Vertigo and nausea during sleep. When you turn your head, you feel dizzy. Pathological causes of dizziness

Dizziness when turning the head most often occurs spontaneously. Usually, when dizziness occurs, a person is in a calm position, this fact should in no case be ignored.

Dizziness- this is a symptom in which a person is in a calm position, while feeling a violation of the orientation of the body in space. There is a sensation of rotation of the body or objects around it.

Types of dizziness

To date, there are two types of dizziness:

non-systemic- this is the appearance of sudden dizziness, up to loss of consciousness. This type also includes weakness in the limbs, the appearance of nausea. The causes of occurrence can be different, ranging from pinching an artery to elementary lack of sleep or physical exhaustion. It may occur once, without recurrence.
Systemic- violation of the normal functioning of the vestibular apparatus. There is a constant feeling of movement of objects and one's own body. There are autonomic symptoms such as persistent nausea, pallor of the skin, the onset of a sudden sign of panic.
Depending on the level of damage to the vestibular apparatus, two subspecies are distinguished:
- proprioceptive- this is when you feel the movement of your own body in space;
- Tactile- it is also called tactile, these are sensations of the movement of the soil under your feet, sensations of swaying.

The causes of frequent dizziness can also be viral or infectious neuritis. Elementary otitis can also be a significant sign of dizziness.

Principles of treatment

One of the most important factors in the treatment of various types of dizziness is the correct diagnosis, that is, the identification of the exact cause. Dizziness is only a consequence of the disease, and not the cause of the disease.

Most often, if the disease is associated with the vestibular apparatus, medication is prescribed, an individual diet is selected, special physical exercises are prescribed, they are based on slow head turns and proper breathing.

As a preventive measure, doctors advise visiting the pool, doing simple fitness, and yoga. The main aspect of prevention is the regime of the day. Timely eating and proper sleep, in most cases, is the best medicine for overworked people.

In the treatment of dizziness, an integrated approach is very important:

Medical treatment;
Depending on the diagnosis, specially selected physiotherapy;
Moderate exercise therapy;
Head and neck collar massage;
In extreme cases, when medical treatment does not work, surgical intervention is performed.

Doctors advise not to resort to alternative medicine. Most often, treatment with folk recipes is prepared decoctions from various herbs. Most plants have contraindications that can only aggravate the situation.

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One of the most dangerous symptoms is dizziness, today this symptom is in the lead in the list of complaints (according to statistical studies). Most often, dizziness does not cause severe harm to health and is not deadly. For the most part, this is an accompanying factor of a chronic disease.

But a number of diseases such as Meniere's disease, acute chronic otitis media, vestibular disorders can be severe, reduce the quality of life in the long term. With psychogenic dizziness, there is no threat.

There is a serious danger if the cause of dizziness is a tumor, whether benign or not. Untimely access to a doctor can lead to death.

In order to get rid of dizziness, you first need to identify the cause that causes it. Timely consult a doctor to determine the correct diagnosis and obtain the necessary therapy.

It is always worth monitoring your health and at the slightest disturbance of well-being, contact qualified specialists who can analyze your state of health.

False symptoms of dizziness

Very often, patients confuse the symptoms of dizziness with other similar symptoms.

It is worth highlighting them:

These signs are often observed in women in the first trimester of pregnancy, as well as in people who have a decrease in blood glucose. There is no drug treatment for a false symptom of treatment; doctors advise, at its first manifestations, to dilute 2 teaspoons of honey in a glass of warm water and drink immediately.

After a while, the symptoms of false dizziness will pass.

In order not to "burst a vessel in the head", drink 15 drops of the usual ...

If a person is constantly under stress, has a heavy workload at work, lacks sleep, then the body begins to deplete. Due to diseases that manifest against the background of such problems, people often experience dizziness in their sleep. Various ailments of the throat, nose, ears, as well as inflammation of the gastrointestinal tract of varying degrees can lead to this. Sometimes tuberculosis and rheumatic problems lead to dizziness. Lyme disease, transmitted by tick bites, can also cause dizziness.

Due to these diseases, dizziness can occur in the process of falling asleep, while some dream that they are dizzy. The question of why this is happening should be sought not in the dream book, but at a doctor's consultation. It is necessary to diagnose the problem in time and cure it quickly.

Status Description

Dizziness is a condition during which a person does not determine the position of the body. There is a feeling that the floor is moving, surrounding objects begin to spin, the body is too relaxed and nausea may occur. Next, consider the symptoms, causes and methods of treatment.

Symptoms

Most often, this phenomenon is felt in the morning, but dizziness also often occurs at night in a dream. Sometimes, as already mentioned, such a state is a dream. You need to see a doctor to understand why this is happening.

If this is observed when falling asleep, when a person is in a horizontal position, then the following symptoms may appear:

visual approximation of the ceiling and walls;
all surrounding objects float;
there is fear and anxiety;
headache, especially when moving it;
the appearance of dizziness in sleep and nausea.

This condition may resemble alcohol intoxication. In this case, dizziness is especially felt when moving the head and turning over. Against the background of physiological reasons, such manifestations are considered the norm. These include riding a carousel, being at high altitude, a sharp change in body position, and so on.

Causes of dizziness

The causes of sleep disturbance should be considered. Dizziness and nausea are often associated with various health problems. These factors include ailments associated with and hypotension can be very dizzy before bedtime. A similar condition is also provoked by vascular pathologies, for example, atherosclerosis. It is characterized by blockage of blood vessels by plaques. Because of this, the brain is poorly supplied with blood.

Causes can be otitis and other diseases of the ears. Because of them, pus may appear, which presses on the eardrum. This leads not only to dizziness, but also to headaches. They can accompany a person even after inflammation has been removed.

TBI should be attributed to the causes of dizziness in a dream. If a person has a bruised head as a result of beatings and so on, then his brain structures are disturbed.

Diabetes mellitus can lead to vascular disease, which makes it difficult for blood to circulate. This leads to dizziness.

Meniere's disease is also associated with problems that affect the circulatory system. A person may also begin to have problems with the vestibular apparatus and hearing. In addition to dizziness, loss of balance and nausea may occur.

The next reason is associated with osteochondrosis, which affects the cervical spine. With such a disease, a person experiences dizziness in a dream when turning, fingers can also go numb.

Various neoplasms located in the skull provoke pain, visual deception, and so on. This is due to the fact that the tumor presses on the brain.

If a person is on a diet or malnourished, then the described condition may occur. It is provoked by a lack of trace elements and vitamins in the body.

Heart disease also leads to circulatory disorders. These can be called arrhythmia or ischemic disease. Neurological diseases are also on this list. In such patients, in addition to dizziness in sleep, which can be caused by sclerosis, Parkinson's disease, and so on, there is also a depressive state, excessive excitability and mental disorders.

The last factor should be called intoxication with harmful substances. Drugs, drugs, alcohol - they all poison the body, so they can cause dizziness and other symptoms.

Treatment

It should be understood that treatment must be carried out without fail. It is not required only when a person has a symptom of this kind due to the physiological characteristics discussed above. Some patients try to ignore this symptom, are treated with folk remedies, or choose medicines for themselves. This approach is extremely dangerous, as complications can arise. Further - in detail about the diagnosis and treatment of dizziness during sleep.

Diagnostic methods

Before you start treating the problem, you need to diagnose. Thanks to her, you can find out why dizziness occurs. The earlier the cause is identified, the easier it will be to get rid of it. The doctor should begin the examination with an examination, questioning and anamnesis. Next, the patient will need to do tests and visit some specialists.

In parallel, the doctor must find out what character dizziness has. It is also necessary to indicate whether there are accompanying symptoms, for example, a headache, nausea and vomiting, tinnitus, and so on. It should describe how long the attack lasts and how often it recurs.

Most likely, the therapist will give a referral to some specialists from the following list: psychiatrist, otolaryngologist, traumatologist, neuropathologist, neurosurgeon, cardiologist. Which doctor the patient needs to go to depends entirely on the nature of the dizziness.

Diagnostic procedures will also be prescribed to identify the causes of the condition. These include a blood test, ultrasound of blood vessels and organs, and the head, ECG, pressure testing, tomography of various types, as well as electroencephalography.

Therapy

After the causes of dizziness in sleep are identified, the doctor will prescribe therapy. It will be directed both to the treatment of the disease, and to getting rid of the most unpleasant condition. At the moment, there are several types of treatment. Let's consider them further.

Medical therapy

Pharmacists have not yet developed types of drugs that will help a person with dizziness. Therefore, it is only necessary to treat the underlying disease in order to get rid of the symptom. Doctors often prescribe antidepressants and sedatives, anti-inflammatory drugs that regulate blood pressure, various heart drugs, drugs that constrict and dilate blood vessels also help.

It must be remembered that only the attending physician can prescribe all drugs. In no case should you self-medicate. The specialist must choose the dosage and duration of therapy, as well as make a choice between tablets, mixtures and injections.

Physiological procedures

Such therapy will get rid of dizziness in sleep, if it is caused by problems with the vestibular apparatus. Acupuncture, massage, laser therapy help. They can also prescribe manual therapy, therapeutic exercises and magnetotherapy.

Additional Methods

These should include:

psychotherapy (if the cause of the problem is mental problems or nervous disorders),
aromatherapy (helps relieve stress; mint, lemongrass, lemon balm are used).

