long hours at a high temperature or under the sun can lead to dehydration and dizziness.
  • Inadequate water intake
    Less water intake can also lead to dehydration.

Prevention of dizziness

Prevention of dizziness is often difficult until a person is diagnosed with an underlying cause that leads to frequent episodes of dizziness.  Here are ways by which you can avoid recurrent attacks:

  • Treating the underlying condition.
  • Getting up slowly from a lying down position.
  • Avoiding excessive alcohol consumption, one or two drinks per day can be taken safely.
  • Avoiding playing games on mobiles or reading books during long commutes. Instead look outside or sleep to prevent dizziness due to motion sickness.

Diagnosis of dizziness

Your doctor will try and find out the underlying condition that could be causing dizziness. Here is how your doctor will find out the cause of your dizziness:

As you visit your doctor with a complaint of dizziness, your doctor will note down your complete medical history about dizziness. This may give your doctor some clue about the underlying cause and can also help to identify the triggering factor of dizziness.

Your doctor will also perform a physical examination checking your eye movements, leg movements and balancing ability.

  • Romberg test
    Your doctor can ask you to walk in front of him/her to check whether you are losing your balance.
  • Eye tests
    Your doctor will check your eye movements. In a condition called nystagmus, when a person is asked to move his/her eyes along the doctor’s finger, he/she fails to do so and his/her eyes get stuck at one place.
  • Blood pressure measurement
    This is carried out to check for low BP in case of hypotension or high BP in case of stroke that can cause dizziness.

Some laboratory tests may be useful such as:

  • Random blood sugar
    It is done to test if you have diabetes or if you are already on insulin therapy. It is also prescribed to check blood sugar control.
  • Serum electrolytes
    To check for potassium levels as low potassium can lead to dizziness.
  • Complete blood count
    To check for any infection or haemoglobin in case of anaemia.
  • Electrocardiography (ECG)
    If cardiac disease is suspected, electrodes attached to different parts of the body can identify the infarction or block in the form of waves which the doctor can interpret. (Read more - Heart disease symptoms)
  • Ear examination
    Examination of the ears and tests like audiometry are performed to rule out diseases of the inner ear.

Dizziness treatment

Dizziness can get better on its own without any medication. If dizziness is due to an underlying condition, then treating the disease will improve dizziness. After thorough examination and tests, once your doctor finds the cause of dizziness, treatment will be started which will help in treating it as well. If it still persists, your doctor may prescribe some medicines and exercises.

  • Dizziness due to motion sickness can be relieved by taking preventive drugs as advised by your doctor half an hour prior to the journey. In such cases, drugs like antihistamines may be helpful. 
  • Dizziness due to low blood sugar can be treated by regulating blood sugar levels. Having small healthy meals at frequent intervals can help in keeping sugar levels in check.
  • If dizziness is due to migraine, your doctor will prescribe you anti-migraine medicines.
  • Dizziness due to low blood pressure may require hospitalisation and administration of intravenous fluids which will normalize your blood pressure and relieve the dizzy feeling.
  • In case of alcohol intoxication, your doctor may advise hospitalisation and medication which can reverse the effect of alcohol.
  • Your doctor may prescribe medication to treat diseases of the inner ear and may also advise surgery if required.
  • If dizziness is due to the side effect of any medication, your doctor may reduce or stop the drug.

Lifestyle management

Lifestyle changes can prevent dizziness if you follow some basic changes:

  • Drink plenty of water, around 3-4 litres to avoid dehydration.
  • Salt restriction in case of Meniere’s disease can be helpful. Avoid sprinkling salt on fruits, salads or food.
  • Follow proper timings of insulin injection as advised by your doctor and keep a source of glucose such as biscuits, or candy handy to manage hypoglycaemia.
  • Avoid excessive alcohol intake. Limit it to 1-2 drinks per day for males and one drink per day for females or stop completely if possible.
  • Prefer quiet environment and avoid excessive noise and bright light whenever you feel dizziness.
  • Sudden change in the position should be avoided from lying down to getting up.
  • Take support or sit down as soon as you feel dizzy to avoid falling.
  • Always try to ask for help to avoid injury due to fainting.
  • If you experience dizziness, avoid driving vehicles and operating machines.

