What to do when you often feel dizzy and nauseous?

Tinnitus, dizziness, nausea are very common symptoms in daily life, suggesting many different diseases from mild to severe. Dizziness and fatigue greatly affect the health of the patient, creating many obstacles in life and work.

Dizziness and nausea are symptoms that many people often experience. They are suggestive of many different diseases. According to physiology, the balance of the body is maintained and maintained by the coordination of many organs including the eyes, vestibular cochlear system and central nervous system. If one of these organs is damaged, dizziness will appear.
Dizziness is defined as the feeling of a difference between one's position and the surrounding objects, that is, feeling objects spinning around or yourself spinning in the current space. Tinnitus, dizziness, nausea, hearing loss, and fatigue are symptoms that often appear together. People with vertigo are prone to fall due to loss of balance, wobbly gait, feeling of floating, so they often want to lie down and close their eyes.

Dizziness and fatigue are clinical manifestations of many different diseases, varying from mild to severe. For ease of access, the causes of dizziness and nausea are divided into two large groups: Dizziness of peripheral causes and dizziness of central causes.
2.1 Dizziness of Peripheral Causes Diseases that cause vertigo in this group originate in the nerves or other organs not related to the central nervous system. Some common diseases are:
Benign paroxysmal vertigo: This is the most common cause of dizziness, accounting for about 30%, common in the age group from 50 to 70. The frequency of the disease is female. twice that of men. The disease is not difficult to diagnose based on clinical symptoms, it is not necessary to use laboratory methods in typical cases. Patients must experience repeated episodes of dizziness, nausea, or when changing head position. Each episode of dizziness usually lasts no more than a minute and is accompanied by nausea and fatigue. Benign paroxysmal vertigo is associated with an abnormality in the inner ear canal, following a head injury, or simply seen in older adults with no known cause. The most widely recognized underlying mechanism for the disease is the deposition of calcium crystals that form small stones that travel with fluid in the semicircular canals of the inner ear. This is a form of balance disorder along with labyrinthitis and Meniere's disease. Dizziness caused by cranial neuritis VIII: This is the vestibular nerve, which contributes to the balance of the body. Vestibular neuritis is caused by infectious agents, most commonly the herpes zoster virus, which causes shingles and mumps. The infectious agent causes paralysis and loss of nerve function, causing the patient to feel tinnitus, dizziness, nausea and fatigue but does not affect hearing. Symptoms often last, sometimes up to several months, but sometimes no treatment is needed. The body heals itself thanks to the self-regulation of the central nervous system. Medicines: Tinnitus, dizziness, fatigue, nausea are undesirable effects of some drug groups such as gentamycin, streptomycin, furosemide, codeine, omeprazole, ... So the doctor needs to consider and inform the patient. patients when using these drugs, especially sensitive groups such as machine operators or drivers. Some other causes such as: otitis media, vestibular cochlear trauma, neuroma, cervical spine injury, motion sickness, ... 2.2 Dizziness central cause Dizziness and nausea in this group causes involving the central nervous system including the brain and spinal cord including transient ischemic attack, postural hypotension, cerebellar tumor, cerebellar infarction, vasomotor headache, parkinsonism, fibrosis hard scattered, ...

Dizziness, nausea and tinnitus are very common clinical symptoms in many different groups of subjects. Elderly people with poor general health, often accompanied by many other chronic diseases, are more likely to experience these symptoms. They are often subjective and blame it on age or other known medical conditions. Young people, although not a common object, can still show symptoms of dizziness and fatigue.
Most patients experiencing symptoms of dizziness and nausea do not visit medical facilities and self-treat at home, unless the symptoms are too severe, preventing the patient from continuing to live and work . The causes of dizziness and nausea are diverse, and can range from mild to severe conditions. Dizziness can be the first sign in the early stages of dangerous diseases such as stroke, cerebellar infarction or cerebellar tumor. Therefore, patients with many risk factors such as being elderly, having high blood pressure, arrhythmias, smoking, having family members with neurological diseases should visit medical facilities when their symptoms are rapid. The face appears for the first time or has different features than before, is heavier or does not improve with rest. A non-subjective attitude gives patients the opportunity to be diagnosed and treated early, leading to more positive outcomes.

In order to effectively deal with the symptoms of vertigo, the cause must be identified. Treatment of a patient with vertigo and nausea must ensure that both the symptom and the cause are addressed.
Drugs for the treatment of vertigo in clinical practice have many types, such as:
Acetyl leucine: Although the mechanism of action is unknown, acetyl leucine has been shown to have the ability to treat paroxysmal vertigo episodes of any cause. any. The drug can be taken orally or by injection. The choice of route of administration and dosage needs to be prescribed by a doctor, depending on the clinical condition of each individual patient Ginkgo biloba or piracetam: These are drugs with vasodilating effects, helping to increase blood flow. Brain. This group of drugs has been shown to be effective in cases of dizziness caused by cerebral ischemia. Dihydroergotamine: Used to treat dizziness caused by vasomotor headache or orthostatic hypotension. Metoclopramide is used to treat concomitant vomiting. Some neuroleptic drugs can be combined with treatment in the early days to help the patient less anxious. Combined with rehabilitation treatment in cases of dizziness due to vestibular causes such as vestibular cochlear neuritis, it helps to quickly reduce the symptoms of dizziness. Avoid alcohol and stimulants. To register for examination and treatment at Vinmec International General Hospital, you can contact Vinmec Health System nationwide, or register online HERE.
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