Dizziness at night when turning. Causes of severe dizziness at night

Prolonged fatigue and dizziness usually occurs during or immediately after an illness associated with chronic inflammation, such as sinusitis, inflammatory diseases of the small and large intestines, rheumatic diseases, and chronic infections such as Lyme disease and tuberculosis. These are diseases in which inflammation is not effective enough to treat the initial injury or infection and progresses to chronic form.

In such cases, the accompanying symptoms (dizziness) bother the person at night during sleep; in the morning, in turn, fatigue appears, the person tends to sleep. Sometimes in a dream one may dream of a state in which one feels dizzy, and the dream book does not give a person an answer to the question of why this happens during sleep.

Poor quality sleep, as already mentioned, provides a sick person with weakness in the morning after waking up. Therefore, if you are constantly drawn to sleep, you feel tired, you feel dizzy, do not look for a dream book, but try to determine the reasons why your sleep is so poor quality; during sleep you are bothered by various unpleasant symptoms, and in the morning, after waking up, there is a feeling of weakness . The reasons may hide a serious illness.

Once chronic, inflammation loses its protective role and no longer has the ability to repair tissue and instead causes harm. The harm lies in the fact that it begins to produce substances that dampen its own defense, maintaining inflammation in a vicious circle. Once this condition occurs, the defense mechanisms turn against one's own cells and tissues, often leading to irreversible damage such as rheumatoid arthritis, multiple sclerosis, Crohn's disease and other serious diseases. They can radically disrupt a person’s sleep, contributing to pain during sleep (manifestations of unpleasant and even painful sensations during sleep are the reasons why, after waking up, a person is drawn to sleep, which is why his productivity decreases). No dream book will help here...

Feeling dizzy in sleep. Causes: neurological diseases

The causes of sleep disorders, conditions when you feel dizzy during sleep or even dream of dizziness, may be in particularly severe cases chronic fatigue, which is accompanied by disorders of the central and peripheral nervous system. We're talking about vascular disorders CNS after stroke, Parkinson's disease, Alzheimer's disease and, in particular, multiple sclerosis and myasthenia.

Very extreme fatigue and weakness accompany various mental disorders. The most difficult are: exhaustion and loss of interest in life, which are part of clinical picture endogenous depression. This contributes to the emergence of situations when a person experiences dizziness in a dream, he is drawn somewhere; As a result, the state of anxiety persists even after sleep. In the morning he feels depressed, he tends to rest, which causes a deepening of depression. Any dream book, even the most “reliable” one, of course, will not help you understand why this happens; in case of such disorders, it is advisable to visit a psychotherapist.

Chronic fatigue syndrome and other mental disorders: is it worth relying on a dream book to solve sleep problems?

Fatigue may also accompany a number of other mental disorders, such as a state of general restlessness, anxiety, panic, major depressive disorder (which is fundamentally different from endogenous depression) or sleep disturbance. These diseases are often characterized by nightmares, when a person is in a state of instability, he is drawn, for example, into an abyss, etc. After such an “adventure” in a dream, in the morning and throughout the day he is also drawn, but to rest. In such cases, what is needed is not a dream book with “decoding” of dreams, but qualified help; This is why it is recommended not to delay your visit to a specialist.

Night rest is very important stage in life, with it we not only spend a third of our lives, but it also ensures the restoration of mental and physical strength. About adults it is said that it strengthens the body, and about children it is said that they grow in their sleep. The “sleepy” period is not only uniformity and stability, but also a creative, anabolic phase, in which proteins are synthesized and energy is replenished. The need for rest changes with age; while newborns sleep for ¾ of the day, preschool children need about 11 hours, schoolchildren - 9-10 hours, and adults usually need 7-8 hours of night rest.

State of wakefulness with intense brain activity characterized by the so-called alpha and beta waves, relaxation is accompanied by brain activity with slow activity and theta and delta waves. Alpha wave levels can be recorded when the brain is awake but not significantly active; When a person focuses on a task and thinks intensely, he enters the beta wave stage. The theta level is where we dream, but the delta level is crucial for restoring energy and eliminating fatigue. The inability of the brain to reach the delta level is responsible for many of the difficulties mentioned above.

A dream is a mysterious, still unexplored phenomenon. In order to know the unknown, a person, after each more or less unusual vision, looks into a dream book, which interprets his nightly “films” in its own way. But, most likely, we are only talking about the continuation of our daily experiences and concerns, which the brain processes while the body is resting. Sometimes what happens to the body at night can signal an imbalance, a disorder that we don't notice or don't treat. Therefore, if you have nightmares for a long time, have headaches/dizziness at night, or other things that are not related to a state of rest occur, seek specialized help. This will help solve more problems than “searching for truth” in a dream book.

Dizziness at night when turning the head or in other conditions is a symptom of many diseases that can develop in a child or an adult. These diseases, as a rule, are chronic and constantly progress, leading to increased attacks of dizziness at night and reducing a person’s quality of life. IN similar situations the patient should always seek qualified help from a doctor who will conduct all the necessary clinical studies and also select effective treatment.

Some people complain of dizziness while resting at night

Clinical manifestations

Generally speaking, dizziness is a normal reaction of the body to a number of different stimuli of the vestibular apparatus. For example, they accompany rides on carousels, swings, etc. This situation is due to differences between the resulting visual image and data on body position. This imbalance occurs in many men and women.

But dizziness at night, when the body is motionless and in a horizontal position, no pathological sensations should arise. However, some people have a predominant complaint of dizziness at night, including when turning their head. In addition, patients complain of nausea and vomiting. If the patient turns over in bed, then all the symptoms become stronger.

Identifying the specific cause of symptoms is only possible in a medical institution when you consult a doctor.

In such situations, you should not hope that the symptoms will disappear in the morning and the illness will go away on its own. You should always contact medical care V medical institution to identify the main cause of night dizziness.

Occurrence of attacks

Doctors tend to consider several causes of dizziness during sleep.

When a person experiences dizziness at night, the reasons for this condition can be different. Why might night dizziness occur? Doctors identify the following conditions.

Diseases with damage inner ear, first of all, various labyrinthitis. Similar diseases always accompanied by dizziness when turning the head, including at night, as well as other symptoms: tinnitus, decreased hearing acuity, etc. If left untreated, otitis media can lead to complete deafness.
Atherosclerosis in the cerebral arteries disrupts the blood supply to the brain, including its vestibular part. The patient notes dizziness during and after sleep, as well as a decrease in memory, attention and other mental functions.
Unstable blood pressure, accompanied by its increase or decrease, very often becomes the cause of the periodic appearance of this symptom.
Osteochondrosis accompanied by compression blood vessels and nerve roots, can also cause severe attacks of dizziness at night.

Dizziness may be one of the symptoms of osteochondrosis

In addition, the cause of the feeling of rotating objects may be other conditions - diseases of the organs cardiovascular system, endocrine disorders, pregnancy, etc. In each clinical situation, the underlying disease can be identified only after a neurological examination of the patient using laboratory and instrumental methods.

Chronic lack of sleep, frequent stress and fatigue lead to gradual depletion of the central nervous system. This condition is manifested by dizziness, depression and apathy. For these diseases, it is necessary to consult a psychiatrist to identify possible causes of mental disorders.

Diagnosis of the disease

The appearance of dizziness during sleep requires contacting medical institution due to a large number of possible reasons. When attempting to make an independent diagnosis and prescribe treatment, the progression of the underlying disease and the development of its complications are possible.

Interpretation of the results obtained should only be carried out by a medical specialist. Patients should not try to independently evaluate the data of the examination methods performed.