The doctor will also adjust the diet. If the patient is not eating well, then you need to enter into the menu the food that, in the shortest possible time, will allow you to restore the vitamin complex of the body.

Preventive measures

To avoid dizziness that appears during sleep, you need to follow certain rules. Doctors recommend walking more, playing sports, avoiding nervous shocks, following a diet, resting properly, not ignoring inflammation and other diseases, and controlling your blood pressure.

Most often, an attack occurs when a person is standing, that is, is in an upright state. Therefore, if dizziness occurs when the patient is sleeping, it means that he has a serious illness. Before you begin to treat it, you must definitely do an examination to find out all the nuances of the disease.

If you follow preventive measures, then avoiding the appearance of such unpleasant symptoms as dizziness will be easy and not difficult.

Dizziness at night when turning the head or in other conditions is a symptom of many diseases that can develop in a child or adult. These diseases, as a rule, are chronic and constantly progress, leading to increased attacks of dizziness at night and reducing the quality of human life. In such situations, the patient should always seek qualified help from a doctor who will conduct all the necessary clinical studies, as well as select an effective treatment.

Some people complain of dizziness while sleeping at night.

Clinical manifestations

Generally speaking, dizziness is a normal reaction of the body to a number of different stimuli of the vestibular apparatus. For example, they accompany riding on carousels, swings, etc. This situation is due to differences between the resulting visual image and data on the position of the body. This imbalance is observed in many men and women.

But dizziness at night, when the body is motionless and in a horizontal position, no pathological sensations should arise. However, some people are dominated by complaints of nocturnal dizziness, including when turning the head. In addition, patients complain of nausea and vomiting. If the patient rolls over in bed, all the symptoms become worse.

Identification of the specific cause of the onset of symptoms is possible only in a medical institution when contacting a doctor.

In such situations, one should not hope that the symptoms will disappear in the morning, and the disease will go away on its own. You should always seek medical help from a healthcare facility to identify the underlying cause of nighttime dizziness.

The occurrence of seizures

Doctors tend to consider several causes of dizziness during sleep.

When a person develops dizziness at night, the causes of this condition may be different. Why can nighttime dizziness occur? Doctors distinguish the following conditions.

Diseases with damage to the inner ear, in the first place, various labyrinthitis. Such diseases are always accompanied by dizziness when turning the head, including at night, as well as other symptoms: tinnitus, hearing loss, etc. Left untreated, otitis media can lead to total deafness.
Atherosclerosis in the cerebral arteries disrupts the blood supply to the brain, including its vestibular part. The patient notes dizziness during and after sleep, as well as a decrease in memory, attention and other mental functions.
Unstable blood pressure, accompanied by its increase or decrease, very often causes the periodic appearance of this symptom.
Osteochondrosis, accompanied by compression of blood vessels and nerve roots, can also cause severe bouts of dizziness at night.

Dizziness can be one of the symptoms of osteochondrosis

In addition, other conditions can also be the reason for the appearance of a sense of rotation of objects - diseases of the cardiovascular system, endocrine disorders, pregnancy, etc. In each clinical situation, the underlying disease can be identified only after a neurological examination of the patient using laboratory and instrumental methods.

Chronic lack of sleep, frequent stress and fatigue lead to a gradual depletion of the central nervous system. This condition is manifested by dizziness, depression and apathy. With these diseases, it is necessary to consult a psychiatrist to identify the possible causes of disorders in the work of the psyche.

Diagnosis of the disease

The appearance of dizziness during sleep requires contacting a medical facility due to a large number of possible causes. When trying to self-diagnose and prescribe treatment, the underlying disease may progress and its complications develop.

The interpretation of the results obtained should be carried out only by a specialist doctor. Patients should not try to independently evaluate the data of the examination methods performed.

Diagnosis algorithm:

Collection of patient complaints with a thorough questioning about the features of his work, lifestyle, previous diseases.
An external examination of the patient, a neurological examination and a mandatory consultation with an otorhinolaryngologist to exclude damage to the middle ear.

At a consultation with an ENT doctor

Blood and urine tests to assess general health and detect inflammation.
Additional methods, including X-ray examinations (plain radiograph, computed tomography, ultrasound procedures, etc.).
Consultations with related specialists, including a psychiatrist.

An integrated approach to diagnosis makes it possible to identify the underlying disease that leads to dizziness and, on the basis of this, to select effective methods of therapy, including drug and non-drug.

Treatment approaches

Effective therapy of diseases is possible only after a full clinical examination of the patient and consultation with a doctor. In this case, treatment should mainly be aimed at eliminating the underlying disease:

violations of the level of blood pressure, most often its increase, requires the appointment of medications from the group of angiotensin-converting enzyme inhibitors, for example, Enap, Enalapril, etc .;

Antihypertensive drug

for osteochondrosis, non-steroidal anti-inflammatory drugs (Ketorolac, Nimesulide), muscle relaxants, as well as physiotherapy exercises and massage are used;
to eliminate the consequences of cerebral atherosclerosis, vascular-active drugs (Actovegin, Cerebrolysin), nootropics (Piracetam, Nootropil) and antioxidants (Tocopherol, Dihydroquercetin) are used;
the fight against dizziness and related clinical manifestations requires the use of antihistamines (Pipolfen), sedatives, including plant-based drugs and antiemetic drugs (Metoclopromide).

In no case should you self-medicate. This is fraught with the development of side effects of therapy, as well as the possible progression of the underlying pathology.

In addition, many patients use traditional medicine. However, such treatment approaches do not have proven efficacy and safety, and therefore they should not be used as monotherapy, but should always be prescribed in combination with drugs.

Dizziness during or after sleep is an unpleasant symptom that causes a decrease in the quality of life and is accompanied by significant discomfort for the patient. There are many reasons for the development of such conditions, and only the attending physician, after conducting a clinical examination, can make an accurate diagnosis. In this regard, in no case should you delay the appeal to a medical institution. Early initiation of therapy allows you to achieve complete recovery and ensure the absence of relapses of various diseases.

Such dizziness is called physiological. Cause of dizziness

Manifestations in the supine position

heart failure;
hypo- and hyperthyroidism;
diabetes.

crunch in the neck when moving;
wasting of hands;

Causes of dizziness

Vestibular rehabilitation

Dizziness during sleep: the main causes and effective treatment

Some people complain of dizziness while sleeping at night.

Clinical manifestations

Identification of the specific cause of the onset of symptoms is possible only in a medical institution when contacting a doctor.

The occurrence of seizures

Doctors tend to consider several causes of dizziness during sleep.

When a person develops dizziness at night, the causes of this condition may be different. Why can nighttime dizziness occur? Doctors distinguish the following conditions.

Diseases with damage to the inner ear, in the first place, various labyrinthitis. Such diseases are always accompanied by dizziness when turning the head, including at night, as well as other symptoms: tinnitus, hearing loss, etc. Left untreated, otitis media can lead to total deafness.
Atherosclerosis in the cerebral arteries disrupts the blood supply to the brain, including its vestibular part. The patient notes dizziness during and after sleep, as well as a decrease in memory, attention and other mental functions.
Unstable blood pressure, accompanied by its increase or decrease, very often causes the periodic appearance of this symptom.
Osteochondrosis, accompanied by compression of blood vessels and nerve roots, can also cause severe bouts of dizziness at night.

Dizziness can be one of the symptoms of osteochondrosis

Diagnosis of the disease

The interpretation of the results obtained should be carried out only by a specialist doctor. Patients should not try to independently evaluate the data of the examination methods performed.

Diagnosis algorithm:

Collection of patient complaints with a thorough questioning about the features of his work, lifestyle, previous diseases.
An external examination of the patient, a neurological examination and a mandatory consultation with an otorhinolaryngologist to exclude damage to the middle ear.

At a consultation with an ENT doctor

Blood and urine tests to assess general health and detect inflammation.
Additional methods, including X-ray examinations (plain radiograph, computed tomography, ultrasound procedures, etc.).
Consultations with related specialists, including a psychiatrist.

Treatment approaches

violations of the level of blood pressure, most often its increase, requires the appointment of medications from the group of angiotensin-converting enzyme inhibitors, for example, Enap, Enalapril, etc .;

for osteochondrosis, non-steroidal anti-inflammatory drugs (Ketorolac, Nimesulide), muscle relaxants, as well as physiotherapy exercises and massage are used;
to eliminate the consequences of cerebral atherosclerosis, vascular-active drugs (Actovegin, Cerebrolysin), nootropics (Piracetam, Nootropil) and antioxidants (Tocopherol, Dihydroquercetin) are used;
the fight against dizziness and related clinical manifestations requires the use of antihistamines (Pipolfen), sedatives, including plant-based drugs and antiemetic drugs (Metoclopromide).

In no case should you self-medicate. This is fraught with the development of side effects of therapy, as well as the possible progression of the underlying pathology.

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Severe dizziness at night causes

Chronic lack of sleep, constant workload, stress and illness lead to the fact that the body's strength is depleted. There are sluggish diseases that can lead to the fact that the head begins to spin during sleep. These can be chronic diseases of the ENT organs, for example, sinusitis, or inflammatory processes in the digestive tract (inflammation of the small and large intestines). Rheumatic diseases, tuberculosis in any form can also lead to dizziness while resting at night. There is another disease that causes dizziness, it is transmitted through tick bites - Lyme disease.

