• Published on: Feb 04, 2026
  • 3 minute read
  • By: Secondmedic Expert

Dizziness And Vertigo Causes: Understanding The Difference, Triggers, And When To Seek Care

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Dizziness and vertigo are among the most frequent symptoms reported in clinical practice. While often used interchangeably, they describe different sensations and can arise from a wide range of causes. Understanding dizziness and vertigo causes helps identify when symptoms are benign and when they require urgent medical evaluation.

In India, these symptoms are commonly linked to inner ear disorders, dehydration, blood pressure fluctuations and lifestyle factors, but serious neurological causes must also be considered.

Dizziness vs Vertigo: What Is the Difference?

Dizziness refers to:

  • lightheadedness

  • feeling faint

  • unsteadiness

Vertigo refers to:

  • a spinning or rotating sensation

  • feeling that the surroundings are moving

Recognising the difference helps narrow down the cause.

Common Causes of Vertigo

Benign Paroxysmal Positional Vertigo (BPPV)

BPPV is the most common cause of vertigo.

It occurs when:

  • tiny calcium crystals in the inner ear shift position

  • head movements trigger spinning sensations

Episodes are brief but intense.

Vestibular Neuritis and Labyrinthitis

These conditions involve inflammation of the inner ear nerves.

They cause:

  • sudden severe vertigo

  • nausea and vomiting

  • imbalance

Often linked to viral infections.

Ménière’s Disease

Ménière’s disease is characterised by:

  • recurrent vertigo episodes

  • hearing loss

  • ringing in the ears

It is associated with fluid imbalance in the inner ear.

Common Causes of Dizziness

Dehydration

Dehydration reduces blood volume.

This leads to:

  • low blood pressure

  • reduced blood flow to the brain

Hot climate and low water intake increase risk.

Blood Pressure Changes

Dizziness occurs due to:

  • low blood pressure

  • sudden drops on standing

  • poorly controlled hypertension

Orthostatic hypotension is a frequent cause.

Anemia

Low hemoglobin reduces oxygen delivery.

Symptoms include:

  • dizziness

  • fatigue

  • breathlessness

NFHS-5 reports anemia as a widespread issue in India.

Blood Sugar Imbalance

Both low and high blood sugar can cause:

  • dizziness

  • confusion

  • weakness

This is common in diabetes and prediabetes.

Neurological Causes

Migraine-Associated Vertigo

Migraines can cause:

  • vertigo

  • dizziness

  • sensitivity to light

This may occur with or without headache.

Stroke and Transient Ischemic Attacks

Sudden dizziness with:

  • slurred speech

  • facial droop

  • limb weakness

requires immediate medical attention.

Medication-Related Causes

Several medications can cause dizziness, including:

  • blood pressure medicines

  • sedatives

  • antidepressants

  • certain antibiotics

Medication review is essential when symptoms begin after a new drug.

Anxiety and Stress

Anxiety can cause:

  • lightheadedness

  • hyperventilation

  • imbalance

Stress-related dizziness is common but often misdiagnosed.

Inner Ear and Balance System

The vestibular system:

  • controls balance

  • integrates signals from eyes and muscles

Disruption at any level can cause vertigo or dizziness.

Lifestyle Factors That Trigger Symptoms

Common triggers include:

  • inadequate sleep

  • excessive caffeine

  • alcohol intake

  • prolonged screen exposure

Lifestyle correction often reduces symptom frequency.

Warning Signs That Need Urgent Evaluation

Seek immediate care if dizziness or vertigo is associated with:

  • chest pain

  • sudden severe headache

  • vision loss

  • weakness or numbness

  • difficulty speaking

These may indicate serious conditions.

Diagnostic Evaluation

Diagnosis may involve:

  • detailed history

  • physical and neurological examination

  • hearing and balance tests

  • blood investigations

  • imaging when required

Accurate diagnosis guides effective treatment.

Management and Treatment Options

Treatment depends on cause and may include:

  • repositioning maneuvers for BPPV

  • medications for nausea or inflammation

  • hydration and nutrition correction

  • vestibular rehabilitation therapy

Avoid self-medication.

Preventive Measures

Helpful preventive strategies include:

  • adequate hydration

  • slow position changes

  • regular meals

  • managing blood pressure

  • stress reduction

Consistency is key.

Role of Preventive Health Checkups

Regular health checkups help detect:

  • anemia

  • blood sugar imbalance

  • blood pressure abnormalities

Early correction prevents recurrent symptoms.

Impact on Daily Life

Persistent dizziness affects:

  • work productivity

  • confidence

  • risk of falls

Early treatment improves quality of life.

Conclusion

The dizziness and vertigo causes range from common inner ear disorders and dehydration to blood pressure changes, anemia and neurological conditions. While many causes are benign and treatable, persistent or severe symptoms should never be ignored. Timely medical evaluation, lifestyle correction and preventive screening are essential to ensure safety, restore balance and protect long-term health.

