Dizziness and vertigo

Vertigo is often inner-ear related (BPPV, vestibular neuritis); lightheadedness can be dehydration, low blood sugar, or medication side effects. A provider can evaluate online.

Also called: room spinning · lightheaded · BPPV

Medically reviewed by Dr. Ikechukwu Ogbu, MD
MD · Board-Certified, Internal Medicine · Last reviewed

Seek urgent care or the ER if you have:

  • Symptoms that are sudden, severe, or rapidly worsening
  • High fever (over 103°F / 39.4°C) that doesn't respond to treatment
  • Chest pain, trouble breathing, fainting, or confusion
  • Signs of dehydration — dizziness, dark urine, unable to keep fluids down
  • Symptoms in someone who is pregnant, immunocompromised, or over 65

Conditions related to dizziness and vertigo

These conditions may be associated with this topic. They are not a diagnosis or a ranked list of causes; follow the urgent-care guidance below.

Ear infection (otitis)

Ear infection (otitis) is related to this topic. Its presence here does not establish the cause of dizziness and vertigo or that acute symptoms can be treated online.

Anxiety

Anxiety is related to this topic. Its presence here does not establish the cause of dizziness and vertigo or that acute symptoms can be treated online.

Hypoglycemia / low blood sugar

Hypoglycemia / low blood sugar is related to this topic. Its presence here does not establish the cause of dizziness and vertigo or that acute symptoms can be treated online.

When to see a clinician

  • Symptoms have lasted more than a few days without improving, or keep coming back
  • You're not sure if this needs antibiotics, prescription treatment, or watchful waiting
  • You have a chronic condition (diabetes, heart disease, immunocompromised) that raises the stakes
  • You want guidance on whether your symptoms need an online evaluation or in-person care

Common questions