Vertigo is not ordinary dizziness. It is the feeling that the room is spinning, or that you are spinning, even when you are lying still. Many people first notice it while turning over in bed or looking up at a shelf. It can be frightening, and it often comes with nausea and vomiting.
The good news is that a large number of vertigo cases come from the inner ear, and many of them are treatable. Dr. Sahil Kapoor, ENT surgeon at Ace ENT Care, 238, Sector 5, Gurugram, sees patients for vertigo treatment in Gurgaon. The first job is always to find out where the dizziness is coming from.
Dizziness or vertigo?
Patients use the word "dizzy" for many different feelings, and the difference matters:
- Vertigo: a spinning or moving sensation. Usually points to the inner ear or, less often, the brain.
- Light-headedness: feeling faint, as if you might pass out. Often related to blood pressure, blood sugar, dehydration or the heart.
- Imbalance: feeling unsteady while walking, without spinning. Common in older adults and in people with nerve or eye problems.
Telling your doctor exactly what you feel, how long each episode lasts and what triggers it is the most useful part of the diagnosis.
Common causes of vertigo
- BPPV (benign paroxysmal positional vertigo): the most common cause. Tiny calcium crystals in the inner ear shift into the wrong canal. Vertigo lasts less than a minute and is triggered by head movements like lying down, turning in bed or bending.
- Vestibular neuritis / labyrinthitis: inflammation of the balance nerve or inner ear, often after a viral infection. Severe vertigo for a day or more, slowly settling over weeks.
- Ménière's disease: episodes of vertigo lasting hours, with fullness in one ear, ringing and fluctuating hearing loss.
- Vestibular migraine: vertigo linked to migraine, with or without headache.
- Ear infections and, rarely, tumours of the hearing nerve.
When vertigo is an emergency
Go to the nearest emergency straight away if dizziness comes with any of these: weakness or numbness of the face, arm or leg, slurred speech, double vision, a sudden severe headache, difficulty walking, or chest pain. These can be signs of a stroke or heart problem, not an ear problem.
How vertigo is diagnosed
The visit starts with a detailed history and an ear examination. Then come simple bedside tests of eye movements, balance and positional tests. The Dix-Hallpike test, for example, confirms BPPV within a minute or two. Depending on the findings, you may need:
- A hearing test (audiometry)
- Videonystagmography (VNG) or other balance tests
- An MRI, if a central (brain) cause or a nerve tumour needs to be ruled out
- Blood tests, if another medical cause is suspected
Vertigo treatment options
BPPV treatment in Gurgaon is often done in the clinic itself, with repositioning manoeuvres such as the Epley manoeuvre. These guide the loose crystals back to where they belong. Many patients feel much better after one or two sessions, and long courses of tablets are usually not needed.
Other dizziness treatment depends on the cause:
- Medicines for short-term relief of severe vertigo and vomiting. Long-term use of vertigo tablets can actually slow recovery, so they are used only for a few days.
- Vestibular rehabilitation exercises that train the brain to adapt. Very useful after vestibular neuritis and for older adults with imbalance.
- Diet and lifestyle changes for Ménière's disease, such as reducing salt, caffeine and alcohol, along with medicines.
- Migraine management when vestibular migraine is the cause.
Living with vertigo: practical tips
- Get up slowly from bed. Sit for a few seconds before standing.
- Keep a night light on to reduce the risk of falls.
- Avoid driving or working at heights until the vertigo is under control.
- Note down each episode: time, trigger, duration and any ear symptoms. This helps diagnosis a lot.
Frequently Asked Questions
Is vertigo always caused by the ear?
No, but the inner ear is the most common cause. Blood pressure, low sugar, anaemia, migraine and, rarely, stroke can also cause dizziness. That is why a proper examination matters.
Can BPPV come back?
Yes. BPPV can return in some patients, especially in the first year. The same repositioning manoeuvre usually works again.
Should I keep taking vertigo tablets?
Tablets help during a severe attack but should usually be stopped after a few days, unless your doctor advises otherwise. Long-term use can delay the brain's natural recovery.
Does cervical spondylosis cause vertigo?
Neck problems are often blamed, but true spinning vertigo is more commonly due to the inner ear. It is worth getting the ear checked before assuming it is the neck.
What does vertigo evaluation cost, and is it covered by insurance?
Consultation and bedside tests are done in the clinic. The cost of further tests such as VNG or MRI depends on what is needed. OPD tests are covered only by some insurance policies, so please check yours.
Book a consultation
Call +91-8178774813 or use the appointment page. If possible, come with someone during an active vertigo phase, and bring previous reports or scans.
Clinic Location
238, Sector 5, Gurugram, Haryana 122001
Sunday: 11:00 AM – 2:00 PM