Dizziness complications

Prognosis

The outcome depends upon the underlying cause and in most cases, it is treatable.

Complications

Complications of dizziness could be:

  • Repeated episodes of dizziness if the cause is not found and treated.
  • Injury due to fall.
Dr. Krish Jivani

Dr. Krish Jivani

सामान्य चिकित्सा

Dr. Manoz Marwin

Dr. Manoz Marwin

सामान्य चिकित्सा

Dr. Prathamesh Mangale

Dr. Prathamesh Mangale

सामान्य चिकित्सा

Medicines for Dizziness

Medicines listed below are available for Dizziness. Please note that you should not take any medicines without doctor consultation. Taking any medicine without doctor's consultation can cause serious problems.

Medicine NamePack SizePrice (Rs.)
DILIGANDILIGAN 25 MG TABLET109.0
VOMINOSVOMINOS 25 MG TABLET44.0
AvomineAvomine 25 Mg Tablet Md24.0
EminEmin 25 Mg Tablet14.0
Phena KidPhena Kid 5 Mg Syrup13.0
PhenaminPhenamin 25 Mg Injection3.0
PhenazinePhenazine 5 Mg Syrup54.0
PhenerganPhenergan 10 Mg Tablet10.0
PhenzeePhenzee 5 Mg Syrup12.0
PremaganPremagan 10 Mg Tablet6.0
Prompt(Neu)Prompt 5 Mg Syrup13.0
Regan (A.N.Pharmacia)Regan 25 Mg Tablet22.0
Apizine SyrupApizine 5 Mg Syrup63.0
EmispanEmispan 5 Mg Syrup13.0
LarganLargan Syrup24.0
Logan(Rho)Logan 5 Mg Syrup35.0
PhenerminPhenermin 5 Mg Syrup13.0
PmzPmz 25 Mg Injection7.0
PrimozynPrimozyn 5 Mg Syrup30.0
ProgeneProgene 25 Mg Tablet10.0
PromeronPromeron 5 Mg Syrup36.0
PromethPrometh 10 Mg Tablet4.0
Prompt(Skm)Prompt 40 Mg Injection56.0
PronetPronet 5 Mg Syrup23.0
Proz (Tripada)Proz 25 Mg Tablet12.0
UrialUrial Syrup58.0
DiocalmDiocalm Syrup14.0
EmiganEmigan Injection5.0
KzineKzine Syrup15.0
PhenercofPhenercof Syrup22.0
Pro BurnPro Burn Powder266.0
PromeganPromegan Syrup21.0
Promet (Orchid)Promet Injection45.0
PropazinePropazine Tablet9.0
Prozine(Shi)Prozine Syrup36.0
CinadilCinadil 25 Mg Tablet15.0
Cintigo ForteCintigo Forte 75 Mg Tablet42.0
CinvertCinvert 25 Mg Tablet20.0
CinzanCinzan 25 Mg Tablet Dt28.0
DizironDiziron 25 Mg Tablet98.0
DiziDizi 25 Mg Tablet30.0
StugeronStugeron 25 Mg Tablet141.0
VergoVergo 25 Mg Tablet39.0
VertigonVertigon 25 Mg Tablet33.0
CervatonCervaton 25 Mg Tablet30.0
Cinaz (Tripada)Cinaz 25 Mg Tablet20.0
CinironeCinirone 25 Mg Tablet9.0
CinnCinn 25 Mg Tablet25.0
CinzineCinzine 25 Mg Tablet19.0
C ZineC Zine 50 Mg Tablet15.0
KvertKvert 25 Mg Tablet28.0
MosicMosic 20 Mg Tablet41.0
SigcinarSigcinar 25 Mg Tablet17.0
StedicinStedicin 25 Mg Tablet18.0
SufiSufi 25 Mg Tablet28.0
SyzeronSyzeron 25 Mg Tablet19.0
VerifixVerifix 25 Mg Tablet25.0