Diagnosis algorithm:

Collecting patient complaints with careful questioning about the characteristics of his work, lifestyle, and previous illnesses.
External examination of the patient, neurological examination and mandatory consultation with an otolaryngologist to exclude damage to the middle ear.

At a consultation with an ENT doctor

Blood and urine tests to assess general health and identify inflammatory processes.
Additional methods including X-ray studies(panoramic radiograph, computed tomography, ultrasound procedures, etc.).
Consultations with related specialists, including a psychiatrist.

An integrated approach to diagnosis allows us to identify the underlying disease leading to dizziness and select based on this effective methods therapies, including medicinal and non-medicinal.

Treatment approaches

Effective treatment of diseases is possible only after a full clinical examination of the patient and consultation with a doctor. In this case, treatment should primarily be aimed at eliminating the underlying disease:

disturbances in blood pressure, most often its increase, require the prescription of medications from the group of angiotensin-converting enzyme inhibitors, for example, Enap, Enalapril, etc.;

Antihypertensive drug

for osteochondrosis, nonsteroidal anti-inflammatory drugs (Ketorolac, Nimesulide), muscle relaxants, as well as physical therapy and massage are used;
to eliminate the consequences of cerebral atherosclerosis, vascular-active medications (Actovegin, Cerebrolysin), nootropics (Piracetam, Nootropil) and antioxidants (Tocopherol, Dihydroquercetin) are used;
the fight against dizziness and associated clinical manifestations requires the use of antihistamines (Pipolfen), sedatives, including on plant based and antiemetic medications (Metoclopromide).

Under no circumstances should you self-medicate. This is fraught with the development of side effects of therapy, as well as possible progression of the underlying pathology.

In addition, many patients use traditional medicine. However, such treatment approaches do not have proven effectiveness and safety, and therefore they should not be used as monotherapy, but should always be prescribed in combination with medications.

Dizziness during or after sleep is an unpleasant symptom that causes a decrease in quality of life and is accompanied by significant discomfort for the patient. There are many reasons for the development of such conditions, and only the attending physician, after conducting a clinical examination, can determine accurate diagnosis. In this regard, in no case should you delay contacting a medical institution. Early initiation of therapy allows achieving full recovery and ensure the absence of relapses of various diseases.

Dizziness is a fairly common symptom. Everyone has probably experienced it, for example, on a swing, on a plane, on a boat. There are even terms “sea sickness” and “air sickness”.

Dizziness can be caused by exhaustion of the body in various diseases, when the level of hemoglobin in the blood drops. Sharp decline blood pressure also causes dizziness. The symptom accompanies many diseases. The phenomenon in itself is unpleasant, more often it manifests itself in a lying position, when turning the head.

In the morning, getting out of bed, you can experience acute attack dizziness. Objects around, walls, the whole room begin to quickly rotate and spin before your eyes, causing nausea and weakness. It is difficult to get up; usually the person closes his eyes and lies down again.

Gradually the condition passes, leaving behind weakness and nausea. If your blood pressure is normal, then the attack cannot be explained by pressure surges. This uncertainty increases anxiety and fear.

Diagnosis of the condition

First you need to figure out what it is - dizziness. It’s not like it’s a disease general health often does not change significantly, there is no pain. The attacks that occur from time to time can be waited out; the person adapts to them. He intuitively finds the right position, freezes in it, and then tries to justify his condition by overwork, lack of vitamins, or some other completely understandable and removable factor.

Medicine considers dizziness as a condition when a person has the misconception that surrounding objects are making rotational movements and spinning around him. This condition can be caused by disturbances in the vestibular system of the human body, located in the inner ear.

It seems unreasonable for a patient to go to the doctor with only a complaint of dizziness. However, put correct diagnosis and only a specialist can determine the true cause. But which doctor should I go to?

Neurologists, otolaryngologists, and ophthalmologists deal with the problem of dizziness.. Doctors, listening to the patient’s complaints, conduct a series of tests, measure blood pressure, and refer for additional diagnostic procedures. These could be:

Examination and examination by a neurologist, otolaryngologist, ophthalmologist;
X-ray of the skull and cervical spine;
Doppler ultrasound of the main arteries of the head;
Computed tomography (CT) of the cervical spine;
Magnetic - resonance tomography(MRI) of the brain;
Hearing tests, audiography.

A little anatomy

The anatomical details of the ear structure are quite interesting. The ear, in addition to the visible outer part, also has a middle and inner part. Changes in the static position of the body, any movements, be it turning the head, walking, running, are recorded by the three semicircular canals of the inner part of the ear. The semicircular canals are located in three mutually perpendicular planes, which allows us to trace the position of the body in our three-dimensional space.

Balance, a person’s correct perception of the position of his body and the surrounding space, is formed by vestibular cells, which send signals to the brain through a system of receptors. The vestibular organ system has a complex multi-stage structure. It consists of the semicircular canals (anterior, posterior and lateral), cochlea, utricle, sac, ampulla, vestibular and auditory nerves. There is also a membrane with crystals - otoliths.

Diseases, as well as disorders in the functioning of the brain and blood vessels, can also cause dizziness.

Main causes of dizziness

Benign paroxysmal positional vertigo (BPPV), or otolithiasis;
Orthostatic hypotension;
Vertebro - basilar insufficiency (BII), due to osteochondrosis of the cervical spine;
Lesions of the vestibular apparatus. Peripheral dizziness;
Brain diseases. Central vertigo;
Meniere's disease;
Basilar migraine;
Psychogenic dizziness;
Vestibular neuritis.

Benign paroxysmal positional vertigo (BPPV)

Benign paroxysmal positional vertigo (BPPV), also called otolithiasis, occurs when the head changes position or is in certain positions.

At the same time, in the inner ear, otolith crystals break away from the membrane, transmitting false signals to the brain during certain movements. Receiving atypical impulses, the brain seems to “freeze” and become confused, forming an incorrect idea of the position of the body.

Occupies almost 90% of all cases dizziness. The cause of otolithiasis can be determined if there has been a traumatic brain injury to the brain or ear. Also recent inflammation of the inner ear, surgical operations could contribute to the manifestation of the disease. In other cases, the cause remains unclear. Then we are talking about an unclear etiology, i.e. idiopathic form of otolithiasis.

The disease is benign, has a long period of remission with proper treatment. Affects people of all ages. However, women over forty are more likely to get sick.

Do you know why? Find out the causes and how to get rid of the disease.
What to do if you have a headache in the forehead area is written on this page.

Symptoms of otolithiasis

Sudden, severe dizziness when changing the position of the head or body. Feeling as if objects were spinning quickly around the patient. Characteristic time– in the morning, immediately after waking up or at night.

The duration of the condition is up to two minutes, although the patient seems longer;
Returning the patient to the starting position contributes to a faster recovery from the painful state;
Occurs with sudden changes in the position of the head, when turning the head while lying down, throwing it back, turning, and also bending down;
Nausea, sometimes vomiting;
Involuntary, rapid movements of the eyeball (nystagmus).

Diagnosis of otolithiasis

The doctor, suspecting otolithiasis, performs a Dix-Hallpike test. The essence of the method is to determine the lesion of one or more semicircular canals of the vestibular apparatus. A prerequisite for the test is to warn the patient that the doctor is provoking an attack of dizziness. The doctor must explain that the painful condition caused is reversible and does not pose a danger to his health.

Next, the doctor abruptly changes the position of the patient’s head in the established sequence. Observes his condition, also pays attention to the movements of the eyeball, determining the presence of nystagmus. The test results confirm the presence or absence of otolithiasis. The diagnosis of otolithiasis is made with precise wording, indicating the affected side. It may sound, for example, like “otolithiasis of the anterior semicircular canal of the right ear.”

