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What Causes Vertigo? Root Causes of Dizziness Explained

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Discover the real causes of vertigo and balance disorders. Learn why you feel dizzy and how to get help from specialists at Resonance Speech & Hearing Clinic.


“Why Am I Dizzy All the Time?”
It’s one of those quietly terrifying questions, right? You’re standing up from a chair, and suddenly the floor shifts like you’re on a boat in a storm. Or you’re just brushing your teeth, and the whole bathroom tilts sideways for no reason. Dizziness, especially when it hits out of the blue, can be downright unsettling. But here’s the thing—you’re not alone, and it’s not all in your head (well, technically, it kind of is… but we’ll get to that).
Let’s take a closer look at what might be going on behind the scenes—and under your feet.


Is It Vertigo or Just a Bit of a Wobble?

First, some clarity: not all dizziness is vertigo. That’s like saying all headaches are migraines—same ballpark, very different games.
Vertigo isn’t just feeling lightheaded. It’s that spinning, tilting, rocking sensation—like the world’s on a merry-go-round and forgot to invite you. Some people say it feels like they’re moving when they’re not. Others feel like the room is swaying even though everything’s perfectly still.
Understanding this distinction helps doctors (like our team here at Resonance Speech and Hearing Clinic) figure out what’s actually going wrong.


So What’s Causing the Room to Spin?

Let’s talk ears—and not the “can you hear me now?” kind. Deep inside your inner ear lives a tiny structure called the vestibular system. It’s your body’s built-in GPS for balance. When it gets confused, so do you.

Here are some of the usual troublemakers:

  • BPPV (Benign Paroxysmal Positional Vertigo): Fancy name, simple cause. Tiny crystals in your inner ear slip out of place and confuse your balance sensors. It usually kicks in when you change positions—like rolling over in bed or tilting your head back in the shower. Sounds minor, but it can be brutally disorienting.
  • Vestibular Neuritis: Caused by an inner ear infection or inflammation of the vestibular nerve. It shows up suddenly—like a surprise party you didn’t want—and can last for days.
  • Meniere’s Disease: Think vertigo, hearing loss, tinnitus (that annoying ringing sound), and a feeling of fullness in the ear. It tends to come in episodes, often triggered by stress or salty foods. Yeah, vertigo can be a foodie’s worst enemy.
  • Migrainous Vertigo: Even if you’ve never had a full-blown migraine, this kind of vertigo is linked to changes in blood flow or nerve signals. And yes, it can show up without a headache.

But Wait—There’s More on the Suspect List

Not all balance issues are ear-related. Sometimes the roots are sneakier.

  • Anxiety and Panic Attacks: Anxiety doesn’t just mess with your head—it messes with your body, too. Feeling dizzy, off-balance, or like you’re floating can be part of your brain’s “fight or flight” overreaction. Ironically, the more you worry about being dizzy, the dizzier you can feel.
  • Low Blood Pressure or Dehydration: You stand up too fast, and—whoosh—you’re dizzy. That’s your blood pressure dropping. Combine that with not drinking enough water, and your brain might not be getting the fuel it needs.
  • Medications: Some blood pressure meds, antidepressants, and even antibiotics can mess with your equilibrium. Always check the label—and have a chat with your doctor if you’re unsure.
  • Neurological Conditions: Less common, but things like stroke, multiple sclerosis, or even brain tumors can affect balance. Not trying to scare you—just painting the full picture.

Okay, but When Should I Be Worried?

Good question. Everyone feels dizzy now and then. But if it’s happening often—or it’s paired with other symptoms—it’s worth checking out.
Here are some red flags that should nudge you toward a professional:

  • Sudden, severe vertigo that lasts more than a few minutes
  • Trouble speaking, walking, or seeing clearly
  • Nausea or vomiting that won’t stop
  • Fainting or near-fainting spells
  • Hearing loss or ringing in the ears

Basically, if your dizziness is messing with your ability to function—or making you afraid to move—it’s time to reach out. And hey, that’s exactly what we’re here for at Resonance Speech and Hearing Clinic.


Living With Vertigo: It’s Not Just in Your Body—It’s in Your Head, Too

Here’s something we don’t talk about enough: the emotional toll of vertigo. The fear of falling, the awkwardness of asking for help, the embarrassment of stumbling in public… it can be a lot.

Some people start avoiding social outings. Others stop exercising altogether. It’s not just about balance—it’s about confidence. And the longer you wait, the more isolating it can feel.

But guess what? Help exists. And recovery is real. Whether it’s through vestibular rehabilitation, medication, lifestyle changes, or sometimes just knowing what’s causing it—getting answers can change everything.


Still Wondering Why You’re Dizzy?

You’re not alone. And more importantly, you’re not stuck.
At Resonance Speech and Hearing Clinic, we see people like you every day—spinning, stumbling, searching for answers. We’ve got the tools, the tests, and the team to help pinpoint the cause and get you back on steady ground.
So if you’re tired of wondering “Why am I dizzy?”—maybe it’s time to stop guessing and start knowing.
📞 Call us or book an assessment today. Your balance—and your peace of mind—are worth it.