References

  • Indian Council of Medical Research (ICMR) – Neurological and Balance Disorders
  • National Family Health Survey (NFHS-5) – Anemia and Adult Health Data
  • World Health Organization (WHO) – Dizziness and Balance Disorders
  • Lancet – Vertigo, Inner Ear and Neurological Research
  • NITI Aayog – Preventive Healthcare and Early Symptom Recognition

Read FAQs


A. No. Dizziness is a general feeling of lightheadedness, while vertigo is a spinning sensation.

A. Benign Paroxysmal Positional Vertigo (BPPV) due to inner ear crystal displacement.

A. Yes. Low fluid intake reduces blood pressure and cerebral blood flow.

Read Blog
Chest pain

Chest Pain While Breathing: Causes, Warning Signs, and When to Seek Urgent Care

Chest pain is one of the most alarming symptoms a person can experience, especially when it worsens during breathing. Chest pain while breathing, also known as pleuritic chest pain, often indicates involvement of the lungs, chest wall or surrounding structures. While some causes are mild, others can be life-threatening and require immediate medical attention.

In India, respiratory infections, air pollution, sedentary lifestyles and delayed medical care contribute significantly to chest-related symptoms.

 

What Does Chest Pain While Breathing Mean?

Chest pain while breathing refers to pain that:

  • worsens with deep inhalation or exhalation

  • may feel sharp, stabbing or burning

  • can be localized or spread across the chest

Pain intensity often increases with coughing or movement.

 

Common Causes of Chest Pain While Breathing

Lung Infections (Pneumonia)

Pneumonia inflames lung tissue and surrounding membranes.

Symptoms include:

  • chest pain while breathing

  • fever

  • cough

  • breathlessness

ICMR data identifies pneumonia as a major cause of respiratory illness in India.

 

Pleuritis (Inflammation of Lung Lining)

The pleura are thin membranes surrounding the lungs.

When inflamed:

  • breathing causes friction

  • sharp chest pain occurs

Pleuritis often follows viral infections or pneumonia.

 

Pulmonary Embolism

A blood clot in the lungs causes:

  • sudden chest pain

  • rapid breathing

  • severe breathlessness

This is a medical emergency requiring immediate care.

 

Chest Wall Muscle Strain

Muscle strain due to:

  • heavy lifting

  • intense coughing

  • poor posture

can cause pain during breathing or movement.

 

Costochondritis

Inflammation of rib cartilage causes:

  • localized chest pain

  • pain worsened by breathing or pressing on the chest

This condition is painful but not life-threatening.

 

Pneumothorax (Collapsed Lung)

Air leakage into the chest cavity causes:

  • sudden sharp chest pain

  • breathlessness

Often seen after trauma or in individuals with lung disease.

 

Heart-Related Causes

Though heart pain usually does not worsen with breathing, conditions such as:

  • pericarditis (heart lining inflammation)

can cause chest pain that changes with respiration.

 

Acid Reflux and Esophageal Spasm

Gastrointestinal causes may mimic chest pain.

However:

  • pain usually relates to meals

  • breathing-related pain should be evaluated carefully

 

Anxiety and Panic Disorders

Anxiety can cause:

  • chest tightness

  • rapid breathing

  • discomfort while breathing

Medical causes must be ruled out before attributing pain to anxiety.

 

Warning Signs That Require Emergency Attention

Seek immediate medical care if chest pain while breathing is associated with:

  • sudden onset

  • severe breathlessness

  • bluish lips or fingers

  • dizziness or fainting

  • sweating

  • coughing up blood

These may indicate life-threatening conditions.

 

Risk Factors for Serious Chest Pain

Higher risk occurs in people with:

  • smoking history

  • recent surgery or long travel

  • lung disease

  • heart disease

  • clotting disorders

Early evaluation is critical.

 

Diagnostic Evaluation

Doctors may recommend:

  • physical examination

  • chest X-ray

  • ECG

  • blood tests

  • CT scan

Timely diagnosis saves lives.

 

Why Chest Pain Should Not Be Ignored

Ignoring chest pain can lead to:

  • delayed treatment

  • worsening respiratory failure

  • preventable complications

WHO emphasises early symptom recognition for better outcomes.

 

Impact of Air Pollution and Lifestyle

Air pollution increases:

  • lung inflammation

  • infection risk

Sedentary habits reduce lung capacity, worsening symptoms.

 

Preventive Measures

Helpful preventive steps include:

  • avoiding smoking

  • staying physically active

  • managing respiratory infections early

  • maintaining good posture

  • staying hydrated

Preventive care reduces risk.

 

Role of Preventive Health Checkups

Regular health screening helps detect:

  • early lung disease

  • heart risk factors

  • chronic inflammation

Early intervention prevents emergencies.

 

When Chest Pain Is Less Likely Serious

Pain may be less concerning if:

  • localized

  • reproducible on touch

  • improves with rest

However, medical confirmation is still necessary.

 

Importance of Timely Medical Consultation

Chest pain should always be evaluated by a healthcare professional.

Delaying care can:

  • increase complications

  • raise mortality risk

Early action saves lives.

 

Conclusion

Chest pain while breathing is a critical symptom that should never be ignored. While causes range from muscle strain and infections to serious lung and heart conditions, only proper medical evaluation can determine the exact cause. Early diagnosis, timely treatment and preventive care are essential to protect respiratory and cardiovascular health. When it comes to chest pain, it is always safer to act early than to wait.

 

References

  • Indian Council of Medical Research (ICMR) – Respiratory and Cardiovascular Health Reports

  • World Health Organization (WHO) – Chest Pain and Respiratory Symptoms Guidelines

  • National Family Health Survey (NFHS-5) – Adult Respiratory Health Data

  • Lancet – Pulmonary Embolism and Chest Pain Research

  • NITI Aayog – Preventive Healthcare and Early Symptom Recognition

See all

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