VertiridVertirid 25 Mg Tablet25.0
VertironVertiron 25 Mg Tablet60.0
Vertizine(Marc)Vertizine 25 Mg Tablet38.0
VestableVestable 25 Mg Tablet40.0
VnvVnv 25 Mg Tablet17.0
CiniCini 25 Mg Tablet8.0
CintigoCintigo 25 Mg Tablet25.0
CinwoxCinwox 25 Mg Tablet7.0
E Brium (Med Manor)E Brium Tablet25.0
QvertQvert 25 Mg Tablet20.0
SinarzineSinarzine Tablet6.0
StugenolStugenol Forte Tablet60.0
StugipenStugipen 25 Mg Tablet34.0
TiniminTinimin Forte Tablet171.0
VastenVasten Tablet47.0
V GonV Gon 25 Mg Tablet16.0
BelloidBelloid 10 Mg Tablet28.75
BuscogastBuscogast 10 Mg Tablet29.09
HikinHikin Injection6.9
HylacHylac Tablet25.0
HyocimaxHyocimax 10 Mg Suppository46.1
HyopilHyopil 20 Mg Injection9.62
Hyoscine BromideHyoscine Bromide 20 Mg Injection11.87
HyospanHyospan 10 Mg Injection6.53
Xspas (Prescription)Xspas Tablet29.5
BiscotasBiscotas 20 Mg Injection10.23
Dolokind SpasDolokind Spas 10 Mg/500 Mg Tablet42.5
Hyoscine Butyl Bromide 10 Mg TabletHyoscine Butyl Bromide 10 Mg Tablet46.59
HyosilHyosil 20 Mg Injection8.75
HyoswiftHyoswift 10 Mg Tablet25.0
CofrylCofryl 25 Mg Syrup68.5
DifDif 25 Mg Suspension37.9
ZendrylZendryl 25 Mg Capsule17.25
AldrylAldryl Soft Gelatin Capsule11.12
Caladryl(Piramal)Caladryl Lotion56.45
MeladrylMeladryl 1% W/V Lotion45.0
DraminateDraminate 50 Mg Tablet19.75
GravolGravol 50 Mg Tablet22.5
Adwin PAdwin P 5 Mg/125 Mg Syrup0.0
Cetnol PpCetnol Pp 2.5 Mg/250 Mg Syrup0.0
Diocalm PlusDiocalm Plus 5 Mg/125 Mg Syrup0.0
Emispan HEmispan H 125 Mg/2.5 Mg Syrup0.0
Emispan PlusEmispan Plus 125 Mg/5 Mg Syrup0.0
FevrilFevril 2.5 Mg/125 Mg Syrup0.0
Fevril DsFevril Ds 2.5 Mg/250 Mg Suspension0.0
Fnorm PFnorm P 5 Mg/125 Mg Syrup0.0
HyperexHyperex 2.5 Mg/125 Mg Syrup0.0
Kelvin PlusKelvin Plus 6.25 Mg/500 Mg Syrup0.0
MolzinMolzin Tablet0.0
Nectar PNectar P 2.5 Mg/125 Mg Syrup0.0
NormaganNormagan 2.5 Mg/125 Mg Suspension0.0
PadmolPadmol 5 Mg/125 Mg Syrup0.0
Paramax PParamax P 5 Mg/125 Mg Syrup0.0
Pinex PlusPinex Plus 2.5 Mg/250 Mg Syrup0.0
Promegan PlusPromegan Plus 5 Mg/125 Mg Syrup0.0
Promeron PPromeron P 5 Mg/125 Mg Syrup0.0
PromolPromol 5 Mg/125 Mg Syrup0.0
PyronilPyronil 2.5 Mg/125 Mg Syrup0.0
BasipromBasiprom 5 Mg/125 Mg Suspension26.42
Brumol PBrumol P 5 Mg/125 Mg Syrup23.93
CrophenCrophen Syrup29.4
Emigan PlusEmigan Plus 5 Mg/125 Mg Syrup31.0
Febrinil PFebrinil P 2.5 Mg/125 Mg Syrup17.58
Fenaplus (Leeford)Fenaplus Syrup13.75
IbupromIbuprom 125 Mg/2.5 Mg Syrup30.9
Kelvin P LiteKelvin P Lite Syrup26.22
Pazine PPazine P Syrup34.12
Pgan PlusPgan Plus 2.5 Mg/125 Mg Suspension21.52