A person weakened by illness notices the appearance of dizziness when he lies down to rest in the evening, and sometimes he is tormented by dreams in which he is dizzy. Some are trying to find a clue in the dream book, but the answer should be sought from doctors. The reason for inadequate rest, most likely, was a disease that requires diagnosis and treatment.

Symptoms in the horizontal position

Dizziness is considered normal if they appear quite rarely and under the influence of certain factors: when riding a swing, carousel and other similar attractions, with a sharp rise from a horizontal position to a vertical one. This is due to the fact that an imbalance occurs between the visual analyzing center and the vestibular apparatus due to a change in position.

It turns out that, being in a horizontal position, a person should not feel dizzy. But some patients insist that it is during the night's rest that they experience unpleasant symptoms when they feel dizzy, sometimes this is accompanied by nausea and vomiting. The symptoms are aggravated by turning in bed. Don't expect the dizziness to go away on its own. It is necessary to look for the cause that led to dizziness. These reasons may be serious changes occurring inside the body or its individual organs.

The main causes leading to dizziness

Experts tend to look at several causes of dizziness while resting or lying down. Usually this symptom is associated with such diseases or conditions:

Arterial hypertension or hypotension. Both of these diseases lead to instability in blood pressure indicators, while a person may periodically experience unpleasant symptoms in the form of dizziness, vomiting.
Atherosclerotic plaques block the lumen of vital vessels, and this leads to impaired blood circulation in the brain. Atherosclerosis of the vessels can be accompanied by unpleasant phenomena. A person notices that he has dizziness even at rest, especially in the evening before going to bed, or in the morning, even before getting out of bed.
Diseases of the inner ear are very dangerous. With otitis media (labyrinthitis), the mucous membrane of the inner ear becomes inflamed. Its cavity is filled with purulent contents, discomfort, tinnitus, and hearing loss occur. Under the pressure of pus, the eardrum is displaced, a person experiences dizziness, pain in the head and ears. After the inflammation has been cured, symptoms of dizziness, ear congestion, or hearing loss may persist for some time. The most common cause of peripheral vertigo is a pathology of the inner ear.
Violation of the vestibular function of the body is associated with Meniere's syndrome. With this disease, the tone of the vessels responsible for the nutrition of the vestibular apparatus and auditory endings decreases. This disease leads to frequent loss of balance when walking, vomiting may occur. Even during sleep, dizziness can disturb.
If patients complain of dizziness that occurs, a blood test for sugar should be taken. Its elevated rates indicate developing diabetes mellitus. And this disease leads to a change in the state of the vessels and symptoms such as dizziness.
The version of neoplasms of the brain should be considered. For this, diagnostic studies (for example, MRI) are prescribed. With tumors, a person may experience migraine-like headaches, complain of dizziness, and hearing or vision impairment.
When questioning and examining the patient, it should be clarified whether there were any injuries to the skull. If they occur, then the symptoms of nausea and dizziness may be the result of a concussion or cerebral edema.
The patient is asked about the existing diseases and medications that he takes. Some medications have side effects such as vomiting, nausea, and dizziness.
Improper nutrition, prolonged food restrictions (fasting) can lead to the fact that the body does not receive the vitamins and minerals it needs. Hence the feeling of fatigue, poor sleep, nausea, nighttime dizziness.
Heart diseases (for example, tachycardia, bradycardia, arrhythmia) lead to a deterioration in blood circulation: weakness, anxiety, dizziness appear.
Benign positional vertigo does not only appear when standing up abruptly. Nausea can occur during exercise, such as squatting, running. To take the BPPV test, sit on a couch with your lower limbs extended and turn your head to the left, then quickly lie down in a horizontal position and turn your head to the right. After that, you will need to slowly rise to a vertical position.

Diseases of a neurological nature

Chronic fatigue leads the body to exhaustion. There are disorders of the central and peripheral nervous system. These can be disorders caused by a stroke condition, Parkinson's or Alzheimer's disease, as well as senile sclerosis.

Mental disorders can cause not only dizziness: there is an unwillingness to live, interest in everything that happens around is lost. This is how endogenous depression manifests itself. A person begins to feel causeless anxiety that haunts him not only during the day, but also during sleep. In the morning, such a patient wakes up without sleep, he is drawn to rest, depression intensifies, everything seems prohibitively complicated and almost impossible. Such a patient needs the help of a psychotherapist.

When a sleep rhythm is disturbed, a person develops nightmares. In them, he feels himself being pulled into an abyss or whirlpool, he wakes up from severe dizziness and anxiety. The same nightmares haunt people with mental disorders, for example, with a depressive disorder or with excessive anxiety. Nightmares do not allow a person to fully relax. They aggravate the situation, lead to the fact that a person does not get enough sleep and begins to get even more nervous, worried, show aggression or become depressed. The help of a specialist in this case will be very necessary and important.

How to help the body

To treat vertigo, it is necessary to find out the exact cause of the disease. But it is not always possible to do this. After all, it is required to undergo a lot of diagnostic measures, examinations, visit more than one specialist. And a person needs help now, because his condition is deteriorating day by day. Nightmares, worries, dizziness, nausea - they take you out of balance. Therefore, the doctor may prescribe drugs that improve the patient's condition even before the end of a complete examination. These will be remedies that relieve stress, eliminate nausea and dizziness. Mandatory appointment will be drugs that improve cerebral circulation.

If dizziness during sleep is diagnosed, the causes of which lie in peripheral vertigo (with middle ear problems), surgery may be required. Endolinf drainage, labyrinth surgery, or an operation on the auditory nerve is performed.

The number of dizziness can be reduced by a properly composed menu. The diet should be designed so that it includes foods rich in iron, magnesium, as well as essential vitamins (C, P, B). You should limit the intake of tea and coffee, it is advisable to give up chocolate and other sweets. Tobacco smoking and alcohol dependence must also be cured. The diet should be aimed at eliminating excess fluid from the body. To do this, reduce the amount of salt and salty foods consumed daily. The total amount of fluid entering the body should not exceed 1.5 liters per day.

Before going to bed, you can take a leisurely walk in the fresh air. Better if it is a quiet park. To eliminate dizziness, specially designed rehabilitation exercises performed without overstrain are shown.

Types of dizziness are different and depend on the causes of its origin.

in the absence of illness, irritation of the vestibular complex can become caused by various factors - staying at a height and looking down, motion sickness in transport, watching a train passing by, etc. Such dizziness is called physiological. Cause of dizziness

May occur spontaneously or be associated with some factors. One of them is head rotation.

Causes of dizziness when turning the head can be as follows:

Benign paroxysmal dizziness, when no apparent cause is identified (in this case, there are usually disturbances at the micro level in the vestibular apparatus);
Osteochondrosis of the cervical spine (damage to the intervertebral discs), in which there is a strong narrowing of the canal where the vertebral artery passes, feeding the brain;
Arterial hypotension, which also leads to a reduced supply of oxygen to the brain;
Arterial hypertension, accompanied by a change in the vascular wall. With this disease, dizziness can occur during sleep, especially if the increase in pressure occurs mainly at night;
Brain injury (the time elapsed since its receipt does not play a significant role in the occurrence of this symptom);
Sleep disturbance, including the lack of a full night's sleep;
Orthostatic hypotension, which occurs when getting out of bed abruptly
Diabetes mellitus - at the stage when angiopathy (vascular damage) develops with a violation of the blood supply to the brain;
Brain tumors (benign and malignant).

Manifestations in the supine position

Symptoms of benign positional paroxysmal vertigo are the appearance of short-term (several seconds) bouts of dizziness, which is observed only when changing the position of the body (from vertical to horizontal and, conversely, when turning the body during sleep, tilting the head back). But most often, dizziness occurs at night during sleep, which disrupts proper rest. The onset period may be replaced by a long period of remission. In fact, the nature of the disease has not been sufficiently studied (it was first described at the beginning of the twentieth century), but the characteristic symptoms make it possible for the doctor to suspect BPPV.

These are fairly rare symptoms and are usually caused by:

benign positional vertigo;
hypoglycemia (deficiency of glucose in the blood);
heart failure;
partial blockade of blood flow in the lumen of the arteries;
hypo- and hyperthyroidism;
cardiac arrhythmias (bradycardia, tachycardia, angina pectoris);
diabetes.

Its symptoms often appear throughout the day, but when getting up, the vestibular apparatus is actively involved, so nausea and weakness often appear after sleep.

If you need to do a test for BPPV (benign paroxysmal positional vertigo), then the person is sat on a chair and asked to stretch their legs, and then turn their head to the left side. After that, he should quickly take a horizontal position and turn his head to the right side, after which he should slowly stand up.

This disease is manifested not only when standing up. Nausea and dizziness are common when exercising, running or squatting. BPPV is the cause of poor health, which complains about a third of older people.

circling of the head, which occurs paroxysmal when turning the head;
persistent headache in the back of the head;
pain in the cervical part of the spinal column;
crunch in the neck when moving;
shooting pain in the arms and shoulder girdle;
wasting of hands;
painful tension of the muscles of the neck;
the possibility of developing drop attacks (a sudden fall without loss of consciousness), which is associated with a sharp hypoxia of the brain and a drop in muscle tone.

