Differential diagnosis of vertigo

Dizziness is a condition that is relatively common in the human body. There are many reasons for this condition, including cardiovascular and cerebrovascular diseases, problems with the nervous system, anemia, hypertension and other diseases. The disease of vertigo can cause many adverse reactions to the human body, and these reactions are very similar to other diseases. The following is a detailed introduction to the differential diagnosis of vertigo.

Vertigo manifests itself as a spinning sensation, such as the feeling that external objects and oneself are spinning, and is accompanied by nausea, vomiting, cold limbs, and palpitations. Common causes are clinical symptoms caused by insufficient blood supply to the brain and damaged vestibular nerve function, which should be differentiated from symptoms caused by non-vestibular nerve dysfunction, namely dizziness and lightheadedness. Dizziness is mostly caused by physical weakness, poor spleen and stomach function, and anemia, and manifests as heavy head and weakness in the limbs. Dizziness manifests as unsteady walking, often accompanied by symptoms such as neurasthenia.

Causes and common diseases

Common causes of dizziness include:

1. Nervous system diseases

Such as cerebral ischemic lesions, cerebellar lesions, brain lesions, brain trauma, certain types of epilepsy, etc. In addition, patients with autonomic dysfunction and certain neuroses also often feel dizzy.

2. Ear diseases

For example, ear diseases may affect balance and cause dizziness.

3. Internal medicine diseases

Such as hypertension, hypotension, various cardiovascular and cerebrovascular diseases, anemia, infection, poisoning, hypoglycemia, etc.

4. Cold

Sometimes a cold may cause dizziness.

5. Cervical vertebrae degeneration

The main cause of dizziness is the growth, deformation, and degeneration of the cervical vertebrae caused by long-term poor posture or sleeping position, tightening of the neck muscles, and obstruction of arterial blood supply, resulting in insufficient blood supply to the brain. The patient often experiences tightness in the neck, limited flexibility, occasional pain, numbness and coldness of the scalp and fingers, shoulder pain, a feeling of heaviness, and even nausea and palpitations.

6. Anemia

If dizziness is accompanied by fatigue and pale complexion, the possibility of anemia should be considered. Patients with indigestion, peptic ulcer, gastrointestinal bleeding and chronic inflammatory diseases may all develop anemia.

Treatment principles

Dizziness can be treated by treating the cause and combining physical therapy, diet, and traditional Chinese medicine.

Check for orthostatic hypotension. Ask whether the patient has a history of hypertension or hypoglycemia. The patient was asked to lie in a supine position, vital signs were measured every 15 minutes, and intravenous fluids were given. Give drug treatment when necessary.

If there is hyperventilation, let the patient cover the nose with both hands or use a bag to breathe; if there is dizziness when standing, let the patient lie down to rest, and then stand up slowly. People with carotid artery allergy should avoid wearing clothing that restricts neck movement. Patients with transient ischemic attack or basilar artery insufficiency should turn their heads slowly and should actively receive standardized treatment.