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Dizziness, Nonvertigo

(Nonvertigo Dizziness)

by Rebecca J. Stahl, MA

Home | Health Information Center | Disease, Condition, & Injury Fact Sheets | Article

Definition

Dizziness may cause you to feel light-headed or weak. You may also feel like you are going to faint. It can happen for a short time or continue and get in the way of your daily activities.

It is different from vertigo which is a feeling that the room is spinning.

Causes

Many conditions can cause dizziness such as:

A drop in blood pressure when standing— orthostatic hypotension
Neurological conditions
Conditions that affect how the heart pumps blood to the body
Anxiety disorders
Alcohol use disorder or illicit drug use
Infection or fever
Brain injury
Low blood sugar— hypoglycemia
Anemia

Some medicine can also cause dizziness including:

Angiotensin-converting enzyme (ACE) inhibitors
Calcium channel blockers
Nitrates
Antipsychotics
Tricyclic antidepressants
Monoamine oxidase inhibitors

Blood Flow to the Brain

In some cases, dizziness may be due to decreased blood flow to the brain.

Risk Factors

Taking medicine or having condition above increases your risk of dizziness.

Symptoms

Symptoms depend on the type of dizziness you have. Common symptoms include:

Lightheadedness
Imbalance
Nausea or vomiting
Headache
Vision or hearing problems
Heart palpitations

When Should I Call My Doctor?

Call your doctor if you have:

Dizziness that increases or gets worse
Signs of an infection such as fever or chills
Concern that your medication may be causing dizziness
Hearing loss
A headache that occurs with dizziness
Other symptoms in addition to dizziness

When Should I Call for Medical Help Immediately?

Call for medical help or go to the emergency room right away if you have:

A head injury
Rapid, irregular heartbeat, or chest pain
High fever

Look for and know the signs of stroke. These may include:

Face drooping—one side of the face is numb or drooping
Arm weakness—one arm is numb, weak, or drifts downward when trying to raise it up
Speech difficulty—includes slurring, inability to speak, or inability to repeat a simple sentence
Leg numbness or weakness
Confusion or difficulty understanding
Difficulty walking
Loss of balance
Sudden, severe headache with no known cause

Diagnosis

You will be asked about your symptoms and past health. A physical exam will be done.

Tests may include:

Blood tests
Blood pressure measurements

Images may be taken of your bodily structures. This can be done with:

Other tests may include:

Tilt table test
Hearing and vision tests
EKG

Treatment

Treatment will focus on the cause. This may relieve the dizziness.

Home Care and Lifestyle Changes

It may take some time for treatment to work. Treatment may also not relieve all dizziness. To avoid injuries:

If you are feeling dizzy, sit down right away. Avoid activities that could cause greater harm if you faint. This includes driving, using machinery, or climbing a ladder.
Remove items in your home that could cause you to lose your balance. This includes throw rugs and loose electrical cords.
Place slip-resistant mats in your shower and on your bathroom floor.
Place night lights in hallways and in the bathroom.
Use a cane if you feel that you need extra support.

Prevention

Prevention will depend on the causes. If you tend to get dizzy the following may help prevent a dizzy spell:

Avoid sudden movements.
Avoid bending down or bending your head/neck backward.
Avoid smoking. Do not drink excess alcohol or use street drugs.
Follow your care plan for health conditions.
Get treatment when you have an infection.
Talk to your doctor right away if you have side effects from your medicine.

RESOURCES:

Family Doctor—American Academy of Family Physicians
http://www.familydoctor.org

VEDA
http://www.vestibular.org

CANADIAN RESOURCES:

BC Balance and Dizziness Disorders Society
http://www.balanceanddizziness.org

Health Canada
https://www.canada.ca

References:

Dizziness and motion sickness. American Academy of Otolaryngology—Head and Neck Surgery website. Available at:
...(Click grey area to select URL)
Accessed November 8, 2017.

Dizziness—differential diagnosis. EBSCO DynaMed Plus website. Available at: http://www.dynamed... . Updated March 19, 2018. Accessed November 8, 2017.

Stroke warning signs and symptoms. American Stroke Association website. Available at:
...(Click grey area to select URL)
Accessed November 8, 2017.

Last reviewed November 2018 by EBSCO Medical Review Board Rimas Lukas, MD
Last Updated: 10/1/2018

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