Treatment of otolithiasis

If attacks occur, for example, when turning your head while lying down, you should:

Avoid moving, stay in place for a while;
Accept more comfortable position, reduce movements;
If the attack occurs while the patient is lying down, take the starting position with slow, smooth movements;
You can only get up after an attack;
Take medications prescribed by your doctor (Betaserc, nootropic drugs).

The doctor prescribes one of the complexes of physical therapy, which is recommended to be done regularly. He also recommends one of the following methods:

Brandt-Daroff method;
Semont Maneuver;
Epley maneuver for the treatment of pathology of the posterior semicircular canal;
Lempert maneuver for pathology of the horizontal semicircular canal.

Sometimes otolithiasis goes away suddenly and on its own, even without drug treatment. Or after a specialist has performed one of the methods. But it is impossible to predict the duration of the flow. The only reassurance is that the disease is benign.

Orthostatic hypotension

How to determine, confirm or exclude orthostatic hypotension. First you need to check your blood pressure:

The doctor will measure the blood pressure on the left and right hands the patient in a lying position. Then - in the position after a sharp rise;
By comparing the two readings, the doctor will determine the presence or absence of orthostatic hypotension;
Distinctive features that clarify the diagnosis;
Dizziness is accompanied by a feeling of “floaters” before the eyes;
No twitching of the eyeballs (nystagmus);
Dizziness appears only when there is a sudden change in body position (standing up, sharp turns, bending, throwing the head back), when turning the head while lying down.

If changes in pressure, as well as its fluctuations, are within normal limits, neurologists refer the patient to CT (computed tomography), MRI (magnetic resonance imaging). Almost immediately, cervical osteochondrosis is determined, and against its background a diagnosis of vertebro - basilar insufficiency is made. Especially if we're talking about about an elderly patient. After all, changes and pathologies of the skeletal system and, in particular, the cervical spine are inherent in all persons after forty years. It is not always justified to consider cervical osteochondrosis to be the cause of dizziness.

Vertebro-basilar insufficiency

Vertebro-basilar insufficiency (VBI) is caused by impaired blood supply to the blood vessels of the brain. Usually specialists tell the patient that his blood vessels are being pinched cervical vertebrae as a result of osteochondrosis. The problem is aggravated if some branching of the vessels of the cervical spine is detected. Blood flow through the vessels decreases. Especially when turning the head, the amount of blood decreases sharply, as a result of which certain areas of the brain experience oxygen starvation. MRI images show atherosclerosis of the vessels of the occipital part, death, and atrophy of brain tissue.

Distinctive signs that help diagnose VBI are:

Short duration of dizziness, lasting from a few seconds to one minute;
Obligatory presence of visual impairment, the appearance of fog or veils before the eyes. There may be a narrowing of the peripheral field of vision, the so-called tube vision;
Hearing impairment, tinnitus, hearing loss;
Headache in the back of the head;
Memory loss.

Peripheral dizziness

Peripheral dizziness occurs due to disorders and lesions of the vestibular apparatus. Violations occur frequently, in different departments vestibular system. However, peripheral dizziness is not severe and does not cause significant discomfort to the patient. The brain, having analyzed incoming incorrect signals, is able to independently determine the source of the impulses. The brain makes the necessary adjustments to its work, and subsequently ignores these signals.

For example, peripheral dizziness due to the herpes virus. It affects the vestibular nerve. The brain receives false signals and then compensates for the damage. Dizziness goes away quickly, after several attacks, on its own.

Central vertigo

They occur when certain parts of the brain are damaged, most often the cerebellum. Manifest with other disorders:

Speech disorders. Fuzzy and slurred pronunciation of individual words and sentences;
Double vision;
Strabismus, paralysis of facial muscles;
Skin numbness various parts body, especially hands and feet;
Unusual, spontaneous sensations of skin tightening, “crawling”, and tingling;
Headaches, severe, causeless weakness;
Movement coordination disorder. shaky, unsure gait. Balance imbalance. Involuntary, uncontrolled movements of the limbs.

Meniere's disease

The origin of Meniere's disease is not known with certainty. Theoretically, its occurrence may be due to traumatic or viral infection. It manifests itself as acute, sudden attacks of severe dizziness. They last for several hours, sometimes days. The attacks may subside, then appear suddenly, after a few hours.

Hearing deteriorates; deafness in one ear, ringing and noise in the ears may periodically appear. A feeling of pressure inside the ear appears and progresses. Gradually, attacks of the disease lead to hearing loss or severe deterioration. The patient feels very sick and sometimes vomits. Experts note an increase in the amount of fluid in the cavity of the inner ear.

Basilar migraine

Basilar or vestibular migraine is a rare type of migraine. Characteristic symptoms are dizziness and hearing impairment. In this case, headaches sometimes occur, only in the occipital region.

This type of migraine occurs when local blood circulation is disrupted in areas of the brain associated with the vestibular apparatus. The patient's balance is disturbed, he has difficulty standing on his feet, he tries to sit or lie down.

Vomiting occurs, the patient reacts sharply to noise and light. Subsequently, the patient characteristic features dizziness, nausea knows in advance about the approach of an attack.

Psychogenic dizziness

Depressive states, neurotic disorders caused by them, discomfort and deterioration of the condition, hysterical emotional explosion are sometimes mistakenly perceived by the patient as dizziness. Psychogenic dizziness is quite common among women, regardless of age.

Main differences, characteristic features:

Nebula, confusion. Sudden anxiety, fear of losing consciousness.
No dizziness in the form of whirling and rotating objects;
Spontaneous occurrence of attacks due to severe stress;
Attacks occur in stuffy rooms, transport, elevators, more often in crowded places;
Severe pain in the muscles of the body, in the heart area;
Feeling short of air discomfort in the throat;
Irritability, anxiety, poor sleep, constant feeling of fear;
Tension. Strongly manifested unreasonable concern about the state of one’s health, as well as the health of relatives and friends.

Psychogenic dizziness is a manifestation vegetative-vascular dystonia. Therefore, for psychogenic dizziness, treatment aimed at restoring peace of mind, bringing the nervous status to a stable state.

Vestibular neuritis

Vestibular neuritis occurs when the vestibular nerve becomes inflamed. The main reason is viral infections.

Manifestations of vestibular neuritis:

Severe dizziness;
Unsteady, shaky gait;
Nausea, vomiting;
Increase in temperature;
Weakness.

Treatment

After diagnosis, the doctor prescribes a complex medical procedures. These could be:

Medicines;
Therapeutic physical exercises and methods designed to train the vestibular apparatus;
Special diets with limited salt and liquid;
Surgical operations.

Conclusion

Almost every attack of dizziness is accompanied by panic fear and anxiety. Dizziness in the vast majority of cases does not pose a danger, although it reduces a person’s quality of life. After waiting out the attack, you should immediately consult a doctor and conduct an examination.

Main - check for dangerous diseases. If you strictly follow the recommendations of specialists, you can protect yourself from further attacks.

One of the most common pain can be considered headaches, which are often accompanied by dizziness. If the headache can also be caused by less serious problems, then the appearance of dizziness indicates serious problems with health or improper daily routine and nutrition. Among all types of dizziness, it is worth noting the situation when the problem occurs before bedtime. Some people perceive dizziness as a falling sensation when falling asleep, which in itself is harmless unless the cause is certain health problems.

To diagnose the problem that leads to dizziness before bed, you should pay attention to whether dizziness occurs in other cases, for example, after standing up suddenly, with a strong increase in temperature or humidity, during heavy physical activity, and so on. This is due to the fact that some diseases have a complex effect on the body, and the symptoms that appear in certain situations may be different.

If dizziness occurs exclusively before bedtime, then you should understand the mechanism of sleep. When you lie down, the whole body relaxes, the process of rest itself begins in that part of the brain called the reticular formation. She is the one responsible for sending spinal cord to relax all muscles. Disruption of certain processes can lead to a feeling of falling and dizziness.

