When the World Won’t Stop Spinning: What to Know About Vertigo
Dr. Ashley Agan, local ENT and SCOTTIE founder, shares what you need to know about vertigo—and when to get help.
As an ear, nose, and throat doctor, I frequently meet patients struggling with vertigo. It’s more than just dizziness; it’s the unsettling sensation that you or your surroundings are spinning, even when you're still. These episodes can be frightening and disruptive, often coming with nausea, vomiting, and a feeling of imbalance.
It's important to know that vertigo is a symptom, not a diagnosis. Many different conditions can cause it, and my job is to find the root of the problem. Some of the most common causes include:
- Benign Paroxysmal Positional Vertigo (BPPV): Caused by tiny crystals in the inner ear becoming dislodged.
- Vestibular Migraine: A type of migraine that causes severe dizziness or balance issues.
- Meniere’s Disease: A chronic inner ear disorder that causes episodes of vertigo, hearing loss, and ringing in the ear.
- Labyrinthitis: An inflammation of the inner ear, often from an infection.
Each of these conditions requires a specific approach, which is why a proper diagnosis is the first and most important step toward finding relief.
If you’re experiencing vertigo, especially if it lasts longer than a few days or is accompanied by hearing loss, it's time to see a doctor. I'll start by listening to your history and performing a physical exam, and sometimes additional tests like hearing exams or imaging are necessary.
Many people use meclizine, an over-the-counter anti-nausea medication, for vertigo. While it can be helpful for short-term use during an acute flare-up, it is not a long-term solution. In fact, relying on meclizine chronically can actually delay your recovery by preventing your brain from naturally adapting to the balance issues.
The bottom line: if you're taking meclizine daily, it's a strong signal you need a proper evaluation. Don't settle for a temporary fix; let's get to the root of the problem and find a path to lasting relief.