Is your dizziness a sensation in your head or your legs? Dizzy, giddy, lightheaded or unstable?
Light headed feelings can come from disturbance of balance due to inner ear, neck joint or blood pressure problems, just for a start.
The feeling may be vertigo, when one feels movement which isn't happening. This can be rotating, veering or tipping over.
It may be a fainty feeling, as if everything is becoming distant and quieter and darker. One feels weak and may come out in a cold sweat.
Very often it is just giddy feeling, and then the circumstances may help in sorting out the cause.
Do you have any illness or take any medications?
Low blood pressure or glucose from hypertension or diabetes treatment, are causes.
Abnormal tension in neck muscles from jaw or cervical spine problems, is another.
Inner ear malfunction with worsening deafness and ringing ears, may be due to Meniere's syndrome, a cause of vertigo attacks.
The inner ear may be affected suddenly and severely, in acute labyrinthitis, following a recent head cold.
Progesterone hormone lowers blood pressure early in pregnancy. Fainting may result now. At the end of pregnancy, laying flat on one's back may bring on the "supine hypotensive syndrome" as the inferior vena cava can then be blocked by the weight of the baby on it.
Past allergies or asthma may alert one to the possibility of a desperately urgent and life threatening
Nausea and dizzy feelings are likely to be present together, whatever the cause.
Other symptoms can be more helpful.
Blocked or runny nose? Sinus blockage can cause very odd feelings in one's head.
Headache or earache? Sinuses again, or cervical spine joints stiff and sore, jaw joint strain, all possible.
Butterflies in your stomach, difficulty thinking clearly, agitated, unsteady when you stand up? Adrenal exhaustion¹ with functional hypoglycaemia is possible.
Giddy rolling over in bed or turning to look sideways? Benign positional vertigo or neck joints stiff and sore, most likely.
Have your symptoms clear in your head, and even have a small list on a small card so you don't forget something.
A page of longhand writing is likely to worry a new doctor, who has to consider time.
A complaint of dizziness is going to lead to other questions, so you can volunteer pertinent information to help.
A very important detail is when you get dizzy, such as when standing up from a bath, a seat or bed.
This pattern will prompt the doctor to take your blood pressure, so wear something light which you can roll up easily. This is one time when a single seated reading is inadequate. Laying down and standing up readings are needed, in case your diastolic pressure drops when you stand. It should rise a little. A drop may mean you have adrenal dysfunction.
Take a fresh urine sample with you in case a test is called for.
1. Low cortisol hormone can be associated with anorexia, nausea and preferring carbohydrates to meats, liking salt, vinegar, lemon or spicy foods.
Low cortisol results in stress being experienced as suffering, with emotional extremes, pessimism, paranoia and drama.
Inner ear inflammation.
A labyrinth is a complicated network of passages, here encased in the petrous temporal bone at the side of our head. These particular passages contain the balance and hearing mechanisms of our inner ear.
The inferior vena cava is the large vein in the back of our tummy, bringing blood back to the heart from our lower body.
With each heart beat (systole,) blood is suddenly pumped out into the aorta, the major artery channeling blood to all parts of our body. The blood cannot flow far in the short time of the heart beat, so it swells up the aorta. A wave of pressure passes down the arteries and we measure this in the arm or leg as the systolic blood pressure.
The pressure drops until the next wave, to a minimum called the diastolic.