The main causes of dizziness that are not associated with the development of other diseases include:

Severe anxiety can cause dizziness and other unpleasant sensations. This is due to the fact that the brain gives a signal to all muscles to relax, but at the same time it itself is in a wakeful state to monitor the situation. That is why, after serious events in life, you may begin to feel dizzy just before going to bed. In some cases, even during deep sleep, a feeling of restlessness occurs, from which they wake up with dizziness or a headache.
Stress is also quite often the reason why dizziness occurs before bed. As a rule, during the day the body does not show symptoms of the effects of stress on the body, and only during rest do they begin to appear. Many people do not take into account the fact that stress has a complex effect on the entire body.
A poor indoor environment can also cause quite a lot of problems. An example is an excess of carbon dioxide indoors. The brain requires quite a lot of oxygen to function. If this is not provided, oxygen starvation occurs. It manifests itself as severe dizziness and headaches. Therefore, the bedroom and other rooms should be ventilated in order to avoid the problem in question.
Stress and overwork are two different diagnoses. However, both of them are manifested by headaches and dizziness, which often appear just before bedtime for the same reason: the brain goes into rest mode, which means it becomes more receptive.
Another reason why you may feel dizzy before bed is spending a long time at the computer. In some cases, after using the computer you not only feel dizzy, but also feel nauseous.

The above points should be kept in mind when considering the reasons that may lead to dizziness before bed. However, you should take into account the fact that other health problems may arise.

IN modern world The life of many people is connected with the use of a computer. This is due to the fact that the introduction of computer technology has made it possible to optimize work in various fields activities. Dizziness in this case is a chronic disease due to spending a long time at the computer. In this case, the symptom in question will appear before bedtime.

Dizziness occurs for the following reasons:

Constant brain activity leads to brain fatigue.
There is usually little oxygen in the office. Oxygen starvation becomes the main cause of dizziness.

This is why you should not work long enough just before bed. At the same time, watching a movie and playing computer games can lead to the same problems as during long-term work.

In addition to the above reasons, you should also pay attention to the fact that some diseases can lead to dizziness before bed. Anemia may be the main cause. This disease is clinical condition, which is characterized by a significant decrease in hemoglobin in the blood below 110 g/l. The disease in question is also manifested by a decrease in the number of blood cells in the blood. A significant decrease in hemoglobin determines that anemia is manifested by a significant manifestation of clinical symptoms. Anemia causes dizziness, a symptom that may appear immediately before bedtime, as the body is rebuilt, which causes dizziness, weakness, and nausea.

Anemia can develop for the following reasons:

The production of red blood cells by the bone marrow is impaired.
Chronic bleeding can also cause anemia.
The process that leads to a decrease in the lifespan of red blood cells also leads to the problem in question.

Anemia is serious illness, the treatment of which should not be delayed. Dizziness is only the primary symptom of a problem that will develop further with the manifestation of other symptoms.

There are several types of anemia:

Aplastic – partial or complete absence in the brain cells that reproduce blood cells.
Iron deficiency – manifests itself when there is insufficient amount of iron in the blood.
The pernicious type of anemia is represented by a lack of vitamin B12.
Congenital spherocytic anemia is a hereditary disease.
The sickle cell variant is a serious disease that is also hereditary. The problem manifests itself as an abnormal sickle-shaped red blood cell.
The drug type of the disease occurs in some people.

The above classification should also be taken into account when considering problems leading to dizziness.

The reason that leads to the symptom in question may be a change in blood pressure. As a rule, when arterial hypertension dizziness occurs throughout the day. However, indoors before bedtime the problem may be more pronounced.

In addition, we note the following points:

Lethargy, drowsiness.
A symptom called “floaters before the eyes.”
The appearance of headaches.
Ringing, noise in the ears.
Feeling of heat, appearance of facial redness.

Arterial hypertension and blood crisis are problems that can threaten a person’s life. Hypertension can affect many people, but is only diagnosed when symptoms are significant. Treatment may involve taking medications or attending various procedures.

Despite the fact that dizziness is a serious symptom of health problems, many people do not pay attention to it. However, timely examination is necessary for the following reasons:

Dizziness can lead to loss of consciousness and disorientation in space. If a problem occurs at the most inopportune time, such as while driving, serious problems can arise. Headaches and dizziness may occur suddenly.
For simple symptoms Serious health problems may be hiding. If you solve the problem at the initial stage of its development, before it manifests itself serious symptoms, the treatment will be quite simple. Neglected cases can lead to very serious problems.
Constant discomfort due to health problems can cause the development of stress.

You should take responsibility for your health. You should not interpret the symptoms yourself due to the fact that only a highly qualified specialist can carry out correct positioning diagnosis.

Following some recommendations can help you avoid problems with dizziness. These include:

The room should be ventilated periodically, especially before going to bed. This moment allows us to eliminate the possibility of a situation occurring, which is called oxygen starvation brain As previously noted, the supply of a small amount of oxygen to the brain leads to pain or dizziness.
You should provide yourself good food. In addition to oxygen, the brain requires a certain amount nutrients. They can enter the body only with food and medications. You can create your daily diet yourself or entrust this work to a professional nutritionist.
Evening walks are also good for your health. During a walk, not only the brain is fed with oxygen, but also it rests.
You should visit a doctor if the symptom in question appears.

The above points should be taken into account in order to eliminate the likelihood of the problem in question. If dizziness occurs and you need to quickly get rid of it, then it is enough to take a long breath. Breathing determines intake required quantity oxygen into the body.

In conclusion, dizziness is a serious problem that should be taken into account. Therefore, you should consult a doctor promptly for help.

These diseases, as a rule, are chronic and constantly progress, leading to increased attacks of dizziness at night and reducing a person’s quality of life. In such situations, the patient should always seek qualified help from a doctor who will conduct all the necessary clinical studies and also select effective treatment.

Some people complain of dizziness while resting at night

Clinical manifestations

Identifying the specific cause of symptoms is only possible in a medical institution when you consult a doctor.

In such situations, you should not hope that the symptoms will disappear in the morning and the illness will go away on its own. You should always seek medical help from a medical facility to identify the underlying cause of night dizziness.

Occurrence of attacks

Doctors tend to consider several causes of dizziness during sleep.

When a person experiences dizziness at night, the reasons for this condition can be different. Why might night dizziness occur? Doctors identify the following conditions.

Diseases affecting the inner ear, primarily various labyrinthitis. Such diseases are always accompanied by dizziness when turning the head, including at night, as well as other symptoms: tinnitus, decreased hearing acuity, etc. If left untreated, otitis media can lead to complete deafness.
Atherosclerosis in the cerebral arteries disrupts the blood supply to the brain, including its vestibular part. The patient notes dizziness during and after sleep, as well as a decrease in memory, attention and other mental functions.
Unstable blood pressure, accompanied by its increase or decrease, very often becomes the cause of the periodic appearance of this symptom.
Osteochondrosis, accompanied by compression of blood vessels and nerve roots, can also cause severe attacks of dizziness at night.

Dizziness may be one of the symptoms of osteochondrosis

In addition, other conditions can cause the feeling of rotating objects - diseases of the cardiovascular system, endocrine disorders, pregnancy, etc. In each clinical situation, the underlying disease can be identified only after a neurological examination of the patient using laboratory and instrumental methods.

Diagnosis of the disease

The appearance of dizziness during sleep requires contacting a medical facility due to a large number of possible causes. When attempting to make an independent diagnosis and prescribe treatment, the progression of the underlying disease and the development of its complications are possible.

