Vertigo for a week: what to do next

Some vertigo is brief and linked to a particular head position, while other patterns continue between attacks. Benign paroxysmal positional vertigo can cause repeated position-triggered episodes; inflammation or infection affecting balance may leave unsteadiness; Meniere's disease can include ear pressure, ringing or hearing change; and migraine can cause dizziness with or without a typical headache. A week of symptoms does not identify one cause, so an examination helps distinguish inner-ear, neurological, medication-related and other possibilities.

Use handrails, keep floors clear, and have another person nearby if walking feels unsafe. Avoid driving, ladders and activities near water. Change position slowly, rest when symptoms build, and drink small amounts regularly if nausea allows. Keep a diary of attacks and continuous symptoms: note triggers, hearing changes, headache, recent illness, falls and all medicines or supplements. Bring that information to the appointment rather than trying positional exercises without guidance.

Seek emergency help for new weakness, numbness, facial drooping, trouble speaking, severe new headache, fainting, chest pain, new double vision or inability to stand or walk. Get prompt medical care for sudden hearing loss, repeated vomiting, fever with severe illness, symptoms after a head injury or rapidly worsening imbalance. Arrange a clinical review soon even without these signs because symptoms persisting for a week can interfere with safety and work.

Ask what examinations may clarify the cause, whether your medicines need review, whether hearing or balance testing is useful, and which treatment is safe if head position triggers the attacks.