Symptoms of benign positional vertigo

The following symptoms may help you suspect BPPV:

dizziness when moving the head, especially often it appears in the prone position when turning to the right or left side, it can also feel dizzy when tilting;
as a rule, the attack begins in the morning when the person wakes up and begins to turn over in bed;
the attack does not last long (up to 1 minute) and easily passes;
dizziness may also be accompanied by nausea and vomiting.

Sometimes severe dizziness occurs at night, during sleep, causing the patient to wake up. Dizziness may be accompanied by nausea and vomiting. The disease proceeds benignly: periods of exacerbation, when attacks are repeated daily, are replaced by spontaneous remission, which can last for several years.

Causes of dizziness

The etiology of the disease in most cases remains unknown. It is believed that benign positional vertigo may occur after a traumatic brain injury or as a result of a viral infection. There is no association between benign positional vertigo and vertebrobasilar insufficiency. Women are affected about twice as often as men. The disease can begin at any age, more often - flying.

Another commonly prescribed drug is piracetam. It refers to nootropics that act on the central nervous system. Under their influence, cognitive processes improve, thereby improving perception, memory, concentration and awareness. The drug does not have a calming and mentally stimulating effect.

Piracetam increases the flow of blood through the vessels to the brain, affecting red blood cells, platelets and the vascular wall: it increases the elasticity of red blood cells, reduces the formation of platelets and reduces the likelihood of spasms of cerebral vessels. The drug is administered intravenously or intramuscularly.

During the use of the drug, side effects may occur. These include disorders of the nervous system, such as ataxia (impaired coordination of movements), imbalance, exacerbation of symptoms of epilepsy, drowsiness, insomnia, fatigue, headaches; gastrointestinal disorders (vomiting, diarrhea, abdominal pain, pain in the upper abdomen). On the part of the immune system, hypersensitivity reactions are possible: agitation, anxiety, confusion, Quincke's edema, dermatitis, itching, urticaria. If you have such problems, you should inform your doctor.

Vestibular rehabilitation

In case of damage to the musculoskeletal and vestibular apparatus, which are accompanied by slight dizziness, vestibular rehabilitation can be effective. This is a balance training that allows you to compensate for dizziness. It is also prescribed to people after neurosurgical operations (neurectomy, labyrinthectomy) after a traumatic brain injury in patients with anxiety neuroses, Meniere's disease (when attacks occur less frequently than once a month), CNS and mixed injuries. This procedure is not suitable for people who experience dizziness and imbalance periodically in the form of seizures.

Diseases of the cardiovascular system. Hypotension and heart disease can cause dizziness, which precedes syncope and syncope. The patient feels lightness in the head, a feeling of dizziness, fear, increased heartbeat.

neurological disorders. In this case, a person has instability when walking, a "drunk" gait that occurs when moving and disappears when the patient lies and sits. Such dizziness is characteristic of diseases such as epilepsy, migraine, etc.

Dizziness, or vertigo, is a health disorder in which a person feels a false movement of his body in space or the movement of surrounding objects. This condition is accompanied by loss of balance, sometimes nausea, vomiting, headache and other signs, depending on the cause that caused this symptom.

Dizziness is one of the most common reasons people seek medical attention. Surely each of us felt for ourselves what it is, for example, dizziness almost always accompanies a cold, which forces you to stay in bed, or when you get out of bed abruptly in the morning. But in such cases, the head is spinning not much and not at all for a long time (several seconds), which is not reflected in the general condition of the person and does not reduce the quality of his life.

But what to do when some people begin to complain of constant and severe dizziness? Why does it occur and what diseases does it hide? And finally, how to get rid of this painful symptom? This is what will be discussed below.

Video broadcast about the causes of dizziness:

Types of dizziness

There are several classifications of dizziness, but the main types are true and false.

False dizziness

Patients describe under the term vertigo a wide variety of pathological sensations, which are not always true dizziness. The fact is that a person who has never experienced real vertigo can put into this concept all the unpleasant sensations that arise in the body. In medicine, there is a special term that refers to false dizziness - lipothymia.

Symptoms that are not true dizziness:

a feeling of general weakness with nausea, cold sweat, fear, darkening of the eyes (such signs can often be observed with hypoglycemia - a decrease in the concentration of glucose in the blood);
balance disorders of non-vestibular origin, when it “staggers”, “sways”, it is impossible to stay on one’s feet (the reason is cerebellar dysfunction, polysensory nervous insufficiency, extrapyramidal insufficiency, and not damage to the vestibular apparatus);
feeling of falling or near fainting;
sensations that the patient cannot specifically identify, such as “the ground is slipping from under the feet”, “fog inside the head”, “as if drunk” (this is often found with emotional disorders, for example, with psychogenic dizziness, which is not present).

Feeling of impending fainting and other vague pathological sensations are referred to as false dizziness and are very common among women.

True dizziness

It is this type of dizziness in medicine that is called vertigo, or systemic. It is described by patients as an illusory whirling of their own organism or surrounding things in a specific direction and in space. There are always signs of dysfunction of the ANS:

nausea and vomiting;
hyperhidrosis;
loss of balance;
rhythmic twitching of the eyeballs;
pallor of the skin;
heartbeat.

True circling of the head is vestibular in origin, that is, due to the pathology of the vestibular analyzer, with its central part, which is located in the brain tissue, or peripheral, which represents the inner ear and 8 FM nerve. Thus, true vertigo can be central (brain tumors, traumatic brain injury, stroke, basilar migraine) and peripheral (Ménière's disease, labyrinth diseases and 8 FM nerve).

Need to remember! Determining the type of dizziness is very important, as it allows you to suspect a particular disease. And, as you know, you can effectively get rid of dizziness only by eliminating its root cause.

Causes of true severe dizziness

As already mentioned, true dizziness is associated with the pathology of the vestibular analyzer. It should be noted that these are always serious diseases, and such vertigo indicates a serious danger not only to human health, but also to his life.

Injuries to the head and cervical spine. This group includes both fresh traumatic injuries and their consequences. For example, severe dizziness after hitting the head may indicate a concussion or other types of head injury, as well as disturb a person for many years after suffering a skull fracture or intracerebral hematoma;
Stroke, hemorrhagic or ischemic, especially with localization in the brain stem and cerebellum, as well as its long-term consequences;
Insufficiency of vertebrobasilar circulation, when the blood flow in the vertebral artery system is disturbed. Most often this happens with cervical osteochondrosis and its consequences (herniated disc);
Brain tumors that directly destroy the area responsible for the vestibular apparatus. Or indirectly - squeezing by a rapidly growing neoplasm;
Basilar migraine;
Multiple sclerosis;
Epilepsy;
Alcoholic encephalopathy;
Overdose of drugs that affect the central nervous system (antidepressants, tranquilizers, anticonvulsants, sedatives, etc.);
temporal lobe epilepsy;
Cogan's syndrome - vasculitis of the vessels of the head.

Brain tumor is the cause of true central vertigo

Labyrinthitis is an inflammatory disease of the inner ear, in which the peripheral part of the vestibular analyzer suffers. Along with dizziness, various hearing impairments are observed;
Vestibular neurinoma (benign tumor of the 8th pair of cranial nerves) and neuronitis - inflammatory damage to the vestibular nerve;
Complications of chronic suppurative otitis media;
Meniere's disease;
Benign positional paroxysmal vertigo;
Middle ear cholesteatoma - a tumor-like formation that consists of dead epithelial cells, cholesterol and keratin crystals;
Perilymphatic fistula;
Reception of ototoxic medicines (aminoglycoside antibiotics, quinine, salicylates, some diuretics - furosemide and ethacrynic acid);
Ear injury.

Causes of false severe dizziness

Signs of false dizziness are described above, and the following diseases and pathological conditions can cause it:

Cardiac and vascular pathology (hypertension, arterial hypotension, cardiac arrhythmias, atherosclerosis, vasculitis);
Diabetes mellitus and its consequences, attacks of hypoglycemia;
Diseases of the blood system, especially anemia;
orthostatic hypotension;
Vegetovascular dystonia;
Neurotic and anxiety-phobic disorders (psychogenic dizziness);
chronic alcoholism;
Spinal cord injury;
vitamin deficiency;
Diseases of the organ of vision;
Infectious and somatic diseases, which are accompanied by asthenic syndrome and general weakness;
Shy-Drager syndrome and other degenerative diseases of the peripheral nervous system.

Must be remembered! There are also physiological causes of severe dizziness. For example, the head can spin with active irritation of the vestibular apparatus - a sharp change in the speed of movement, its direction, circling on a carousel, observing objects that are moving. This group includes both motion sickness and kinetosis (sickness syndrome).

The most common diseases that are accompanied by dizziness

Among the pathologies that are accompanied by severe dizziness, there are quite rare ones that we mentioned above, but in 95% of cases, vertigo, true or false, is due to the following diseases.

Benign positional paroxysmal vertigo

This violation is among the true peripheral vertigo and is the most common form. The disease is characterized by short-term bouts of true strong circling of the body when turning the head in one direction, tilting it, throwing it back, or occupying a certain position, for example, lying on its side.