Interpretation of the results obtained should only be carried out by a medical specialist. Patients should not try to independently evaluate the data of the examination methods performed.

Diagnosis algorithm:

Collecting patient complaints with careful questioning about the characteristics of his work, lifestyle, and previous illnesses.
External examination of the patient, neurological examination and mandatory consultation with an otolaryngologist to exclude damage to the middle ear.

At a consultation with an ENT doctor

Blood and urine tests to assess general health and identify inflammatory processes.
Additional methods, including radiological studies (radiography, computed tomography, ultrasound procedures, etc.).
Consultations with related specialists, including a psychiatrist.

An integrated approach to diagnosis makes it possible to identify the underlying disease that leads to dizziness and, based on this, select effective methods of therapy, including medicinal and non-medicinal.

Treatment approaches

disturbances in blood pressure, most often its increase, require the prescription of medications from the group of angiotensin-converting enzyme inhibitors, for example, Enap, Enalapril, etc.;

for osteochondrosis, nonsteroidal anti-inflammatory drugs (Ketorolac, Nimesulide), muscle relaxants, as well as physical therapy and massage are used;
to eliminate the consequences of cerebral atherosclerosis, vascular-active medications (Actovegin, Cerebrolysin), nootropics (Piracetam, Nootropil) and antioxidants (Tocopherol, Dihydroquercetin) are used;
the fight against dizziness and associated clinical manifestations requires the use of antihistamines (Pipolfen), sedatives, including herbal ones, and antiemetics (Metoclopromide).

Under no circumstances should you self-medicate. This is fraught with the development of side effects of therapy, as well as possible progression of the underlying pathology.

Dizziness during or after sleep is an unpleasant symptom that causes a decrease in quality of life and is accompanied by significant discomfort for the patient. There are many reasons for the development of such conditions, and only the attending physician, after conducting a clinical examination, can make an accurate diagnosis. In this regard, in no case should you delay contacting a medical institution. Early initiation of therapy allows you to achieve complete recovery and ensure the absence of relapses of various diseases.

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Why do you feel dizzy in your sleep?

How to help the body

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Causes of severe dizziness at night

Chronic lack of sleep, constant workload, stress and illness lead to the body's strength being depleted. Sluggish diseases appear that can lead to dizziness during sleep. It could be chronic diseases ENT organs, for example, sinusitis, or inflammatory processes in the gastrointestinal tract (inflammation of the small and large intestines). Rheumatic diseases and tuberculosis in any form can also lead to dizziness while resting at night. There is another disease that causes dizziness, it is transmitted through tick bites - Lyme disease.

A person weakened by illness notices the appearance of dizziness when he lies down to rest in the evening, and sometimes he is tormented by dreams in which he feels dizzy. Some try to find the answer in the dream book, but the answer should be sought from doctors. The cause of inadequate rest was most likely a disease that requires diagnosis and treatment.

Symptoms in a horizontal position

Dizziness is considered normal occurrence, if they appear quite rarely and under the influence of certain factors: when riding on swings, carousels and other similar attractions, during a sharp rise from a horizontal to a vertical position. This occurs because an imbalance occurs between the visual analyzing center and the vestibular apparatus due to a change in position.

It turns out that, being in a horizontal position, a person should not feel dizzy. But some patients insist that it is during a night's rest that they experience unpleasant symptoms, when they feel dizzy, sometimes accompanied by nausea and vomiting. Symptoms worsen when turning in bed. Don't expect dizziness to go away on its own. It is necessary to look for the cause that caused dizziness. These reasons may be serious changes occurring inside the body or its individual organs.

The main reasons leading to dizziness

Experts tend to consider several reasons that cause dizziness while resting or being in a horizontal position. Usually this symptom is concomitant with the following diseases or conditions:

Arterial hypertension or hypotension. Both of these diseases lead to instability of blood pressure, while a person may periodically experience unpleasant symptoms in the form of dizziness and vomiting.
Atherosclerotic plaques block the lumen of vital vessels, and this leads to impaired blood circulation in the brain. Vascular atherosclerosis may be accompanied unpleasant phenomena. A person notices that he feels dizzy even at rest, especially in the evening before going to bed, or in the morning, even before getting out of bed.
Inner ear diseases are very dangerous. With otitis media (labyrinthitis), the mucous membrane of the inner ear becomes inflamed. Its cavity is filled with purulent contents, causing discomfort, tinnitus, and hearing impairment. Under pressure from the pus, the eardrum is displaced, causing the person to experience dizziness and pain in the head and ears. After the inflammation has been cured, symptoms of dizziness, ear congestion or hearing loss may still bother you for some time. The most common cause of peripheral vertigo is pathology of the inner ear.
Violation of the vestibular function of the body is associated with Meniere's syndrome. With this disease, the tone of the vessels responsible for feeding the vestibular apparatus and auditory endings decreases. This disease leads to frequent loss of balance when walking, and vomiting may occur. Even during sleep you may experience dizziness.
If patients complain of dizziness, a blood sugar test should be taken. His increased performance talk about developing diabetes mellitus. And this disease leads to changes in the condition of blood vessels and symptoms such as dizziness.
The version of brain tumors should be considered. For this purpose it is prescribed diagnostic studies(eg MRI). With tumors, a person may experience migraine-like headaches, complain of dizziness and decreased hearing or vision.
When interviewing and examining the patient, it is necessary to clarify whether there have been any injuries to the skull. If they occur, symptoms of nausea and dizziness may be due to a concussion or cerebral edema.
The patient is asked about existing diseases and medications that he is taking. For some medications side effect is vomiting, nausea, dizziness.
Poor nutrition and long-term food restrictions (fasting) can lead to the body not receiving enough vitamins and microelements. Hence the feeling of fatigue, bad sleep, nausea, night dizziness.
Heart disease (for example, tachycardia, bradycardia, arrhythmia) leads to deterioration of blood circulation: weakness, anxiety, dizziness.
Benign positional vertigo occurs not only when standing up abruptly. Nausea can occur during physical activity, such as squats or running. To take the BPPV test, you should sit on a couch with your lower limbs extended and turn your head to the left, then quickly lie down in a horizontal position and turn your head to the right. After this, you will need to slowly rise to a vertical position.

Neurological diseases

Chronic fatigue leads the body to exhaustion. Disorders of the central and peripheral nervous system appear. These may be disorders caused by stroke, Parkinson's or Alzheimer's disease, or senile sclerosis.

Mental disorders can cause not only dizziness: there is a reluctance to live, and a loss of interest in everything that is happening around. This is how he manifests himself endogenous depression. A person begins to feel causeless anxiety, which haunts him not only during the day, but also during sleep. In the morning, such a patient wakes up not getting enough sleep, he is drawn to rest, depression intensifies, everything seems prohibitively difficult and almost impossible. Such a patient definitely needs the help of a psychotherapist.

When sleep rhythm is disturbed, a person experiences nightmares. In them, he feels like he is being pulled into an abyss or a whirlpool, he wakes up from severe dizziness and a feeling of anxiety. The same nightmare dreams haunt people with mental disorders, for example, when depressive disorder or with excessive anxiety. Nightmares do not allow a person to fully rest. They aggravate the situation, lead to the fact that a person does not get enough sleep and begins to become even more nervous, worried, aggressive or depressed. The help of a specialist in this case will be very necessary and important.

How to help the body

To treat vertigo, it is necessary to find out the exact cause of the disease. But it is not always possible to do this. After all, you need to undergo many diagnostic measures, examinations, and visit more than one specialist. And the person needs help now, because his condition is getting worse day by day. Nightmares, anxiety, dizziness, nausea - they take you out of balance. Therefore, the doctor can prescribe medications that improve the patient’s condition even before completing a full examination. These will be remedies that relieve stress, eliminate nausea and dizziness. Medicines that improve cerebral circulation will be mandatory.

