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Symptom

Dizziness

Dizziness can describe feeling lightheaded, unsteady, faint. The sensation, what triggers it and whether it comes with symptoms such as headache, palpitations or shortness of breath can help guide what should be checked.

Overview

Can be linked to blood pressure, ear issues, or medication

What to notice

  • Whether you feel lightheaded, unsteady or as though the room is spinning
  • Whether it happens after standing up, moving your head or skipping meals
  • How long each episode lasts and how often it happens
  • Whether you actually faint or nearly faint
  • Whether it comes with headache, palpitations, shortness of breath or weakness

Common cause groups

Temporary triggers

Dehydration, heat, lack of food, tiredness or standing up quickly can sometimes cause brief dizziness.

Inner-ear causes

A spinning sensation, especially with certain head movements, may be related to the balance system of the inner ear. This type of dizziness is often described as vertigo.

Blood pressure or circulation changes

Blood pressure that drops with position changes, or other circulation-related issues, can sometimes cause lightheadedness or a feeling of faintness.

Blood, glucose or hormone-related causes

Anaemia, changes in blood glucose and thyroid conditions can sometimes contribute to dizziness, particularly when other symptoms are present.

Associated signs

Headache
Nausea
Palpitations
Shortness of breath
Weakness
Blurred vision
Fainting or near-fainting
Hearing changes or ringing in the ears

How it may be assessed

A doctor will usually ask what the dizziness feels like, when it happens, how long it lasts and what triggers it. Blood pressure and other basic observations may be checked first. Depending on the pattern and associated symptoms, selected blood tests or other assessments may then be considered.

Assessment and investigations

Blood Pressure

Blood pressure measurement, including changes with position when appropriate, can help assess dizziness related to low or changing blood pressure.

Full Blood Examination

A blood count may help identify anaemia or other blood changes when symptoms such as tiredness, breathlessness or palpitations are also present.

Blood Glucose

Glucose testing may be considered when dizziness occurs with symptoms or risk factors that suggest blood sugar changes could be relevant.

Thyroid Function

Thyroid tests may be useful when dizziness occurs together with symptoms such as palpitations, tremor, heat intolerance or unexplained weight changes.

When to get checked

Consider medical assessment if dizziness keeps returning, lasts longer than expected, affects walking or daily activities, leads to near-fainting, or occurs together with symptoms such as palpitations, breathlessness or persistent headache.

Urgent warning signs

Seek urgent medical care for sudden dizziness with new weakness or numbness, difficulty speaking, severe headache, fainting, chest pain, severe shortness of breath or difficulty walking normally.

Frequently asked questions

What is the difference between dizziness and vertigo?

Dizziness is a broad term that can include lightheadedness, imbalance or feeling faint. Vertigo more specifically describes a false sensation of movement or spinning.

Why do I feel dizzy when I stand up?

Standing can sometimes cause a temporary drop in blood pressure, especially with dehydration, heat or certain medicines. Recurrent or severe episodes should be assessed.

Can anaemia or low blood sugar cause dizziness?

Both anaemia and changes in blood glucose can contribute to dizziness in some people, but dizziness has many possible causes and symptoms alone cannot identify which one is responsible.

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