The reason for such attacks is irritation of the receptors in the cochlea of the auditory analyzer in a certain position of a person. As a rule, such a violation occurs in older patients with a history of infections and traumatic injuries.

Special gymnastic complexes - Dix-Hallpike and Brandt-Daroff will help get rid of the pathology. Their efficiency reaches more than 90%.

Peripheral true vertigo affects the inner ear

Psychogenic dizziness

It is in 2nd place in terms of occurrence, but belongs to the false. often it can be seen in people with VVD, panic attacks, anxiety and neurotic disorders. The diagnostic criterion can be a significantly greater effectiveness of psychotherapy and sedative medications than special remedies for dizziness.

Meniere's disease

The main symptom of Menr's disease is periodic attacks of whirling of the body with a decrease in hearing acuity in one ear and noise sensations in it. Such an attack can last a couple of hours or a couple of days. Gradually, hearing in the affected ear is completely lost.

The pathology is based on excessive accumulation of endolymph in the labyrinth of the inner ear. Which leads to excessive activation of the vestibular analyzer and characteristic seizures. The true reason for this phenomenon is not known today, but there is some connection with viral infections.

Video broadcast about Meniere's disease:

Meniere's disease. What to do when your head is spinning

Arterial hypertension and hypotension

With vascular pathology of the brain, dizziness develops due to hypoxia of the brain tissue, which certainly accompanies this group of diseases. With atherosclerosis and hypertension, the cerebral vessels narrow irreversibly, which is the cause of the diverse symptoms of chronic cerebral ischemia, in particular dizziness.

Severe dizziness develops in 3 cases:

a sharp increase in pressure - a hypertensive crisis;
a decrease in pressure below normal (hypotonic disease or an overdose of drugs for pressure, shock);
with the development of dyscirculatory encephalopathy as a consequence of prolonged hypertension and cerebral atherosclerosis.

Adequate control of blood pressure with the help of modern and safe medicines minimizes the risk of dizziness.

brain tumors

Dizziness in brain tumors is considered an early sign of pathology. It is characterized by a gradual increase, accompanied by nausea and vomiting without relief, focal neurological symptoms appear (impaired vision, hearing, speech, paralysis, etc.).

Osteochondrosis of the cervical spine

Cervical osteochondrosis with the development of vertebral artery syndrome and chronic vertebrobasilar insufficiency is attributed to the causes of true central vertigo, since the back of the brain suffers (lack of blood, oxygen and nutrients), where the central part of the human vestibular analyzer is located.

With cervical osteochondrosis, the blood supply to the back of the brain and cerebellum worsens, which leads to chronic dizziness.

ENT pathology

Any infectious and other etiology damage to the ENT organs, in particular the ear, can be complicated by vestibular neuronitis or labyrinthitis, which are often the cause of true peripheral vertigo.

Such dizziness appears suddenly, it is very pronounced, it always has a systemic turning character, it is combined with hearing loss and tinnitus. But with the appointment of adequate anti-inflammatory treatment, all symptoms quickly and completely disappear.

How to help with dizziness?

First you need to know what are the warning signs of dizziness. Any of these should cause you to seek immediate medical attention:

fever;
Strong headache;
weakness in an arm or leg;
persistent vomiting that does not bring relief;
if dizziness was preceded by a head injury;
if the attack does not go away on its own or with the help of medications for 60 minutes;
if, against the background of circling the head, a person lost consciousness;
if various focal neurological symptoms are simultaneously observed.

If you have an attack of dizziness, then you can try to stop it with drugs such as Betahistine, Scopalamin, Diphenhydramine, Cinnarizine, Motoclopramide.

At the same time, you can try several non-drug methods:

Lie in bed or on the floor so as not to fall and injure yourself.
Provide access to fresh air.
If the patient is tense, some sedative, such as valerian, can be given.
It is better to lie on your back and do not move your head, otherwise the symptoms only intensify.
You can put a cold compress or towel on your forehead.
It is mandatory to measure a person's pressure, pulse, respiratory rate and temperature.

First aid video for dizziness:

3. Help with dizziness - a world-famous scientist recommends

Further treatment can only be prescribed by a doctor after finding out the cause of dizziness. As a rule, additional therapeutic measures with adequate treatment of the underlying disease are not required. Although such can be prescribed - these are symptomatic drugs and special exercises.

Constant lack of sleep, fatigue, hard work, stressful situations and experiences provoke exhaustion of the body. As a result, chronic or sluggish diseases are exacerbated, which can lead to dizziness in a dream. These provoking factors include sinusitis and problems with the gastrointestinal tract. In addition, dizziness is manifested due to rheumatism, tuberculosis and Lyme disease, transmitted along with a tick bite.

People whose body is weakened may notice dizziness at night and even feel them in a dream. Often a person tries to deal with the problem on his own, but this is not worth doing, because it is better to seek the help of a qualified specialist. This article talks about exactly how dizziness manifests itself in a dream, describes the main causes of the phenomenon and options for getting rid of it.

Symptoms of dizziness in a horizontal position

Dizziness is normal and pathological. It is normal for your head to feel dizzy after riding a carousel, during a sudden change in body position, when turning, or when you are at high altitude. Such symptoms are explained by the resulting imbalance between the visual analyzer and the vestibular apparatus.

Pathological dizziness is not the norm. It can manifest itself during sleep and be accompanied by the following symptoms:

It seems to a person that the ceiling or walls are falling.
There is a feeling that the body rotates by itself.
Objects in the room begin to swim before your eyes.
There is increased anxiety.
Along with dizziness, nausea and headache are observed, which does not go away even in sleep.

Exacerbation of anxious sensations is manifested when turning on the other side or when turning over on the back. Often a person is tormented by vomiting and severe weakness that lasts all day.

Why does dizziness occur

Doctors identify quite a few reasons that can provoke dizziness in a supine position. Most often, this phenomenon accompanies the following diseases or conditions:

An increase or decrease in blood pressure. Both of these ailments can cause the considered unpleasant symptom.
The appearance of atherosclerotic plaques that clog blood vessels and lead to malfunctions in the process of blood circulation in the brain. A person gets dizzy during sleep or in the morning.
Disease of the inner ear. Labyrinthitis (otitis media) leads to an inflammatory process on the mucous membrane of the human inner ear. Pus is observed in the problem cavity, which presses on the eardrum and shifts it to the side. People feel dizzy, headache and discomfort in the ears.
Problems with the vestibular apparatus, which may be a consequence of Meniere's syndrome. The disease provokes a decrease in the tone of the vessels that control the vestibular apparatus and auditory endings. Symptoms of the disease are as follows: loss of balance, urge to vomit and frequent dizziness in women.
Diabetes. The disease negatively affects the vessels, which leads to dizziness.
Neoplasms in the brain. In the presence of a tumor, a person often has a headache, hearing and vision deteriorate.
Skull trauma. Dizziness may occur after swelling or concussion.
Taking certain medications, side effects
Cardiac diseases that provoke a deterioration in blood circulation: tachycardia, arrhythmia or bradycardia.
Neuralgia. Sometimes there is a malfunction in the work of the central and peripheral nervous system, resulting in strokes, Parkinson's disease, Alzheimer's disease or senile sclerosis.

Do not forget about malnutrition. If a person adheres to fasting, then his body experiences a lack of vitamins and trace elements that are needed for the normal functioning of all systems.

If we talk about what dizziness leads to, then it is worth clarifying that in itself it is not a life-threatening condition. But the problem can become dangerous when a person works at height, is on an escalator, stairs, or close to the side of a sea vessel. Here there is a risk that he will lose his balance and be injured.

How the problem is diagnosed

To help a person and understand why the head is spinning, doctors must fully examine the patient who applied. Due to the fact that it is quite difficult to identify diseases of the inner ear, specialists prescribe a comprehensive diagnosis of the body.

The doctor needs to find out how and under what conditions an attack manifests itself, and what it can lead to. In this case, the following points must be taken into account:

Initial symptoms of an attack: dizziness may appear after nausea or fainting.
frequency and duration of attacks.
The presence or absence of a provoking factor: anxiety at night, changes in body position, head turns.
In what position of the body does the attack manifest itself: on the side or on the back.
Other symptoms: pain in the head or ears, hearing loss, unsteady gait, retching.
the effect of which is nausea or dizziness.

If a pathology of the vertebral artery is suspected, specialists perform MRI, CT, ultrasound of the cervical vessels and X-ray of the spine. Given the results of the examination and the causes of dizziness, doctors make a diagnosis and prescribe therapeutic measures.

How is dizziness treated?

In the event that the cause of the phenomenon under consideration is found, it is necessary to eliminate the main disease. To do this, doctors prescribe medications that are aimed at relieving dizziness at bedtime and related symptoms. These drugs include drugs that dilate blood vessels, improve blood circulation and relieve spasms from blood vessels. Here are some of them: Phezam, Cinnarizine, Nootropil and Betaserc. Pills or injections give a person the opportunity to get rid of pain and spinning in the head, tinnitus. In addition, patients note an improvement in attention and memory.

All pharmaceutical preparations should be taken strictly according to the prescription of the attending physician and in the dosage indicated by him.

If a person is dizzy and diagnosed with osteochondrosis, congenital anomalies or a tumor, then pills alone will not get rid of the problem. In this case, complex therapy is recommended: gymnastic exercises, vitamin B intake, breathing exercises, physiotherapy, a full course of massage or surgery.

