Acute dizziness

With dizziness you have the feeling that you are out of balance in relation to your environment. Balance is regulated by the vestibular organ inside your ear and by the brain. You may feel dizzy with or without the feeling that the environment around you is spinning. Dizziness is also often accompanied by sweating, nausea and vomiting. Many people become very anxious about this because they think that something is wrong in their head. Dizziness rarely indicates a serious illness.

Dizziness with spinning sensation

With this form of dizziness, patients feel as if they are on a merry-go-round. This form of dizziness is less common than dizziness without a sensation of spinning. Vertigo can occur very suddenly with an ear infection, runny ear, cold or viral infections. The dizziness comes on quite suddenly and is intense. This often causes a lot of fear in people.

Meniere’s disease

With this disease, severe vertigo occurs very suddenly, which is accompanied by one-sided hearing loss and tinnitus. Patients often vomit a lot, are sweaty, feel ill and are anxious. Due to vertigo, people can no longer walk straight and have a great tendency to fall. An attack can last from a few hours to a few days and usually occurs at the age of fifty or older. People do not have any complaints between attacks of dizziness. However, hearing on one side slowly deteriorates. This eventually leads to complete deafness.
The cause of Ménière’s is an abnormality of the balance organ in the inner ear. Treatment consists of medications, bed rest and keeping the head still. Ménière’s disease is rare

Seizure change of position dizziness (BPPD)

A sudden change in the head can cause a short-term attack of severe dizziness. (BPPD, benign paroximal positional vertigo). An attack can last from a few seconds to minutes and is often accompanied by ringing in the ears, nausea and vomiting and sweating. It usually occurs between the ages of forty and fifty. During such an attack, the patient must remain in bed and move his or her head as little as possible. This form of dizziness resolves itself within a few weeks to months.

Vertigo in the elderly

Vertigo in the elderly often develops slowly and lasts a long time. This is usually caused by medications. Arteriosclerosis) and arteriosclerosis often also play a role, because the part of the brain that is also involved in balance temporarily receives less oxygen. Vertigo is rarely caused by a TIA or CVA. If this is the case, patients usually also suffer from double vision and speech disorders. In this group of people, vertigo with a tendency to fall is an important risk factor for bone fractures.

Dizziness without sensation of spinning

This form of dizziness is very common. People feel insecure or light-headed. It develops gradually and the course is also less intense. This form of dizziness also often leads to fear and panic.

Dizziness due to psychological causes

Tension, fear or panic can cause someone to lose balance. People can hyperventilate and this leads to an insecure and light-headed feeling. This light-headed feeling in turn triggers even more fear and panic. This causes even more hyperventilation, making one even more dizzy. It can occur at any age. Treatment often consists of reassurance and possibly sedatives.

Dizziness in the elderly

In the elderly, dizziness can also occur without the sensation of turning. The cause is often medications and/or arteriosclerosis.
Sometimes the cause is alcohol, which often causes dizziness in the morning hours, accompanied by nausea and headache.

Faintness in the elderly

In older patients who also use vasodilator medications for high blood pressure, the blood vessels may become wide open. If they get up after lying or sitting for a while, the blood can sink too quickly to the legs or abdomen and dizziness can occur. The blood supply to the brain is temporarily inadequate. Shortly after getting up from a sitting or lying position, the patient may become light-headed, accompanied by dizziness and sometimes even fainting. People who have these types of problems should not get up too quickly, but should take time to do so by first sitting upright with their legs out of bed, then getting up. It is useful to hold on to something to prevent falling. These types of complaints can also occur in younger people and are not serious.

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