Can’t tell the difference between dizziness and dizziness? Delaying the illness is very anxious

Dizziness and dizziness are not clear to many people. They are collectively referred to as dizziness. In fact, they are different from each other. There will always be wrong numbers and unclear descriptions, resulting in inability to treat the symptoms. Happening. In fact, they are not the same disease, and the departments involved are also different, I will explain it to you today.

What is dizziness

Dizziness is a feeling of being top-heavy, usually when you say your body is floating, that’s it. It may be physiological, such as work fatigue, lack of sleep, mental stress, etc., don’t worry about this, you can adjust it by taking a rest.

The other is pathological, which may be caused by hypertension, orthostatic hypotension, drugs, viral diseases, vascular and vagus nerve abnormalities, etc.

What is vertigo

Vertigo is a feeling of movement or rotation of the body or space, which is what we generally say “turning around”. Generally include: benign orthostatic vertigo, acute inner ear labyrinthitis, severe otitis media, stroke, etc.

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Common vertigo

1) Otolithiasis

It is relatively common, usually related to the head, and it will suddenly develop, continue to dizziness, will be relieved after today, and then turn into episodic dizziness. When the head is turned to a certain position, it will appear suddenly and last for tens of seconds. The dizziness can be reduced or disappeared when the head is turned or reversed.

2) Meniere’s disease

It usually occurs intermittently and recurringly, ranging from days to months to years. It can also happen suddenly, but the dizziness will reach the worst degree at the beginning, and it will increase when the head moves and open the eyes, and sometimes there is a fall, because the vertigo is severe, and it will also be accompanied by tinnitus, deafness, nausea, and vomiting. , pallor, decreased blood pressure, and nystagmus. The duration of each time varies from a few minutes to a few hours, and some people will continue for several days.

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3) Ischemic lesions of vertebrobasilar VBA system

A feeling of nystagmus. According to clinical manifestations, it can be divided into: (1) transient ischemic attack type, which occurs from time to time. It can occur several times a day or once a few days, and usually resolves or disappears within a few minutes to half an hour. Dizziness, instability, and in severe cases, frequent seizures, leading to complete labyrinthine stroke. ②Progressive stroke type, vertigo, tinnitus, and deafness continue to increase after the onset, and reach a peak after a few days. ③ Complete stroke type, vertigo, instability, tinnitus, deafness peaked, obvious nystagmus, symptoms can be gradually relieved after a few weeks. Hearing impairment is often left behind.

4) There are other lesions that can also cause vertigo

All belong to the category of vertigo, such as: cerebellar hemorrhage, neck lesions, intracranial tumors, traumatic brain injury, drug or poison poisoning, inflammatory demyelinating diseases, etc.

Where to go for the different types of dizziness

Most dizziness does not need to worry too much, but if it occurs repeatedly, it is necessary to seek medical attention in time to exclude some serious diseases, and the most priority is to exclude malignant dizziness caused by cardiovascular and cerebrovascular diseases.

1) Otolaryngology

If it is chronic, recurring dizziness, accompanied by ear symptoms, such as tinnitus and hearing problems, you can seek medical attention at an otolaryngologist.

2) Neurology

If you have chronic recurring dizziness and headaches, see a neurologist.

If the elderly have recurrent dizziness and are accompanied by risk factors for arteriosclerosis, such as hypertension, diabetes, hyperlipidemia, etc., it is also recommended to give priority to neurology.

What to do if you have a dizziness attack

1) When dizziness occurs, put down the things at hand immediately.

2) During the attack period, it is best to lie down and rest to prevent falls and injuries while standing, and reduce head rotation.

3) It is best to measure blood pressure and heart rate with a sphygmomanometer next to it.

4) If symptoms are mild orIf the symptoms are frequent or severe, seek medical attention immediately.

Author: Feng Gaoke, Deputy Chief Physician, Department of Cardiovascular Medicine, Wuhan University People’s Hospital

Editor: Chun Yujun