Preventive measures

In order to eliminate the manifestations of vertigo in the supine position, you need to follow all the doctor's recommendations and follow a few preventive measures. They are:

Do not delay the visit to a qualified specialist at the first symptoms of dizziness.
Diversify food. The diet should include all the vitamins the body needs.
Go outside more often, especially before bed.
Regularly engage in physical education, observing the permissible load.
Avoid alcohol and cigarettes completely.

If you follow the above rules, you can quickly eliminate the signs of dizziness and avoid what they can lead to. Similar problems are dealt with by therapists and neurologists who help prevent and cure dangerous diseases, the symptoms of which are dizziness.

Attacks can occur with nausea, apathy and pain in the head of varying intensity.

Benign dizziness

This condition is caused by salt deposits in the inner ear. Seizures may occur when changing position or tilting the body. Its duration is no more than 10 minutes. The patient does not understand why the head is spinning in specific positions. A neurologist can get an explanation and establish what the patient's dizziness is connected with.

True dizziness

The cerebellum, vestibular apparatus and cerebral cortex are responsible for maintaining balance. Attacks occur acutely, the patient describes such disorders as dizziness and nausea. Vertigo is often caused by pathologies of the inner ear.

labyrinthitis

A pathology in which, for no apparent reason, lays the ears and feels dizzy, is labyrinthitis. The disease has an infectious and inflammatory origin. The causative agent enters the middle ear with a cold or flu.

Other signs of illness:

stuffy ears, hearing loss;
hyperthermia;
nausea.

Dizziness may persist for a long time after treatment. Only a specialist knows what tests and studies are needed in case of illness. Most often, laboratory tests, MRI, CT are needed.

Meniere's disease

Pathology, accompanied by swelling inside the ear and pressure on the membrane. The patient feels that he has dizziness for no reason and the following symptoms:

noise in ears;
pain in the head;
sweating;
nausea;
hypo or hypertension.

Meniere's disease tends to progress over time. Vertigo becomes more frequent over time, and hearing gradually decreases. Occasionally, there are cases when the symptoms disappear on their own after a few years.

Inner ear injury

In the vast majority of cases, such pathologies are due to trauma to the skull. This can cause Meniere's disease, which can cause dizziness over time. It can also block up the ears.

Then join the pain in the head, nausea, fainting. If the dizziness is severe and the ear bleeds or discharges a colorless liquid, then a fracture of the base of the skull should be suspected. In such a case, the person must be urgently transported to the nearest medical facility.

Atherosclerosis of cerebral vessels

The layering of sclerotic plaques disrupts blood circulation and provokes hypoxia. Often the following symptoms appear:

pain in the head;
decreased attention and memory;
dizzy;
depression, irritability.

Such symptoms are a reason to visit a doctor who will prescribe an examination. With atherosclerosis, diagnostic measures such as CT or MRI are prescribed.

Brain neoplasms

With neoplasms, dizziness is the leading symptom. The frequency and severity of symptoms correlates with the size and location of the tumor. If the formation is insignificant, then the symptom is expressed slightly and rarely occurs. As the tumor grows, swelling of the brain increases and dizziness occurs over time. Signs characteristic of a neoplasm of the brain:

In addition, there is a violation of the functions of some groups of organs and numbness of skin areas.

Skull injuries

In this case, dizziness is one of the main symptoms. Depending on how severe the damage is, the following symptoms occur:

If you feel dizzy and have nausea, it means that the injury caused swelling of the brain. There are also hemorrhages caused by damage to blood vessels. The severity of symptoms depends on the severity of the pathology. Diffuse axonal damage to the brain sometimes leads to severe impairment of the condition.

Epilepsy

Dizziness can be caused by epileptic seizures. This sign appears in two cases:

when it is a harbinger of a seizure. This is followed by convulsions. Harbingers are characterized by a decrease in sensitivity in some parts of the body;
when dizziness occurs instead of convulsions, as a manifestation of a seizure. This is typical for epilepsy, in which the pathological focus is located in the temporal lobe.

Osteochondrosis of the cervical region

With osteochondrosis, attacks of dizziness occur in the morning and continue throughout the day. Dizziness always occurs with headaches and neck pains. They are especially tormenting if a person sleeps on the wrong pillow. In severe cases, it hurts and dizziness, there is nausea, vomiting, apathy and hyperhidrosis.

Long work at the computer

A person who spends a long time behind a computer screen gets dizzy as a result of eye strain and staying in one position. In addition, such people usually suffer from headaches and back pains, heaviness in the head in the evening. The condition is not a pathology and goes away on its own after a long rest.

Psychogenic dizziness

Dizziness for no apparent reason occurs spontaneously or while being among the crowd, in a stuffy transport, subway, etc. The patient complains of nausea and dizziness, and also claims that he lacks air and fog before his eyes.

Other symptoms accompanying PG:

pre-fainting state;
rapid breathing and tachycardia;
hyperhidrosis.

Some patients note that when lifting or taking a lying position, dizziness occurs. It seems to them that they are being led to the side, and they fall. However, special tests do not reveal serious pathologies in the patient.

Arterial hypotension

Hypotension can be a sign of various diseases or be congenital. With hypotension, the following symptoms appear:

pain and dizziness in the head;
hyperhidrosis;
nausea;
semi-conscious state.

arterial hypertension

The causes of dizziness can be hypertension and hypotension. With hypertension, there is dizziness, and sometimes other symptoms appear:

With high hypertension, fainting is possible, in which the patient needs emergency care.

Vegetovascular dystonia

The disease can develop according to the hypertonic or hypotonic type. With any form of VVD, you can feel dizzy and have a headache, and other signs also appear: nausea, apathy, indigestion, etc. This disease is most common in adolescence. If VVD is properly treated, then with age the disease completely disappears.

Acute and chronic hemorrhages

Massive blood loss may be a possible cause of dizziness. There are two types of hemorrhage: external and internal. The second is caused by trauma to internal organs. And if help does not come in a timely manner, then blood loss can lead to the death of the patient.

Pharmacotherapy of dizziness

The choice of drugs for the treatment of dizziness is carried out by a specialist after the diagnosis and clarification of the etiology of the disease. Self-medication will not bring the desired result and can sometimes be harmful. As symptomatic drugs, the doctor most often prescribes some of the following groups of drugs:

nootropic drugs (Nootropil, Piracetam). They accelerate metabolism in the central nervous system and brain tissues, thus facilitating the general condition in diseases accompanied by Vertigo syndrome;
neuroleptics (Quetiapine, Clozapine). They are indicated for dizziness provoked by neurotic disorders - psychomotor agitation, panic attacks or bursts of aggression;
antihistamines (Promethazine, Clemastine). The action of such drugs is based on the removal of negative symptoms (dizziness, nausea, vomiting). Kinetoz is an indication for the appointment of such funds;
drugs that relieve spasms of peripheral nerves and increase blood circulation (Betahistine, Cinnarizine). They are used for symptoms provoked by injuries, Meniere's disease, cerebral hemorrhages, migraines.

Many pharmacological agents have contraindications, side effects and are prescribed in the appropriate dosage, so their use should be carried out under the supervision of a physician. Only a specialist can find out why the head is spinning and prescribe the appropriate treatment.

Thus, dizziness is caused by various factors. In young people, it is often caused by acute alcohol poisoning or a change in body position. In adulthood, it has more serious grounds. In such situations, do not hesitate, but you should visit a specialist.

The information on the site is provided for informational purposes only and cannot replace the advice of a physician.

Head spinning when you turn your head

Dizziness when turning the head most often occurs spontaneously. Usually, when dizziness occurs, a person is in a calm position, this fact should in no case be ignored.

Dizziness is a symptom in which a person is in a calm position, while feeling a violation of the orientation of the body in space. There is a sensation of rotation of the body or objects around it.

Types of dizziness

To date, there are two types of dizziness:

Non-systemic is the appearance of sudden dizziness, up to loss of consciousness. This type also includes weakness in the limbs, the appearance of nausea. The causes of occurrence can be different, ranging from pinching an artery to elementary lack of sleep or physical exhaustion. It may occur once, without recurrence.
Systemic - a violation of the normal functioning of the vestibular apparatus. There is a constant feeling of movement of objects and one's own body. There are autonomic symptoms such as persistent nausea, pallor of the skin, the onset of a sudden sign of panic.

Depending on the level of damage to the vestibular apparatus, two subspecies are distinguished:

Proprioceptive is when the movement of one's own body in space is felt;
Tactile - it is also called tactile, these are sensations of the movement of the soil under your feet, sensations of swaying.

The causes of frequent dizziness can also be viral or infectious neuritis. Elementary otitis can also be a significant sign of dizziness.

Diagnostics

To date, there are no objective procedures after which the doctor will be able to accurately identify the cause of dizziness. The first step is to diagnose the causes of dizziness, it is necessary to evaluate the work of the nervous system and the vestibular apparatus. The doctor will carefully listen to all the symptoms, only then determine all subsequent actions.

Ultrasound of the cervical vertebrae;
If necessary, X-ray of the spinal column;
Schedule all required tests.

According to the results, the doctor will be able to determine the cause of the disease and prescribe an individual treatment.