Phenamin PlusPhenamin Plus Syrup9.37
PhenometPhenomet Syrup23.32
PhenparPhenpar Drops50.0
ProparaPropara 5 Mg/250 Mg Syrup14.12
Prosym PProsym P 5 Mg/125 Mg Syrup25.0
Prozine (Parasol)Prozine 5 Mg/125 Mg Syrup27.42
Pyrivin PPyrivin P 5 Mg/125 Mg Syrup29.0
SymolSymol 5 Mg/125 Mg Syrup27.3
Tempcon PlusTempcon Plus 5 Mg/125 Mg Syrup18.46
BelicBelic 10 Mg/325 Mg Injection0.0
Buscogast PlusBuscogast Plus 10 Mg/325 Mg Tablet0.0
Buscopan PlusBuscopan Plus 10 Mg/500 Mg Tablet55.7
Dolokind Spas RfDolokind Spas Rf 10 Mg/500 Mg Tablet45.0
CimenzaCimenza 20 Mg/40 Mg Tablet60.0
DizilivDiziliv 20 Mg/40 Mg Tablet60.0
DizitacDizitac 20 Mg/40 Mg Tablet75.0
SpinfreeSpinfree 20 Mg/40 Mg Tablet68.5
VertizacVertizac 20 Mg/40 Mg Tablet75.5
Cinzine PlusCinzine Plus Tablet63.0
Diziron DDiziron D 20 Mg/40 Mg Tablet65.0
Stugeron PlusStugeron Plus Tablet90.0
VertigenVertigen Tablet59.0
VomivertVomivert 20 Mg/40 Mg Tablet55.0
CinadewCinadew Tablet68.48
CindomCindom 15 Mg/20 Mg Tablet66.0
CinidomCinidom 15 Mg/20 Mg Tablet60.0
DomcinDomcin 15 Mg/20 Mg Tablet62.0
Domfast CzDomfast Cz 15 Mg/20 Mg Tablet40.0
DomgilDomgil 15 Mg/20 Mg Tablet60.0
Novadom CNovadom C 15 Mg/20 Mg Tablet47.4
Spinil DSpinil D 15 Mg/20 Mg Tablet35.3
StedidomStedidom 15 Mg/20 Mg Tablet51.3
StugilStugil Tablet76.0
SynadomSynadom 15 Mg/20 Mg Tablet32.0
Verifix DVerifix D 10 Mg/25 Mg Tablet38.46
VertidomVertidom 15 Mg/20 Mg Tablet66.25
Vertirid DVertirid D 15 Mg/20 Mg Tablet48.75
Vertizine DVertizine D 10 Mg/20 Mg Tablet55.0
Cinadil DCinadil D 15 Mg/25 Mg Tablet38.0
Cinn DCinn D 15 Mg/20 Mg Tablet45.81
Domax CzDomax Cz Tablet37.61
Domitin CDomitin C 15 Mg/20 Mg Capsule52.93
Domperon CzDomperon Cz Tablet52.0
Normesis PlusNormesis Plus 20 Mg/15 Mg Tablet618.75
Qvert DQvert D 15 Mg/20 Mg Tablet40.48
RhizandRhizand 15 Mg/20 Mg Tablet35.7
SinadomSinadom Tablet7.5
TrudomTrudom 15 Mg/20 Mg Tablet45.0
VertigilVertigil 10 Mg/20 Mg Tablet37.5
Coryl TabletCoryl Tablet0.0
C.R.MC.R.M Linctus0.0
Tedykoff CoughTedykoff Cough 1.5 Mg/1.5 Mg Syrup0.0
Tedykoff LxTedykoff Lx 1.5 Mg/1.5 Mg Linctus0.0
TixylixTixylix New Syrup0.0
Zytolix PZytolix P 1.5 Mg/1.5 Mg Syrup0.0
TedykoffTedykoff Syrup35.0
TiskytasTiskytas Syrup27.5
Tixylix Alert SyrupTixylix Alert Syrup71.0
KidylinctusKidylinctus 1.5 Mg/1.5 Mg/2.5 Mg Syrup0.0
Kidylinctus ZKidylinctus Z Syrup47.0
Pnv PlusPnv Plus 25 Mg/2.5 Mg Tablet39.6
SensitusSensitus 300 Mg/60 Mg/24 Mg Syrup49.0
Ascodex PlusAscodex Plus Syrup43.52

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