Dizziness and Vertigo

Dizziness and vertigo are the most common patients that we see in the practice. Dizziness can be described as a lightheadedness or sensation of losing balance. It can affect up to twenty or thirty percent of adults. On the other hand, vertigo is different. It is a feeling in which the patient senses movement or spinning, of either self or the environment. Vertigo can be accompanied by nausea and vomiting.

Dizziness and vertigo can be caused by any of the below problems:

  • Bacteria or viral infections of the inner ear
  • Blood pressure
  • Vascular problems
  • Specific inner ear disease, such as Meniere’s disease
  • Central nervous system pathologies
  • Multiple sclerosis
  • Head injury

An ears, nose, and throat physician’s role in treating dizziness and vertigo is to differentiate the causes and find the etiology of the problem. Different from other pathologic examinations and diagnoses, we have to rely significantly on testing, the patient’s physical examination, and the patient’s history. Sometimes, depending on the patient’s condition, our initial diagnosis may change as more evidence is obtained for the specific diseases.

One disease that we see very commonly is Meniere’s disease. It’s typical of one sided hearing loss, ringing, and severe spells of vertigo. We are the only office in an eighty mile range that will provide treatment for Meniere’s disease. The disease control includes intratympanic injections, adjusting oral medications, shunt surgery, and neurectomies. We also have a small website on Facebook for Meniere’s patient support.