Eliminate salt completely from your diet.
Urgently give up bad habits.
Avoid caffeine completely or reduce your intake to a minimum.
Do not make sudden movements of the head and neck.

The reasons

The usual factors that can cause spontaneous dizziness can be a sharp rise of the body from a vertical position, a long ride on a carousel.

But there are hidden reasons that can provoke weakness, malaise and, as a result, dizziness:

Disease of the hearing aid (inner ear). If, when the head is not sharply tilted to the side, not only mild dizziness occurs, but also a sharp pain in the ear, this indicates a disease such as acute otitis media, which, if not treated in time, can turn into chronic otitis media. Not only diseases, but also ear injuries can lead to malaise.
If you feel dizzy in the supine position when turning, it may be associated with a lesion of the vestibular apparatus.

With this disease, dizziness can occur at night, not only when turning on its side, but also during sleep.

The causes of this condition have not yet been studied, but doctors know that during an attack there is an increase in fluid production in the inner ear, this is a consequence of dizziness and general ailments.

With advanced cases of ENT diseases, as well as due to complications after surgery. Even though the inflammation process occurs in the facial part, very often ENT diseases lead to bouts of dizziness.

If you feel dizzy when turning and tilting, this may be due to cardiovascular pathology.

With advanced syphilis, damage to the temporal bone can develop, which usually leads to severe, persistent dizziness.

Even minor head injuries can cause illness.

One of the most common causes, doctors consider a disease of the nervous system, including Parkinson's disease is no exception. As a result of a stroke, dizziness can also be noticed, even when lying down.

Various diseases of the spine can cause dizziness.

Violation of blood pressure. We suggest reading our article on a similar topic about the causes of low blood pressure and dizziness in women.

Brain tumors are one of the most common causes. Bleeding from the auricles, dizziness, loss of consciousness are the main signs that you should immediately contact a specialist.

Constant fatigue. Untimely eating or fasting. Frequent lack of rest and sleep.

If you feel dizzy when turning to the left, this may be a sign of stenosis of the vertebral artery. This is a very serious disease that can lead to serious consequences up to a stroke.

With this disease, the vessels are compressed, as a result of which the brain does not receive the norm of oxygen and dizziness occurs, up to loss of consciousness. If you feel dizzy when turning to your left side, this may be a sign of high or low blood pressure. If these symptoms appear, it is urgent to consult a doctor for help.

Principles of treatment

In the treatment of dizziness, an integrated approach is very important:

Medical treatment;
Depending on the diagnosis, specially selected physiotherapy;
Moderate exercise therapy;
Head and neck collar massage;
In extreme cases, when medical treatment does not work, surgical intervention is performed.

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When and to what doctor to address?

First you need to contact a therapist, who will first advise you to contact a neurologist and an ophthalmologist. If the problem of dizziness is associated with blood vessels, high blood pressure should be urgently addressed to a cardiologist and vascular surgeon.
It happens that after severe dizziness, the condition may be accompanied by mental and mental disorders in such cases, you must immediately contact a psychiatrist.
A timely appeal to a specialist is a guarantee that the correct diagnosis will be made in time and all necessary measures for its treatment will be taken. If you start the disease, there is a possibility that the consequences will be irreversible.

What is the danger of the symptom?

In order to get rid of dizziness, you first need to identify the cause that causes it. Timely consult a doctor to determine the correct diagnosis and obtain the necessary therapy.

It is always worth monitoring your health and at the slightest disturbance of well-being, contact qualified specialists who can analyze your state of health.

False symptoms of dizziness

Very often, patients confuse the symptoms of dizziness with other similar symptoms.

After a sharp rise of the body from a prone position, a sharp darkening of the eyes occurs.
A veil covers the eyes, a temporary deterioration in vision.
Unsteady state, slight staggering, sweating, unexplained weakness.
Feeling close to fainting, loss of orientation in space.
Loss of balance, constant sleepiness.

After a while, the symptoms of false dizziness will pass.

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Severe dizziness at night causes

Symptoms in the horizontal position

The main causes leading to dizziness

Experts tend to look at several causes of dizziness while resting or lying down. Usually this symptom is associated with such diseases or conditions:

Arterial hypertension or hypotension. Both of these diseases lead to instability in blood pressure indicators, while a person may periodically experience unpleasant symptoms in the form of dizziness, vomiting.
Atherosclerotic plaques block the lumen of vital vessels, and this leads to impaired blood circulation in the brain. Atherosclerosis of the vessels can be accompanied by unpleasant phenomena. A person notices that he has dizziness even at rest, especially in the evening before going to bed, or in the morning, even before getting out of bed.
Diseases of the inner ear are very dangerous. With otitis media (labyrinthitis), the mucous membrane of the inner ear becomes inflamed. Its cavity is filled with purulent contents, discomfort, tinnitus, and hearing loss occur. Under the pressure of pus, the eardrum is displaced, a person experiences dizziness, pain in the head and ears. After the inflammation has been cured, symptoms of dizziness, ear congestion, or hearing loss may persist for some time. The most common cause of peripheral vertigo is a pathology of the inner ear.
Violation of the vestibular function of the body is associated with Meniere's syndrome. With this disease, the tone of the vessels responsible for the nutrition of the vestibular apparatus and auditory endings decreases. This disease leads to frequent loss of balance when walking, vomiting may occur. Even during sleep, dizziness can disturb.
If patients complain of dizziness that occurs, a blood test for sugar should be taken. Its elevated rates indicate developing diabetes mellitus. And this disease leads to a change in the state of the vessels and symptoms such as dizziness.
The version of neoplasms of the brain should be considered. For this, diagnostic studies (for example, MRI) are prescribed. With tumors, a person may experience migraine-like headaches, complain of dizziness, and hearing or vision impairment.
When questioning and examining the patient, it should be clarified whether there were any injuries to the skull. If they occur, then the symptoms of nausea and dizziness may be the result of a concussion or cerebral edema.
The patient is asked about the existing diseases and medications that he takes. Some medications have side effects such as vomiting, nausea, and dizziness.
Improper nutrition, prolonged food restrictions (fasting) can lead to the fact that the body does not receive the vitamins and minerals it needs. Hence the feeling of fatigue, poor sleep, nausea, nighttime dizziness.
Heart diseases (for example, tachycardia, bradycardia, arrhythmia) lead to a deterioration in blood circulation: weakness, anxiety, dizziness appear.
Benign positional vertigo does not only appear when standing up abruptly. Nausea can occur during exercise, such as squatting, running. To take the BPPV test, sit on a couch with your lower limbs extended and turn your head to the left, then quickly lie down in a horizontal position and turn your head to the right. After that, you will need to slowly rise to a vertical position.

Diseases of a neurological nature

How to help the body

Types of dizziness are different and depend on the causes of its origin.

May occur spontaneously or be associated with some factors. One of them is head rotation.

Causes of dizziness when turning the head can be as follows:

Benign paroxysmal dizziness, when no apparent cause is identified (in this case, there are usually disturbances at the micro level in the vestibular apparatus);
Osteochondrosis of the cervical spine (damage to the intervertebral discs), in which there is a strong narrowing of the canal where the vertebral artery passes, feeding the brain;
Arterial hypotension, which also leads to a reduced supply of oxygen to the brain;
Arterial hypertension, accompanied by a change in the vascular wall. With this disease, dizziness can occur during sleep, especially if the increase in pressure occurs mainly at night;
Brain injury (the time elapsed since its receipt does not play a significant role in the occurrence of this symptom);
Sleep disturbance, including the lack of a full night's sleep;
Orthostatic hypotension, which occurs when getting out of bed abruptly
Diabetes mellitus - at the stage when angiopathy (vascular damage) develops with a violation of the blood supply to the brain;
Brain tumors (benign and malignant).

Manifestations in the supine position

These are fairly rare symptoms and are usually caused by:

benign positional vertigo;
hypoglycemia (deficiency of glucose in the blood);
heart failure;
partial blockade of blood flow in the lumen of the arteries;
hypo- and hyperthyroidism;
cardiac arrhythmias (bradycardia, tachycardia, angina pectoris);
diabetes.

Its symptoms often appear throughout the day, but when getting up, the vestibular apparatus is actively involved, so nausea and weakness often appear after sleep.

circling of the head, which occurs paroxysmal when turning the head;
persistent headache in the back of the head;
pain in the cervical part of the spinal column;
crunch in the neck when moving;
shooting pain in the arms and shoulder girdle;
wasting of hands;
painful tension of the muscles of the neck;
the possibility of developing drop attacks (a sudden fall without loss of consciousness), which is associated with a sharp hypoxia of the brain and a drop in muscle tone.

Symptoms of benign positional vertigo

The following symptoms may help you suspect BPPV:

dizziness when moving the head, especially often it appears in the prone position when turning to the right or left side, it can also feel dizzy when tilting;
as a rule, the attack begins in the morning when the person wakes up and begins to turn over in bed;
the attack does not last long (up to 1 minute) and easily passes;
dizziness may also be accompanied by nausea and vomiting.

Causes of dizziness

Vestibular rehabilitation

Video broadcast about the causes of dizziness:

Types of dizziness

There are several classifications of dizziness, but the main types are true and false.

