Key Pointers:
- Not all dizziness is caused by inner ear problems.
- Warning symptoms like double vision, slurred speech, chest pain, or limb weakness may point to a serious condition.
- Early assessment by an ENT or relevant specialist can rule out emergencies like stroke, heart disease, or neurological disorders.
Is Your Dizziness More Than Just “Feeling Lightheaded”?
It’s normal to feel dizzy once in a while, after standing up too quickly, skipping meals, or spinning around too fast. But when dizziness keeps coming back or happens suddenly, it can be worrying.
Many people immediately think of vertigo, a spinning sensation often caused by inner ear conditions. However, only about one-third of giddiness cases are ear-related. The rest may stem from the brain, heart, or blood circulation.
Recognising the difference can be lifesaving.
1. Sudden Dizziness with Double Vision or Slurred Speech
If dizziness appears alongside double vision, slurred speech, or facial drooping, it may signal a stroke or mini-stroke (TIA). These symptoms occur when blood flow to the brain is disrupted.
Don’t wait to see if it passes. Seek emergency care immediately. A stroke can develop within minutes, and early treatment can make a major difference in recovery.
2. Dizziness with Weakness or Numbness on One Side
Vertigo from ear conditions usually affects balance but not strength.
If your dizziness comes with weakness, numbness, or loss of coordination in one arm or leg, this points to a neurological issue, again, possibly a stroke or nerve-related disorder.
Call for urgent medical help if these signs appear suddenly.
3. Chest Pain, Shortness of Breath, or Palpitations
Sometimes dizziness isn’t from the ears or brain at all, it’s the heart trying to signal distress.
Low blood pressure, irregular heart rhythms (arrhythmias), or heart attacks can reduce blood flow to the brain, making you feel faint or lightheaded.
If dizziness happens with chest tightness, pain radiating to the arm or jaw, or breathlessness, go to the emergency department immediately.
4. New or Persistent Headache with Dizziness
A mild headache can accompany vertigo, but if you have a sudden, severe, or unusual headache, especially with dizziness or vision changes, this could point to migraine-associated vertigo, high blood pressure, or even bleeding in the brain.
This type of dizziness shouldn’t be ignored, especially if pain relief doesn’t help or if it’s the worst headache you’ve ever experienced.
5. Dizziness After Head Injury
Even a minor fall or bump can cause an inner ear disturbance, concussion, or, in rare cases, internal bleeding.
If dizziness starts after a blow to the head, or if your child seems unusually sleepy, confused, or vomits repeatedly, seek medical evaluation right away.
An ENT specialist may check for inner ear damage, while a CT or MRI may be needed to rule out more serious causes.
6. Dizziness That Lasts for Days or Gets Worse
Vertigo caused by inner ear infections or benign paroxysmal positional vertigo (BPPV) usually improves within hours to days.
If dizziness persists or worsens despite rest or medication, or you find it difficult to walk straight, this could point to another underlying condition affecting the brain or nervous system.
When to See an ENT Specialist
If your dizziness is mild and accompanied by ear symptoms such as hearing loss, ringing (tinnitus), or fullness in the ear, an ENT specialist can assess whether it’s related to inner ear balance disorders.
At Aurion ENT & Hearing Centre, Dr Liu Jiaying conducts a detailed evaluation, including balance testing, ear examination, and, when needed, imaging, to pinpoint the cause. If non-ear causes are suspected, she coordinates care with neurologists or cardiologists for a comprehensive assessment.
FAQs
1. What is the difference between vertigo and dizziness?
Vertigo involves a spinning sensation, while dizziness feels more like unsteadiness, faintness, or imbalance.
2. Can stress or anxiety cause dizziness?
Yes, emotional stress can cause hyperventilation or changes in blood flow, leading to lightheadedness.
3. How is vertigo treated?
Treatment depends on the cause, BPPV may need repositioning manoeuvres, while infections or inflammation may require medication.
4. Should I see an ENT or neurologist for dizziness?
If you have ear symptoms, start with an ENT. If there are neurological signs (like weakness or speech issues), a neurologist should also be consulted.
5. Can dehydration cause dizziness?
Yes. Lack of fluids can lower blood pressure and affect blood flow to the brain. Drinking water and maintaining electrolytes can help.
Expert ENT Care in Singapore
If you’re unsure whether your dizziness is from your ears or something more, don’t take chances. A professional evaluation can bring clarity and peace of mind.
Call +65 6908 1266 or Book an Appointment with Dr Liu Jiaying, ENT Specialist at Aurion ENT & Hearing Centre, located at Farrer Park Medical Centre.