If you are diagnosed with dizziness during sleep, the causes of which lie in peripheral vertigo (middle ear problems), you may need surgery. Endolymph drainage, labyrinth surgery, or surgery on the auditory nerve are performed.

The amount of dizziness can be reduced through a properly designed menu. The diet should be designed so that it includes foods rich in iron, magnesium, as well as essential vitamins (C, P, B). You should limit your intake of tea and coffee, it is advisable to give up chocolate and other sweets. Tobacco smoking and alcohol addiction must also be cured. The diet should be aimed at eliminating excess fluid from the body. To do this, reduce the amount of salt and salty foods consumed daily. Total quantity The amount of fluid entering the body should not exceed 1.5 liters per day.

Before going to bed, you can take a leisurely walk fresh air. It would be better if it was a quiet park. To eliminate dizziness, specially designed rehabilitation exercises performed without overexertion are recommended.

The types of dizziness are different and depend on the causes of its origin.

in the absence of disease, irritation of the vestibular complex may occur various factors– staying at a height and looking down, motion sickness in transport, watching a train pass by, etc. Such dizziness is called physiological. Cause of dizziness

It may occur spontaneously or be associated with certain factors. One of them is turning the head.

The causes of dizziness when turning the head may be as follows:

Benign paroxysmal vertigo, when no apparent reason(in this case there are usually disturbances at the micro level in the vestibular apparatus);
Osteochondrosis of the cervical spine (damage to the intervertebral discs), in which there is a severe narrowing of the canal where the vertebral artery passes, supplying the brain;
Arterial hypotension, which also leads to reduced oxygen supply to the brain;
Arterial hypertension, accompanied by changes in the vascular wall. With this disease, dizziness may occur during sleep, especially if the increase in pressure is observed mainly at night;
Brain injury (the time elapsed from the moment of injury does not play a significant role in the occurrence of this symptom);
Sleep disturbances, including lack of a full night's sleep;
Orthostatic hypotension, which occurs when suddenly getting out of bed
Diabetes mellitus - at the stage when angiopathy (vascular damage) develops with impaired blood supply to the brain;
Brain tumors (benign and malignant).

Symptoms when lying down

Symptoms of benign positional paroxysmal vertigo– this is the appearance of short-term (several seconds) attacks of dizziness, which is observed only when changing the position of the body (from vertical to horizontal and, conversely, when turning the body over during sleep, throwing back the head). But most often dizziness appears at night during sleep, which disrupts good rest. The attack period may be followed by a long period of remission. In fact, the nature of the disease has not been sufficiently studied (it was first described at the beginning of the twentieth century), but the characteristic symptoms enable the doctor to suspect BPPV.

It's pretty rare symptoms which are usually caused by:

benign positional vertigo;
hypoglycemia (lack of glucose in the blood);
heart failure;
partial blockade of blood flow in the lumen of the arteries;
hypo- and hyperthyroidism;
heart rhythm disturbances (bradycardia, tachycardia, angina pectoris);
diabetes mellitus

Its symptoms often appear throughout the day, but when standing up, the vestibular apparatus is actively involved, so nausea and weakness often appear after sleep.

If a test for BPPV (benign paroxysmal positional vertigo) is to be done, the person is seated in a chair and asked to stretch out their legs and then turn their head in a left side. After this, he must quickly take a horizontal position and turn his head in right side, after which he must slowly stand up.

This disease manifests itself not only when standing up. Nausea and dizziness during exercise are common physical exercise, while running or squatting. BPPV is the cause feeling unwell, which approximately a third of older people complain about.

dizziness, which occurs in attacks when turning the head;
constant headache in the back of the head;
pain in the cervical part of the spinal column;
crunching in the neck when moving;
shooting pain in the arms and shoulder girdle;
rubbing hands;
painful tension in the neck muscles;
the possibility of developing drop attacks (sudden fall without loss of consciousness), which is associated with sudden hypoxia of the brain and a drop in muscle tone.

Symptoms of benign positional vertigo

The following symptoms will help you suspect BPPV:

dizziness when moving the head, especially often it appears in a lying position when turning on the right or left side, you can also feel dizzy when throwing it back;
as a rule, the attack begins in the morning, when a person wakes up and begins to turn over in bed;
the attack does not last long (up to 1 minute) and passes easily;
dizziness may also be accompanied by nausea and vomiting.

Sometimes severe dizziness occurs at night, during sleep, causing the patient to wake up. Dizziness may be accompanied by nausea and vomiting. The disease has a benign course: periods of exacerbation, when attacks are repeated daily, followed by spontaneous remission, which can last several years.

Causes of dizziness

The etiology of the disease in most cases remains unknown. It is believed that benign positional vertigo may occur after a traumatic brain injury or as a result of a viral infection. There is no connection between benign positional vertigo and vertebrobasilar insufficiency. Women get sick about twice as often as men. The disease can begin at any age, most often at the onset.

Another commonly prescribed drug is piracetam. It belongs to nootropic drugs acting on the central nervous system. Under their influence, cognitive processes improve, thereby improving perception, memory, concentration and awareness. The drug does not have a calming or mentally stimulating effect.

Piracetam increases blood flow through the vessels into the brain, affecting red blood cells, platelets and vascular wall: increases the elasticity of red blood cells, reduces platelet formation and reduces the likelihood of cerebral vascular spasms. The drug is administered intravenously or intramuscularly.

Side effects may occur while using the drug. These include nervous system disorders such as ataxia (impaired coordination of movements), imbalance, exacerbation of epilepsy symptoms, drowsiness, insomnia, feeling tired, headaches; gastrointestinal disorders (vomiting, diarrhea, abdominal pain, pain in the upper abdomen). On the part of the immune system, hypersensitivity reactions are possible: agitation, anxiety, confusion, Quincke's edema, dermatitis, itching, urticaria. If you have such problems, you should tell your doctor.

Vestibular rehabilitation

In cases of damage to the musculoskeletal and vestibular systems, which are accompanied by mild dizziness, vestibular rehabilitation can be effective. This is training to support balance, which allows you to compensate for dizziness. It is also prescribed to people after neurosurgical operations (neurectomy, labyrinthectomy) after traumatic brain injury in patients with anxiety neuroses, Meniere's disease (when attacks occur less than once a month), central nervous system damage and mixed ones. This procedure is not suitable for people who experience dizziness and imbalance periodically in the form of attacks.

Diseases of the cardiovascular system. Hypotension and heart disease can cause dizziness that precedes syncope and syncope. The patient feels lightheaded, a feeling of lightheadedness, fear, and increased heartbeat.

Neurological disorders. In this case, a person experiences instability when walking, a “drunk” gait, which occurs when moving and disappears when the patient lies and sits. Such dizziness is characteristic of diseases such as epilepsy, migraine, etc.

Dizziness, or vertigo, is a health disorder in which a person feels a false movement of his body in space or the movement of surrounding objects. This condition is accompanied by loss of balance, sometimes nausea, vomiting, headache and other symptoms, which depends on the cause of this symptom.

Dizziness is one of the most common reasons why people seek medical help. Surely each of us has felt what it is like, for example, dizziness almost always accompanies colds, which forces you to stay in bed, or when you suddenly get out of bed in the morning. But in such cases, the dizziness is not severe and does not last long (a few seconds), which does not affect the general condition of the person and does not reduce the quality of his life.

But what to do when some people begin to complain of constant and severe dizziness? Why does it occur and what diseases does it hide? And finally, how to get rid of this painful symptom? This is exactly what will be discussed below.

Video broadcast about the causes of dizziness:

Types of dizziness

There are several classifications of dizziness, but the main types are true and false.

