When to see a Doctor for Vertigo or Dizziness (2024)

Seeing a Doctor for Vertigo or Dizziness

How do you know when to see a neurologist about dizziness or vertigo? That’s a question we hear all the time. If you are experiencing dizziness or feel off balance, you should see your doctor. Your doctor will ask you questions and will perform some tests to evaluate whether you should see a specialist.

If you have any of the following symptoms along with dizziness, call 911 or go to the nearest emergency room immediately. These symptoms may be a sign of a stroke or other life-threatening problem.

  • Confusion
  • Difficulty speaking or understanding others who are speaking
  • Slurred speech or a hoarse voice
  • Numbness or weakness in the face or extremities, especially if it’s on one side
  • Tremors or clumsiness
  • Vision problems, like difficulty seeing or double vision
  • Unequal pupil size
  • A drooping eyelid on one side
  • Inability to stand even if holding onto a stationary object
  • Sudden or severe vomiting without known cause
  • Sudden, severe headache or neck pain without known cause

If you have been experiencing vertigo for more than a day or two, it’s so severe that you can’t stand or walk, or you are vomiting frequently and can’t keep food down, you should make an appointment with a neurologist.

While your doctor may be able to determine the cause of your dizziness, a neurologist has the tools and tests available to diagnose and treat whatever the root cause is.

Diagnosing Vertigo

When you see a neurologist for dizziness, he or she will likely do a full neurological exam and may perform other tests to help make an accurate diagnosis. Depending on the suspected cause, those tests may include:

  • Eye movement testing: Eye movement testing watches the path of the eyes when someone is tracking an object in motion. It may also be done after a doctor places water or air into the ear canal.
  • VNG: VNG is short for videonystagmography. This test can be used to check for signs of nystagmus, which is a condition that can be caused by a problem in the organs that help with balance. During the test, you will wear goggles and will be asked to look at still and moving objects. A video camera in the goggles with record and analyze your eye movements.
  • ENG: ENG is short for electronystagmography. This test is similar to VNG, but instead of using goggles around the eyes, it uses electrodes to sense eye movement.
  • MRI: An MRI scan may be done if you had a head injury or your doctor suspects an acoustic neuroma or another type of brain tumor might be causing dizziness or vertigo.
  • Posturography: Posturography tests your balance using a machine that can gather information about how you use your vision, sensations, and input from your ear to maintain your balance. The results of this test can be useful in planning your rehabilitation and monitoring the effectiveness of your treatment.

Vertigo Treatment at Beaumont

If you have dizziness or vertigo, doctors at Beaumont can help. Beaumont neurologists use the latest tools to diagnose and treat neurological conditions, for patients of all ages. From acute brain injuries to chronic conditions, we are the most preferred destination for neurology services in Southeast Michigan.

Specialized centers for neurological care

Beaumont Health’s specialized neurology centers connect you with the specialists you need, in one place, at one time – whether you need a neurological exam or more specialized services.

Call 800-633-7377 today to make an appointment to see a Beaumont neurologist.

When to see a Doctor for Vertigo or Dizziness (2024)

FAQs

When to see a Doctor for Vertigo or Dizziness? ›

Generally, see your doctor if you experience any recurrent, sudden, severe, or prolonged and unexplained dizziness or vertigo. Get emergency medical care if you experience new, severe dizziness or vertigo along with any of the following: Sudden, severe headache. Chest pain.

How long should vertigo last before seeing a doctor? ›

If you have been experiencing vertigo for more than a day or two, it's so severe that you can't stand or walk, or you are vomiting frequently and can't keep food down, you should make an appointment with a neurologist.

When should I be concerned about vertigo? ›

If you have severe or frequent episodes of vertigo, it's time to call your healthcare provider. There could be an underlying health condition causing your symptoms.

