Call 911 if the person loses consciousness or has:
- Has non-stop vomiting
- Cannot stand or walk due to dizziness
- Has symptoms inconsistent with benign positional vertigo including:
- A head injury
- Loss of consciousness
- Headache or stiff neck
- Signs of stroke including change in vision, speech or moibility
1. Relieve or Prevent Dizziness
- Have the person lie down and rest.
- The person should avoid sudden changes in body position.
- Help the person avoid abrupt head movements, especially looking up.
2. Keep the Person Safe
- Help the person avoid falls.
- If they are nauseous or throwing up, have them lie down on their side.
- The person should not drive or operate dangerous machinery.
- If they cannot walk safely, take them to the emergency room or call 911.
3. Call a Health Care Provider
- Any new signs and symptoms of vertigo should be checked by a health care provider.
4. Follow Up
- The health care provider will do a focused physical exam that will include the parts of the neurological exam that focus on balance and the inner ear. This exam may include hearing and balance tests, and possibly a CT or MRI scan.
- The most common and effective treatment is called particle repositioning maneuvers (Epley maneuver). A form of physical therapy for the inner ear, it can be done in outpatient setting and continued at home.