Dizziness is a word that is often used to
describe two different feelings. It is important to know exactly what you mean
when you say “I feel dizzy,” because it can help you and your doctor narrow down
the list of possible problems.
Lightheadedness is a feeling that you are about
to faint or “pass out.” Although you may feel dizzy, you do not feel as though
you or your surroundings are moving. Lightheadedness often goes away or
improves when you lie down. If lightheadedness gets worse, it can lead to a
feeling of almost fainting or a fainting spell (syncope). You
may sometimes feel nauseated or vomit when you are
Vertigo is a feeling that you or your surroundings are
moving when there is no actual movement. You may feel as though you are
off balance, spinning, whirling, falling, or tilting. When you have severe vertigo, you may feel very nauseated or vomit.
You may have trouble walking or standing, and you may lose your balance and
Although dizziness can occur in people of any age, it is more
common among older adults. A fear of dizziness can cause older adults to limit
their physical and social activities. Dizziness can also lead to falls and
It is common to feel lightheaded from
time to time. Brief episodes of lightheadedness are not usually the result of a serious problem. Lightheadedness often is caused by a momentary drop in blood pressure and blood flow to your
head that occurs when you get up too quickly from a seated or lying position
(orthostatic hypotension). Ongoing lightheadedness may mean you have a more serious problem that needs to be evaluated.
has many causes, including:
Illnesses such as the
flu or colds. Home treatment of your flu and cold symptoms usually will relieve
Vomiting, diarrhea, fevers, and other illnesses
that cause dehydration.
A more serious cause of lightheadedness is bleeding. Most of
the time, the location of the bleeding and the need to seek medical care are
obvious. But sometimes bleeding is not obvious (occult bleeding). You may have
small amounts of bleeding in your digestive tract over days or weeks without noticing
the bleeding. When this happens, lightheadedness and fatigue may be the first
noticeable symptoms that you are losing blood. Heavy menstrual bleeding also
can cause this type of lightheadedness.
Sometimes the cause of
lightheadedness is an abnormal heart rhythm (arrhythmia),
which can cause fainting spells (syncope). Unexplained fainting spells need to
be evaluated by a doctor. You can check your heart rate by taking your pulse.
Many prescription and nonprescription medicines can cause lightheadedness or vertigo. The
degree of lightheadedness or vertigo that a medicine causes will vary.
Vertigo occurs when there is conflict between
the signals sent to the brain by various balance- and position-sensing systems
of the body. Your brain uses input from four sensory systems to maintain your
sense of balance and orientation to your surroundings.
Vision gives you
information about your position and motion in relationship to the rest of the
world. This is an important part of the balance mechanism and often overrides
information from the other balance-sensing systems.
Sensory nerves in your joints allow your brain to keep track
of the position of your legs, arms, and torso. Your body is then automatically
able to make tiny changes in posture that help you maintain your balance
Skin pressure sensation
gives you information about your body’s position and motion in relationship to
A portion of the inner ear, called the labyrinth, which includes the semicircular canals,
contains specialized cells that detect motion and changes in position. Injury
to or diseases of the inner ear can send false signals to the brain indicating
that the balance mechanism of the inner ear (labyrinth) detects motion. If
these false signals conflict with signals from the other balance and
positioning centers of the body, vertigo may occur.
Migraine headaches, which are painful,
debilitating headaches that often occur with vertigo, nausea, vomiting, and
sensitivity to light, noise, and smell.
Decreased blood flow
through the arteries that supply blood to the base of the brain
Less common causes of vertigo include:
A noncancerous growth in the space behind the
Brain tumors and cancer that has traveled
from another part of the body (metastatic).
Immediate medical attention is needed if vertigo occurs
a change in speech or vision or other loss of function. Vertigo that occurs with loss of
function in one area of the body can mean a problem in the brain, such as a stroke or transient ischemic attack (TIA).
Alcohol and many prescription and nonprescription
medicines can cause lightheadedness or vertigo. These problems may develop
Taking too much of a medicine (overmedicating).
Alcohol and medicine interactions. This is a problem, especially
for older adults, who may take many medicines at the same
If you are answering for someone else: Is the person unconscious now?
(If you are answering this question for yourself, say no.)
Are you back to your normal level of alertness?