False dizziness

Patients use the term dizziness to describe a wide variety of pathological sensations, which are not always true dizziness. The fact is that a person who has never experienced real vertigo can put into this concept all the unpleasant sensations that arise in the body. In medicine, there is a special term for false dizziness - lipothymia.

Symptoms that are not true dizziness:

feeling general weakness with nausea, cold sweat, fear, darkening of the eyes (such signs can often be observed with hypoglycemia - a decrease in the concentration of glucose in the blood);
imbalance of non-vestibular origin, when “staggers”, “sways”, it is impossible to stay on one’s feet (the reason is disruption of the cerebellum, polysensory nervous insufficiency, extrapyramidal insufficiency, and not damage to the vestibular apparatus);
feeling of falling or fainting;
sensations that the patient cannot specifically identify, for example, “the ground disappears from under your feet,” “fog inside your head,” “as if drunk” (this often occurs with emotional disturbances, for example, with psychogenic dizziness, which does not apply to the present).

The feeling of impending fainting and other vague pathological sensations are referred to as false dizziness and are very common among women

True vertigo

Exactly this type In medicine, dizziness is called vertigo, or systemic. Patients describe it as an illusory whirling of one’s own body or surrounding things in a specific direction and in space. There are always signs of dysfunction of the ANS:

nausea and vomiting;
hyperhidrosis;
loss of balance;
rhythmic twitching of the eyeballs;
pale skin;
heartbeat.

True dizziness is vestibular in origin, that is, it is caused by the pathology of the vestibular analyzer, with its central part, which is located in the brain tissue, or the peripheral part, which represents the inner ear and the 8th FM nerve. Thus, true dizziness can be central (brain tumors, traumatic brain injury, stroke, basilar migraine) and peripheral (Meniere's disease, labyrinthine diseases and the 8th FM nerve).

We must remember! Determining the type of dizziness is very important, as it allows you to suspect a particular disease. And, as you know, you can effectively get rid of dizziness only by eliminating its root cause.

Causes of true severe dizziness

As already mentioned, true dizziness is associated with pathology of the vestibular analyzer. It should be noted that these are always serious diseases, and such vertigo indicates a serious danger not only to a person’s health, but also to his life.

Injuries to the head and cervical spine. IN this group include both recent traumatic injuries and their consequences. For example, severe dizziness after hitting the head may indicate a concussion or other types of TBI, and may also bother a person for many years after suffering a skull fracture or intracerebral hematoma;
Stroke, hemorrhagic or ischemic, especially localized in the brainstem and cerebellum, as well as its long-term consequences;
Insufficiency of vertebrobasilar circulation, when blood flow in the vertebral artery system is impaired. Most often this happens when cervical osteochondrosis and its consequences (herniated disc);
Brain tumors that directly destroy the area responsible for the vestibular apparatus. Or indirectly - compression by a rapidly growing tumor;
Basilar migraine;
Multiple sclerosis;
Epilepsy;
Alcoholic encephalopathy;
Overdose of medications that affect the central nervous system (antidepressants, tranquilizers, anticonvulsants, sedatives, etc.);
Temporal lobe epilepsy;
Kogan's syndrome is vasculitis of the vessels of the head.

Brain tumor is the cause of true central vertigo

Labyrinthitis – inflammatory disease inner ear, in which the peripheral part of the vestibular analyzer suffers. Along with dizziness, various hearing impairments are observed;
Vestibular neuroma ( benign tumor 8 pairs of cranial nerves) and neuronitis - inflammatory damage to the vestibular nerve;
Complications of chronic suppurative otitis media;
Meniere's disease;
Benign positional paroxysmal vertigo;
Middle ear cholesteatoma is a tumor-like formation that consists of dead epithelial cells, cholesterol crystals and keratin;
Perilymphatic fistula;
Taking ototoxic medications (aminoglycoside antibiotics, quinine, salicylates, some diuretics - furosemide and ethacrynic acid);
Ear injury.

Causes of false severe dizziness

The signs of false dizziness are described above, and the following diseases and pathological conditions can cause it:

Cardiac and vascular pathology (hypertension, arterial hypotension, cardiac arrhythmias, atherosclerosis, vasculitis);
Diabetes mellitus and its consequences, attacks of hypoglycemia;
Diseases of the blood system, especially anemia;
Orthostatic hypotension;
Vegetovascular dystonia;
Neurotic and anxiety-phobic disorders (psychogenic dizziness);
Chronic alcoholism;
Spinal cord injuries;
Vitamin deficiency;
Diseases of the organ of vision;
Infectious and somatic diseases which are accompanied by asthenic syndrome and general weakness;
Shy-Drager syndrome and other degenerative diseases of the peripheral nervous system.

Must remember! There are also physiological reasons severe dizziness. For example, the head may feel dizzy with active stimulation of the vestibular apparatus - abrupt change speed of movement, its direction, circling on the carousel, observing objects that move. This group also includes seasickness, and kinetosis (motion sickness syndrome).

The most common diseases that are accompanied by dizziness

Among the pathologies that are accompanied by severe dizziness, there are quite rare ones, which we mentioned above, but in 95% of cases, vertigo, true or false, is caused by the following diseases.

Benign positional paroxysmal vertigo

This disorder is classified as true peripheral vertigo and is the most common form. The disease is characterized by short-term attacks of true strong spinning of the body when turning the head in one direction, tilting it, throwing it back, or taking a certain position, for example, lying on its side.

The cause of such attacks is irritation of the receptors in the cochlea of the auditory analyzer in a certain human position. Typically, this disorder occurs in older patients with a history of infections and traumatic injuries.

Special gymnastic complexes – Dix-Hallpike and Brandt-Daroff – will help get rid of the pathology. Their efficiency reaches more than 90%.

In true peripheral vertigo, the inner ear is affected

Psychogenic dizziness

It is in 2nd place in terms of occurrence, but is classified as false. it can often be seen in people with VSD, panic attacks, anxious and neurotic disorders. The diagnostic criterion may be the significantly greater effectiveness of psychotherapy and sedative medications than special means from dizziness.

Meniere's disease

The main symptom of Menre's disease is periodic attacks of body whirling with decreased hearing acuity in one ear and noise sensations in it. Such an attack can last a couple of hours or a couple of days. Gradually, hearing in the affected ear is completely lost.

The pathology is based on excessive accumulation of endolymph in the labyrinth of the inner ear. Which leads to excessive activation of the vestibular analyzer and characteristic attacks. The real reason This phenomenon is not known today, but there is some connection with viral infections.

Video program about Meniere's disease:

Meniere's disease. What to do when your head is spinning

Arterial hypertension and hypotension

With vascular pathology of the brain, dizziness develops due to hypoxia of brain tissue, which certainly accompanies this group of diseases. With atherosclerosis and hypertension, cerebral vessels become irreversibly narrowed, which is the cause of the diverse symptoms of chronic cerebral ischemia, in particular dizziness.

Severe dizziness develops in 3 cases:

a sharp increase in pressure - hypertensive crisis;
a decrease in blood pressure below normal (hypotonic illness or overdose of blood pressure medications, shock);
with the development of discirculatory encephalopathy as a consequence of prolonged hypertension and cerebral atherosclerosis.

Adequate control of blood pressure using modern and safe medications reduces the risk of dizziness to a minimum.

Brain tumors

Dizziness due to brain tumors is attributed to early signs pathology. It is characterized by gradual intensification, accompanied by nausea and vomiting without relief, focal neurological symptoms(impaired vision, hearing, speech, paralysis, etc.).

