Most vertigo is treatable, and much of it is diagnosed at the bedside without a scan. Dr P K Jha (M.Ch, AIIMS · 30+ years) assesses vertigo, giddiness and unsteadiness at Gaur City 1, Greater Noida. ज़्यादातर चक्कर का इलाज संभव है, और अक्सर बिना स्कैन के ही पहचान हो जाती है। डॉ पी के झा (M.Ch, AIIMS · 30+ वर्ष) गौर सिटी 1, ग्रेटर नोएडा में चक्कर और संतुलन की समस्या देखते हैं।
Sudden vertigo can occasionally be a stroke in the balance centres of the brain. These features separate that from inner-ear vertigo. If any apply, go to an emergency department now. अचानक आया चक्कर कभी-कभी मस्तिष्क के संतुलन केंद्र में स्ट्रोक हो सकता है। इनमें से कुछ भी हो तो तुरंत इमरजेंसी जाएँ।
How long each episode lasts, and what sets it off, narrows the diagnosis more than any test does. हर दौरा कितनी देर रहता है और किससे शुरू होता है — यह किसी भी जाँच से ज़्यादा बताता है।
Brief spinning lasting seconds to a minute, triggered by turning in bed, lying down, looking up, or bending. No hearing change. The commonest cause of true vertigo, caused by displaced crystals in the inner ear. Often settled with repositioning manoeuvres performed in the clinic, not tablets.
Sudden severe continuous vertigo lasting days, with nausea and vomiting, usually after a viral illness. Hearing stays normal. Frightening but self-limiting. Recovery is faster with early movement and balance exercises than with prolonged bed rest and sedating tablets.
Episodes lasting minutes to hours, often with headache, light sensitivity, or a personal or family history of migraine. Frequently missed for years and treated as ear disease. Responds to migraine preventive treatment rather than vertigo tablets.
Attacks of vertigo lasting 20 minutes to several hours with fluctuating hearing loss, ringing, and a blocked feeling in one ear. Less common than it is diagnosed. Needs hearing assessment to confirm, and salt and fluid management form part of treatment.
Lightheadedness on standing up rather than true spinning, sometimes with greying vision. Common in older patients, in dehydration, and as a side effect of blood pressure, prostate and antidepressant medicines. Often improved by adjusting existing prescriptions.
Stroke or reduced blood flow in the brainstem and cerebellum, and less commonly tumours or demyelination. Uncommon, but this is what the warning features above are designed to catch. Excluding these is part of every assessment.
Vertigo is one of the few conditions where a careful examination outperforms imaging. Watching the eye movements during positional testing distinguishes inner-ear vertigo from a central cause more reliably than an early CT scan, which can be normal in the first hours of a small brainstem stroke. वर्टिगो उन कुछ स्थितियों में है जहाँ ध्यान से की गई जाँच स्कैन से बेहतर है। पोज़िशनल टेस्ट के दौरान आँखों की हलचल देखकर कान और मस्तिष्क के कारण में अंतर किया जाता है — शुरुआती CT अक्सर सामान्य आ सकता है।
Bring a list of your current medicines. A meaningful share of dizziness in patients over 60 comes from the prescriptions they are already on, and that is fixable at the first visit. अपनी सभी दवाओं की सूची साथ लाएँ। 60 वर्ष से ऊपर के मरीज़ों में चक्कर का बड़ा हिस्सा पहले से चल रही दवाओं से होता है — और यह पहली ही मुलाक़ात में ठीक हो सकता है।
For BPPV, a sequence of head and body positions moves the displaced crystals back where they belong. Done correctly, many patients improve within one or two sessions. This is treatment, not a test, and it works where tablets do not.
Graded eye, head and balance exercises that retrain the brain after inner-ear damage. The main treatment after vestibular neuritis and for persistent unsteadiness. Requires consistency over weeks, and works better the earlier it is started.
Vestibular suppressants help through the worst days of an acute attack. Beyond that they slow recovery. Where vestibular migraine is the cause, preventive migraine treatment is what actually reduces attacks.
In older patients the fracture matters more than the spinning. Vision check, footwear, home lighting, loose rugs, bathroom grab rails, and a review of sedating medicines. Practical, unglamorous, and the part that prevents a hip fracture.
Vertigo is a false sense of movement — the room spinning, or yourself turning, even while still. Dizziness is a broader word patients use for lightheadedness, unsteadiness, or a feeling of being about to faint. They have different causes and different treatments, which is why the first question at consultation is always what exactly you feel.
That pattern strongly suggests BPPV, where loose crystals in the inner ear disturb the balance signal. Attacks last seconds to under a minute and are triggered by head position. It is the most common cause of true vertigo and is often corrected with specific repositioning manoeuvres rather than medicines.
Most vertigo does not need a scan. BPPV, vestibular neuritis and vestibular migraine are diagnosed at the bedside from the pattern and the eye movements. Imaging is advised when the examination suggests a central cause, when there are additional neurological signs, or when the pattern does not fit a common inner-ear diagnosis.
Long-term suppressant medication is rarely the right answer. Vestibular suppressants are useful for a few days during an acute attack, but taken for months they can delay the brain's natural compensation and prolong unsteadiness. If you have been on them for a long time without a clear diagnosis, the diagnosis is what needs revisiting.
Same-day OPD appointments are usually available at Gaur City 1, Greater Noida. Call +91-9311696923 to confirm a slot. Video consultation is also available.
Related conditions we treat at Neuro Care India. न्यूरो केयर इंडिया में इलाज की जाने वाली संबंधित समस्याएँ।
Types of headache, when a scan is actually needed, and why daily painkillers can make it worse.सिरदर्द के प्रकार, स्कैन कब ज़रूरी है, और रोज़ पेनकिलर लेना क्यों नुक़सानदेह है।
Read more →पढ़ें →What to do during a seizure, first-seizure evaluation, and guidance on driving and pregnancy.दौरे के दौरान क्या करें, पहली बार दौरे की जाँच, और ड्राइविंग व गर्भावस्था संबंधी सलाह।
Read more →पढ़ें →Carpal tunnel, pinched nerves and neuropathy — plus the correctable causes found on blood tests.कार्पल टनल, दबी नसें और न्यूरोपैथी — और ख़ून की जाँच में मिलने वाले ठीक होने योग्य कारण।
Read more →पढ़ें →Disc problems, leg pain and when surgery is genuinely needed — which is less often than you think.डिस्क की समस्या, पैर का दर्द, और सर्जरी वाक़ई कब ज़रूरी है।
Read more →पढ़ें →OPD at Shop No 101, Aarza Square 2, Gaur City 1, Greater Noida — near Gaur City Mall. Same-day slots usually available. OPD: शॉप नं 101, आरज़ा स्क्वायर 2, गौर सिटी 1, ग्रेटर नोएडा — गौर सिटी मॉल के पास। आमतौर पर उसी दिन स्लॉट उपलब्ध।
This page is educational and is not a substitute for a clinical consultation. If you have any of the warning features listed above, seek emergency care rather than booking an appointment. यह पृष्ठ केवल शैक्षिक जानकारी है, डॉक्टरी परामर्श का विकल्प नहीं। ऊपर बताए चेतावनी संकेत हों तो अपॉइंटमेंट के बजाय तुरंत इमरजेंसी में जाएँ।
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