What will a doctor do for vertigo? ›

Treatment for vertigo

Most people with vertigo get better without treatment. Treatment will depend on the cause. Medicines, such as prochlorperazine and some antihistamines, can help in most cases of vertigo. Your GP may refer you to an ear nose and throat (ENT) specialist or a balance physiotherapist if needed.

What can be mistaken for vertigo? ›

dizziness. Because vertigo is often associated with nausea, vomiting and a fainting sensation, it is often mistaken with dizziness, according to OSF INI's Jorge Kattah, MD. Intermixing the two terms is fairly common, even within the medical community.

What is the fastest way to resolve vertigo? ›

If you're experiencing a vertigo attack, the best thing to do is lie down in a quiet, dark room, close your eyes, and take deep breaths. This may help ease any nausea symptoms and reduce the sensation of spinning.

What happens if vertigo goes untreated? ›

If vertigo is the result of a health complication you're not treating, vertigo symptoms may become worse. You can begin to experience long-term health complications as a result of not treating the underlying cause for your vertigo.

What am I lacking if I have vertigo? ›

One of the reasons for vertigo, which patients describe as a 'feeling of turning', is a lack of vitamins. Yeditepe University Hospitals Otolaryngology and Head and Neck Surgery Specialists, who drew attention to the latest research, said "Iron deficiency anemia, vitamin B12 and D deficiency cause vertigo".

Can vertigo be a symptom of something bad? ›

In rare cases, vertigo may be associated with a serious medical condition, so you should call 911 or go directly to the nearest emergency room if your sense of imbalance is accompanied by: Shortness of breath. Chest pains. Facial numbness.

Should you go to urgent care for vertigo? ›

If you are experiencing extreme dizziness or lack of balance but have never experienced vertigo in the past, you may need to visit your local urgent care clinic. Since vertigo is merely a symptom of a medical condition, not the actual disease, a medical provider can help you identify what's behind it.

What is the best over the counter medicine for vertigo? ›

Meclizine is an antihistamine that prevents symptoms of motion sickness like nausea, vomiting or dizziness. It also prevents and treats vertigo. Vertigo is a condition that causes extreme dizziness. Common brand names of this medication are Antivert®, Dramamine®, Medivert® and Meni-D®.

How to test for vertigo at home? ›

Place a pillow under you so when you lie down, it rests between your shoulders rather than under your head. Quickly lie down on your back, with your head on the bed (still at the 45-degree angle). The pillow should be under your shoulders. Wait 30 seconds (for any vertigo to stop).

Is it okay to ignore vertigo? ›

Long-term dizziness and vertigo should not be ignored. Rather, a health care provider should treat these conditions. Antihistamines, such as meclizine, solve dizziness. Meclizine is used to prevent and control nausea, vomiting and dizziness caused by motion sickness.

What else could it be besides vertigo? ›

Common causes of dizziness related to the inner ear include: benign paroxysmal positional vertigo (BPPV), migraine and inflammation of the inner ear balance apparatus (vestibular neuritis). Dizziness may also be caused by other conditions such as low blood pressure and anxiety.

What disease starts with vertigo? ›

The main symptoms of Ménière's disease are: vertigo – the feeling that you, or the environment around you, is moving or spinning. tinnitus – hearing sounds from inside your body, rather than from an outside source.

Why is my vertigo not going away? ›

Recurring episodes of vertigo that do not go away on their own may be caused by a problem related to the inner ear or the brain.

How long does it take for vertigo to fix itself? ›

Benign paroxysmal positional vertigo may go away on its own within a few weeks or months. But, to help relieve BPPV sooner, your doctor, audiologist or physical therapist may treat you with a series of movements known as the canalith repositioning procedure.

What type of vertigo lasts for days? ›

Central vertigo is mostly caused by injury to the brain or brain disease. Central vertigo usually comes without much warning and also lasts for longer periods of time compared to peripheral vertigo. It is also more intense than episodes of peripheral vertigo and patients may need help to walk or even stand up.

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