After passing out, it’s normal to feel a little confused, weak, or lightheaded when you first wake up or come to. But unless something else is wrong, these symptoms should pass pretty quickly and you should soon feel about as awake and alert as you normally do.
Has returned to normal after loss of consciousness
Has returned to normal after loss of consciousness
Did the loss of consciousness occur during the past 24 hours?
Vertigo is the feeling that you or
your surroundings are moving when there is no actual movement. It may feel like
spinning, whirling, or tilting. Vertigo may make you sick to your stomach, and
you may have trouble standing, walking, or keeping your balance.
Symptoms of a heart attack may
Chest pain or pressure, or a strange feeling in the chest.
Nausea or vomiting.
Pain, pressure, or a
strange feeling in the back, neck, jaw, or upper belly, or in one or both
shoulders or arms.
Lightheadedness or sudden
A fast or irregular heartbeat.
The more of these symptoms you have, the more likely it is that
you’re having a heart attack. Chest pain or pressure is the most common
symptom, but some people, especially women, may not notice it as much as other
symptoms. You may not have chest pain at all but instead have shortness of breath, nausea, or a strange feeling in your chest or other areas.
Symptoms of serious illness may
A severe headache.
Mental changes, such as feeling confused or much less
Extreme fatigue (to the point where it’s hard for you to
Heartbeat changes can include:
A faster or slower heartbeat than is normal for
you. This would include a pulse rate of more than 120 beats per minute (when
you are not exercising) or less than 50 beats per minute (unless that is normal
A heart rate that does not have a steady
Neurological symptomsâ€”which may be
signs of a problem with the nervous systemâ€”can affect many body functions.
Symptoms may include:
Numbness, weakness, or lack of movement in your
face, arm, or leg, especially on only one side of your body.
Trouble seeing in one or both eyes.
Confusion or trouble understanding simple statements.
Problems with balance or coordination (for example, falling down
or dropping things).
Many prescription and nonprescription medicines can make you
feel lightheaded or affect your balance. A few examples are:
Medicines used to treat depression or
Medicines used to treat cancer
Shock is a life-threatening condition that may quickly occur
after a sudden illness or injury.
Symptoms of shock (most of which will be present) include:
Passing out (losing consciousness).
Feeling very dizzy or
lightheaded, like you may pass out.
Feeling very weak or having
Not feeling alert or able to think clearly. You
may be confused, restless, fearful, or unable to respond to questions.
Seek Care Now
Based on your answers, you may need care right away. The problem is likely to get worse without medical care.
Call your doctor now to discuss the symptoms and
arrange for care.
If you cannot reach your doctor or you don’t have
one, seek care in the next hour.
You do not need to call an
You cannot travel safely either by driving
yourself or by having someone else drive you.
You are in an area
where heavy traffic or other problems may slow you down.
Seek Care Today
Based on your answers, you may need care soon. The
problem probably will not get better without medical care.
Call your doctor today to discuss the symptoms
and arrange for care.
If you cannot reach your doctor or you don’t
have one, seek care today.
If it is evening, watch the symptoms and
seek care in the morning.
Lightheadedness usually is not a cause for concern unless it
is severe, does not go away, or occurs with other symptoms such as an irregular
heartbeat or fainting. Lightheadedness can lead to falls and other injuries.
Protect yourself from injury if you feel lightheaded:
Lie down for a minute or two. This will allow
more blood to flow to your brain. After lying down, sit up slowly and remain
sitting for 1 to 2 minutes before slowly standing up.
Rest. It is
not unusual to develop lightheadedness during some viral illnesses, such as a cold or the flu. Resting
will help prevent attacks of lightheadedness.
Do not drive a motor
vehicle, operate equipment, or climb on a ladder while you are
Do not use substances that can affect your circulation,
including caffeine, tobacco, alcohol, and illegal drugs.
get dehydrated, which can cause or increase
lightheadedness, when you have an illness that causes diarrhea, vomiting, or a
fever. Drink more fluids, especially water. Other fluids are also helpful, such
as fruit juice mixed to half-strength with water, rehydration drinks, weak tea with sugar, clear broth,
and gelatin dessert. If you have another medical condition, such as kidney
disease or heart disease, that limits the amount of fluids you are allowed to
have, do not drink more than this amount without first talking to your
If you have vertigo:
Do not lie flat on your back. Prop yourself up
slightly to relieve the spinning sensation.