False dizziness

Symptoms that are not true dizziness:

a feeling of general weakness with nausea, cold sweat, fear, darkening of the eyes (such signs can often be observed with hypoglycemia - a decrease in the concentration of glucose in the blood);
balance disorders of non-vestibular origin, when it “staggers”, “sways”, it is impossible to stay on one’s feet (the reason is cerebellar dysfunction, polysensory nervous insufficiency, extrapyramidal insufficiency, and not damage to the vestibular apparatus);
feeling of falling or near fainting;
sensations that the patient cannot specifically identify, such as “the ground is slipping from under the feet”, “fog inside the head”, “as if drunk” (this is often found with emotional disorders, for example, with psychogenic dizziness, which is not present).

Feeling of impending fainting and other vague pathological sensations are referred to as false dizziness and are very common among women.

True dizziness

nausea and vomiting;
hyperhidrosis;
loss of balance;
rhythmic twitching of the eyeballs;
pallor of the skin;
heartbeat.

Causes of true severe dizziness

Injuries to the head and cervical spine. This group includes both fresh traumatic injuries and their consequences. For example, severe dizziness after hitting the head may indicate a concussion or other types of head injury, as well as disturb a person for many years after suffering a skull fracture or intracerebral hematoma;
Stroke, hemorrhagic or ischemic, especially with localization in the brain stem and cerebellum, as well as its long-term consequences;
Insufficiency of vertebrobasilar circulation, when the blood flow in the vertebral artery system is disturbed. Most often this happens with cervical osteochondrosis and its consequences (herniated disc);
Brain tumors that directly destroy the area responsible for the vestibular apparatus. Or indirectly - squeezing by a rapidly growing neoplasm;
Basilar migraine;
Multiple sclerosis;
Epilepsy;
Alcoholic encephalopathy;
Overdose of drugs that affect the central nervous system (antidepressants, tranquilizers, anticonvulsants, sedatives, etc.);
temporal lobe epilepsy;
Cogan's syndrome - vasculitis of the vessels of the head.

Brain tumor is the cause of true central vertigo

Labyrinthitis is an inflammatory disease of the inner ear, in which the peripheral part of the vestibular analyzer suffers. Along with dizziness, various hearing impairments are observed;
Vestibular neurinoma (benign tumor of the 8th pair of cranial nerves) and neuronitis - inflammatory damage to the vestibular nerve;
Complications of chronic suppurative otitis media;
Meniere's disease;
Benign positional paroxysmal vertigo;
Middle ear cholesteatoma - a tumor-like formation that consists of dead epithelial cells, cholesterol and keratin crystals;
Perilymphatic fistula;
Reception of ototoxic medicines (aminoglycoside antibiotics, quinine, salicylates, some diuretics - furosemide and ethacrynic acid);
Ear injury.

Causes of false severe dizziness

Signs of false dizziness are described above, and the following diseases and pathological conditions can cause it:

Cardiac and vascular pathology (hypertension, arterial hypotension, cardiac arrhythmias, atherosclerosis, vasculitis);
Diabetes mellitus and its consequences, attacks of hypoglycemia;
Diseases of the blood system, especially anemia;
orthostatic hypotension;
Vegetovascular dystonia;
Neurotic and anxiety-phobic disorders (psychogenic dizziness);
chronic alcoholism;
Spinal cord injury;
vitamin deficiency;
Diseases of the organ of vision;
Infectious and somatic diseases, which are accompanied by asthenic syndrome and general weakness;
Shy-Drager syndrome and other degenerative diseases of the peripheral nervous system.

The most common diseases that are accompanied by dizziness

Among the pathologies that are accompanied by severe dizziness, there are quite rare ones that we mentioned above, but in 95% of cases, vertigo, true or false, is due to the following diseases.

Benign positional paroxysmal vertigo

Special gymnastic complexes - Dix-Hallpike and Brandt-Daroff will help get rid of the pathology. Their efficiency reaches more than 90%.

Peripheral true vertigo affects the inner ear

Psychogenic dizziness

Meniere's disease

Video broadcast about Meniere's disease:

Meniere's disease. What to do when your head is spinning

Arterial hypertension and hypotension

Severe dizziness develops in 3 cases:

a sharp increase in pressure - a hypertensive crisis;
a decrease in pressure below normal (hypotonic disease or an overdose of drugs for pressure, shock);
with the development of dyscirculatory encephalopathy as a consequence of prolonged hypertension and cerebral atherosclerosis.

Adequate control of blood pressure with the help of modern and safe medicines minimizes the risk of dizziness.

brain tumors

Osteochondrosis of the cervical spine

With cervical osteochondrosis, the blood supply to the back of the brain and cerebellum worsens, which leads to chronic dizziness.

ENT pathology

Any infectious and other etiology damage to the ENT organs, in particular the ear, can be complicated by vestibular neuronitis or labyrinthitis, which are often the cause of true peripheral vertigo.

How to help with dizziness?

First you need to know what are the warning signs of dizziness. Any of these should cause you to seek immediate medical attention:

fever;
Strong headache;
weakness in an arm or leg;
persistent vomiting that does not bring relief;
if dizziness was preceded by a head injury;
if the attack does not go away on its own or with the help of medications for 60 minutes;
if, against the background of circling the head, a person lost consciousness;
if various focal neurological symptoms are simultaneously observed.

If you have an attack of dizziness, then you can try to stop it with drugs such as Betahistine, Scopalamin, Diphenhydramine, Cinnarizine, Motoclopramide.

At the same time, you can try several non-drug methods:

Lie in bed or on the floor so as not to fall and injure yourself.
Provide access to fresh air.
If the patient is tense, some sedative, such as valerian, can be given.
It is better to lie on your back and do not move your head, otherwise the symptoms only intensify.
You can put a cold compress or towel on your forehead.
It is mandatory to measure a person's pressure, pulse, respiratory rate and temperature.

First aid video for dizziness:

3. Help with dizziness - a world-famous scientist recommends

Symptoms of dizziness in a horizontal position

Pathological dizziness is not the norm. It can manifest itself during sleep and be accompanied by the following symptoms:

It seems to a person that the ceiling or walls are falling.
There is a feeling that the body rotates by itself.
Objects in the room begin to swim before your eyes.
There is increased anxiety.
Along with dizziness, nausea and headache are observed, which does not go away even in sleep.

Exacerbation of anxious sensations is manifested when turning on the other side or when turning over on the back. Often a person is tormented by vomiting and severe weakness that lasts all day.

Why does dizziness occur

Doctors identify quite a few reasons that can provoke dizziness in a supine position. Most often, this phenomenon accompanies the following diseases or conditions:

An increase or decrease in blood pressure. Both of these ailments can cause the considered unpleasant symptom.
The appearance of atherosclerotic plaques that clog blood vessels and lead to malfunctions in the process of blood circulation in the brain. A person gets dizzy during sleep or in the morning.
Disease of the inner ear. Labyrinthitis (otitis media) leads to an inflammatory process on the mucous membrane of the human inner ear. Pus is observed in the problem cavity, which presses on the eardrum and shifts it to the side. People feel dizzy, headache and discomfort in the ears.
Problems with the vestibular apparatus, which may be a consequence of Meniere's syndrome. The disease provokes a decrease in the tone of the vessels that control the vestibular apparatus and auditory endings. Symptoms of the disease are as follows: loss of balance, urge to vomit and frequent dizziness in women.
Diabetes. The disease negatively affects the vessels, which leads to dizziness.
Neoplasms in the brain. In the presence of a tumor, a person often has a headache, hearing and vision deteriorate.
Skull trauma. Dizziness may occur after swelling or concussion.
Taking certain medications, side effects
Cardiac diseases that provoke a deterioration in blood circulation: tachycardia, arrhythmia or bradycardia.
Neuralgia. Sometimes there is a malfunction in the work of the central and peripheral nervous system, resulting in strokes, Parkinson's disease, Alzheimer's disease or senile sclerosis.

Do not forget about malnutrition. If a person adheres to fasting, then his body experiences a lack of vitamins and trace elements that are needed for the normal functioning of all systems.

How the problem is diagnosed

To help a person and understand why the head is spinning, doctors must fully examine the patient who applied. Due to the fact that it is quite difficult to identify diseases of the inner ear, specialists prescribe a comprehensive diagnosis of the body.

The doctor needs to find out how and under what conditions an attack manifests itself, and what it can lead to. In this case, the following points must be taken into account:

Initial symptoms of an attack: dizziness may appear after nausea or fainting.
frequency and duration of attacks.
The presence or absence of a provoking factor: anxiety at night, changes in body position, head turns.
In what position of the body does the attack manifest itself: on the side or on the back.
Other symptoms: pain in the head or ears, hearing loss, unsteady gait, retching.
the effect of which is nausea or dizziness.

How is dizziness treated?

All pharmaceutical preparations should be taken strictly according to the prescription of the attending physician and in the dosage indicated by him.

Preventive measures

In order to eliminate the manifestations of vertigo in the supine position, you need to follow all the doctor's recommendations and follow a few preventive measures. They are:

Do not delay the visit to a qualified specialist at the first symptoms of dizziness.
Diversify food. The diet should include all the vitamins the body needs.
Go outside more often, especially before bed.
Regularly engage in physical education, observing the permissible load.
Avoid alcohol and cigarettes completely.