Osteochondrosis of the cervical spine

Cervical osteochondrosis with the development of vertebral artery syndrome and chronic vertebrobasilar insufficiency is considered to be the cause of true central vertigo, since the back part of the brain suffers (lack of blood, oxygen and nutrients), where the central part of the human vestibular analyzer is located.

With cervical osteochondrosis, the blood supply to the back of the brain and cerebellum deteriorates, which leads to chronic dizziness

ENT pathology

Any infectious or other etiology of damage to the ENT organs, in particular the ear, can be complicated by vestibular neuronitis or labyrinthitis, which are often the cause of true peripheral vertigo.

This kind of dizziness appears suddenly, it is very pronounced, always has a systemic wrapping character, and is combined with hearing loss and tinnitus. But when adequate anti-inflammatory treatment is prescribed, all symptoms quickly and completely disappear.

How to help with an attack of dizziness?

First you need to know what exist warning signs for dizziness. Any of these should cause you to seek medical help immediately:

fever;
severe headache;
weakness in an arm or leg;
constant vomiting that does not bring relief;
if dizziness was preceded by a head injury;
if the attack does not go away on its own or with the help of medications within 60 minutes;
if a person loses consciousness due to dizziness;
if various focal neurological symptoms are observed simultaneously.

If you have an attack of dizziness, you can try to stop it with medications such as Betagistine, Scopalamine, Diphenhydramine, Cinnarizine, Motoclopramide.

You can try several non-drug methods at the same time:

Lie down in bed or on the floor to avoid falling and injuring yourself.
Provide access to fresh air.
If the patient is tense, you can give some kind of sedative, for example, valerian.
It is better to lie on your back and not move your head, otherwise the symptoms will only get worse.
You can place a cold compress or towel on your forehead.
IN mandatory measure a person’s blood pressure, pulse, breathing rate and temperature.

First aid video for dizziness:

3. Help with dizziness - a world-famous scientist recommends

Further treatment can only be prescribed by a doctor after determining the cause of dizziness. As a rule, additional therapeutic measures are not required if the underlying disease is adequately treated. Although these can also be prescribed - these are symptomatic medications and special exercises.

Constant lack of sleep, fatigue, hard work, stressful situations and worries provoke exhaustion of the body. As a result, chronic or sluggish diseases worsen, which can lead to dizziness in sleep. Such provoking factors include sinusitis and problems with gastrointestinal tract. In addition, dizziness occurs due to rheumatism, tuberculosis and Lyme disease, transmitted through a tick bite.

People whose bodies are weakened may experience dizziness at night and even feel it during sleep. Often a person tries to figure out the problem on his own, but this is not worth doing, because it is better to seek the help of a qualified specialist. This article talks about exactly how dizziness manifests itself in sleep, describes the main causes of the phenomenon and options for getting rid of it.

Symptoms of dizziness in a horizontal position

Dizziness can be normal or pathological. It is normal for the head to begin to feel dizzy after riding on a merry-go-round, during a sudden change in body position, when turning, or when standing on high altitude. Such symptoms are explained by the imbalance between visual analyzer and the vestibular apparatus.

Pathological dizziness is not the norm. It may occur during sleep and be accompanied by the following symptoms:

It seems to a person that the ceiling or walls are falling.
There is a feeling that the body is rotating on its own.
Objects in the room begin to float before your eyes.
There is increased anxiety.
Along with dizziness, there is nausea and a headache that does not go away even in sleep.

An exacerbation of anxious sensations occurs when turning to the other side or when turning over on your back. People often experience vomiting and severe weakness, lasting all day.

Why does dizziness occur?

Doctors have identified quite a few reasons that can cause dizziness when lying down. Most often, this phenomenon accompanies the following diseases or conditions:

Increase or decrease in blood pressure. Both of these ailments can cause the unpleasant symptom in question.
Appearance atherosclerotic plaques, which clog blood vessels and lead to disruptions in the process of blood circulation in the brain. A person experiences dizziness during sleep or in the morning.
Inner ear disease. Labyrinthitis (otitis) leads to an inflammatory process on the mucous membrane of the human inner ear. In the problem cavity there is pus, which presses on eardrum and moves it to the side. People experience dizziness, headaches and ear discomfort.
Problems with the vestibular system, which may be a consequence of Meniere's syndrome. The disease provokes a decrease in the tone of the vessels that control the vestibular apparatus and auditory endings. Symptoms of the disease are: loss of balance, vomiting and frequent dizziness in women.
Diabetes mellitus. The disease negatively affects blood vessels, which leads to dizziness.
Neoplasms in the brain. If a tumor is present, a person often has a headache, hearing and vision deteriorate.
Skull injuries. Dizziness may occur after swelling or concussion of the brain.
Taking certain medications with side effects
Heart diseases that provoke poor circulation: tachycardia, arrhythmia or bradycardia.
Neuralgia. Sometimes there is a malfunction of the central and peripheral nervous system, which leads to strokes, Parkinson's disease, Alzheimer's disease or senile sclerosis.

Don't forget about poor nutrition. If a person adheres to fasting, then his body experiences a lack of vitamins and microelements that are needed for normal functioning all systems.

If we talk about what dizziness leads to, it is worth clarifying that in itself it is not a life-threatening condition. But the problem can become dangerous when a person works at height, is on an escalator, stairs, or close to the side of a marine vessel. There is a risk that he will lose his balance and get injured.

How is the problem diagnosed?

To help a person and understand why he is dizzy, doctors must fully examine the patient who comes to him. Due to the fact that diseases of the inner ear are quite difficult to identify, experts prescribe comprehensive diagnostics body.

The doctor needs to find out how and under what conditions the attack manifests itself, and what it can lead to. In this case, you need to take into account the following points:

Initial symptoms of an attack: dizziness may appear after nausea or fainting.
Frequency and duration of attacks.
The presence or absence of a provoking factor: anxiety at night, changes in body position, head turns.
In what body position does the attack occur: on the side or on the back?
Other symptoms: pain in the head or ears, hearing loss, unsteady gait, gagging.
the effect of which is nausea or dizziness.

If pathology of the vertebral artery is suspected, specialists perform MRI, CT, ultrasound of the cervical vessels and x-rays of the spine. Taking into account the results of the examination and the causes of dizziness, doctors make a diagnosis and prescribe therapeutic measures.

How is dizziness treated?

In the case when the cause of the phenomenon in question is discovered, the main disease must be eliminated. To do this, doctors prescribe medications that are aimed at relieving dizziness before bedtime and accompanying symptoms. These medications include drugs that dilate blood vessels, improve blood circulation and relieve spasms in blood vessels. Here are some of them: Phezam, Cinnarizine, Nootropil and Betaserc. Tablets or injections give a person the opportunity to get rid of pain and dizziness in the head, and tinnitus. In addition, patients note improved attention and memory.

All pharmaceutical drugs should be taken strictly as prescribed by the attending physician and in the dosage indicated by him.

If a person is dizzy and has been diagnosed with osteochondrosis, congenital anomalies or a tumor, then pills alone will not get rid of the problem. In this case, complex therapy is recommended: gymnastic exercises, taking vitamin B, breathing exercises, physiotherapeutic measures, a full course of massage or surgery.

Preventive measures

In order to eliminate the manifestations of vertigo in a supine position, you need to follow all the doctor’s recommendations and take several preventive measures. They are:

Do not delay a visit to a qualified specialist at the first symptoms of dizziness.
Diversify your diet. Everything should be included in the diet necessary for the body vitamins.
Walk outdoors more often, especially before bed.
Exercise regularly, observing the permissible load.
Completely eliminate alcohol and cigarettes.

If you adhere to the above rules, you can quickly eliminate the signs of dizziness and avoid what they can lead to. Similar problems Therapists and neurologists are involved in helping to prevent and cure dangerous diseases, the symptoms of which are dizziness.