St. Luke's Hospital
Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
Find a Physician Payment Options Locations & Directions
Follow us on: facebook twitter Mobile Email Page Email Page Print Page Print Page Increase Font Size Decrease Font Size Font Size
America's 50 Best Hospitals
Meet the Doctor
Spirit of Women
Community Health Needs Assessment
Home > Health Information

Multimedia Encyclopedia

    Print-Friendly
    Bookmarks

    Dizziness

    Light-headedness - dizzy; Loss of balance; Vertigo

    Dizziness is a term that is often used to describe two different symptoms: lightheadedness and vertigo.

    Light-headedness is a feeling like you might faint.

    Vertigo is a feeling that you are spinning or moving, or that the the world is spinning around you. See also: Vertigo-associated disorders

    Considerations

    Most causes of dizziness are not serious and either quickly get better on their own or are easily treated.

    Causes

    Light-headedness occurs when your brain does not get enough blood. This may occur if:

    • You have a sudden drop in blood pressure
    • Your body does not have enough water (is dehydrated) because of vomiting, diarrhea, fever, and other conditions
    • You get up too quickly after sitting or lying down (this is more common in older people)

    Light-headedness may also occur if you have the flu, low blood sugar, a cold, or allergies.

    More serious conditions that can lead to light-headedness include:

    • Heart problems, such as a heart attack or abnormal heart beat
    • Stroke
    • Bleeding inside the body
    • Shock (extreme drop in blood pressure)

    If any of these serious disorders is present, you will usually also have symptoms like chest pain, a feeling of a racing heart, loss of speech, change in vision, or other symptoms.

    Vertigo may be due to:

    • Benign positional vertigo, a spinning feeling that occurs when you move your head
    • Labyrinthitis, a viral infection of the inner ear that usually follows a cold or flu
    • Meniere's disease, a common inner ear problem

    Other causes of lightheadedness or vertigo may include:

    • Use of certain medications
    • Stroke
    • Multiple sclerosis
    • Seizures
    • Brain tumor
    • Bleeding in the brain

    Home Care

    If you tend to get light-headed when you stand up:

    • Avoid sudden changes in posture.
    • Get up from a lying position slowly, and stay seated for a few moments before standing.
    • When standing, make sure you have something to hold on to.

    If you have vertigo, the following tips can help prevent your symptoms from becoming worse:

    • Keep still and rest when symptoms occur.
    • Avoid sudden movements or position changes.
    • Slowly increase activity.
    • You may need a cane or other help walking when you have a loss of balance during a vertigo attack.
    • Avoid bright lights, TV, and reading during a vertigo attacks, because they may make symptoms worse.

    Avoid activities such as driving, operating heavy machinery, and climbing until 1 week after your symptoms disappear. A sudden dizzy spell during these activities can be dangerous.

    When to Contact a Medical Professional

    Call your local emergency number (such as 911) or go to an emergency room if you are dizzy and have:

    • A head injury
    • Fever over 101°F, headache, or very stiff neck
    • Seizures
    • Trouble keeping fluids down
    • Chest pain
    • Heart skipping beats
    • Shortness of breath
    • Weakness
    • Inability to move an arm or leg
    • Change in vision or speech
    • Fainting and losing alertness for more than a few minutes

    Call your doctor for an appointment if you have:

    • Dizziness for the first time
    • New or worsening symptoms
    • Dizziness after taking medication
    • Hearing loss

    What to Expect at Your Office Visit

    Your doctor will perform a physical exam and ask questions about your medical history and symptoms, including:

    • When did your dizziness begin?
    • Does your dizziness occur when you move?
    • What other symptoms occur when you feel dizzy?
    • Are you always dizzy or does the dizziness come and go?
    • How long does the dizziness last?
    • Were you sick with a cold, flu, or other illness before the dizziness began?
    • Do you have a significant amount of stress or anxiety?

    Tests that may be done include:

    • Blood pressure reading
    • ECG
    • Hearing tests
    • Balance testing (ENG)
    • MRI

    Your health care provider may prescribe medications to help you feel better, including:

    • Antihistamines
    • Sedatives
    • Anti-nausea medication

    Surgery may be needed if you have Meniere's disease.

    Prevention

    If you have a cold, the flu, or other viral illness, drink plenty of fluids to prevent getting dehydrated.

    References

    Post RE, Dickerson LM. Dizziness: a diagnostic approach. Am Fam Physician. 2010 Aug 15;82(4):361-8, 369.

    Olshaker JS. Dizziness and vertigo. In: Marx JA, Hockberger RS, Walls RM, et al, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 12.

    BACK TO TOP

    • Carotid stenosis, X-ray ...

      illustration

    • Carotid stenosis, X-ray ...

      illustration

    • Vertigo

      illustration

    • Balance receptors

      illustration

      • Carotid stenosis, X-ray ...

        illustration

      • Carotid stenosis, X-ray ...

        illustration

      • Vertigo

        illustration

      • Balance receptors

        illustration

      A Closer Look

        Self Care

          Tests for Dizziness

            Review Date: 5/1/2011

            Reviewed By: Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

            The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
            adam.com

            A.D.A.M. content is best viewed in IE9 or above, Fire Fox and chrome browser.


            Back  |  Top
            About Us
            Contact Us
            History
            Mission
            Locations & Directions
            Quality Reports
            Annual Reports
            Honors & Awards
            Community Health Needs
            Assessment

            Newsroom
            Services
            Brain & Spine
            Cancer
            Heart
            Maternity
            Orthopedics
            Pulmonary
            Sleep Medicine
            Urgent Care
            Women's Services
            All Services
            Patients & Visitors
            Locations & Directions
            Find a Physician
            Tour St. Luke's
            Patient & Visitor Information
            Contact Us
            Payment Options
            Financial Assistance
            Send a Card
            Mammogram Appointments
            Health Tools
            My Personal Health
            mystlukes
            Spirit of Women
            Health Information & Tools
            Clinical Trials
            Health Risk Assessments
            Employer Programs -
            Passport to Wellness

            Classes & Events
            Classes & Events
            Spirit of Women
            Donate & Volunteer
            Giving Opportunities
            Volunteer
            Physicians & Employees
            For Physicians
            Remote Access
            Medical Residency Information
            Pharmacy Residency Information
            Physician CPOE Training
            Careers
            Careers
            St. Luke's Hospital - 232 South Woods Mill Road - Chesterfield, MO 63017 Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
            Copyright © St. Luke's Hospital Website Terms and Conditions  |  Privacy Policy  |  Patient Notice of Privacy Policies PDF Sitemap St. Luke's Mobile