Most spinning vertigo starts in the inner ear, and the commonest cause, BPPV, is very treatable. Our audiologists in Electronic City Phase 1 and Phase 2 assess your balance and hearing, give exercises where they fit, and refer you to an ENT or neurologist when needed.
Face drooping on one side, slurred or confused speech, arm or leg weakness or numbness, the worst headache of your life or a sudden severe one, double vision or vision loss, unable to stand or walk, a fall with a head injury, chest pain, a racing heartbeat or fainting. These can be stroke signs; every minute counts.
People say "dizzy" for very different feelings. The word you choose helps find the cause.
When it started, how long each episode lasts (seconds, minutes, hours or days), what sets it off, and whether your hearing changes or an ear rings during it. Those four answers often point to the cause before any test.
The inner ear holds the hearing and balance organs, so your hearing helps tell these apart.
Benign paroxysmal positional vertigo is the most common cause of spinning vertigo, especially after 50. Tiny calcium crystals in the inner ear come loose and drift into one of the balance canals. Then a head movement, such as rolling over in bed, lying back at the hair salon or looking up to a high shelf, makes the room spin hard for a few seconds to under a minute. BPPV is usually treated with a repositioning manoeuvre, such as the Epley manoeuvre, by an ENT or a trained clinician. Many people feel better after one or a few sessions, though it can come back.
These come on suddenly, often after a cold or flu. The balance nerve on one side becomes inflamed. You get severe spinning with nausea that lasts a day or more, then a slow recovery over days to weeks, with some unsteadiness that can linger. In labyrinthitis, hearing on that side drops too. A sudden drop in hearing needs an ENT the same day, so do not wait for it to settle.
Ménière's causes attacks of vertigo that last from about 20 minutes to several hours, with a full or blocked feeling in one ear, ringing and hearing that dips during attacks. Over time, the hearing in that ear can worsen. It is managed by an ENT, often with changes to diet and medicines. We track your hearing between attacks, and if ringing in the ear is part of it, we help with that too.
We would rather send you to the right person first than see you twice.
| Who | See them when |
|---|---|
| Emergency department | Any red-flag sign above. Do not wait for an appointment. |
| ENT doctor | Ear pain, discharge, sudden hearing loss or a blocked ear. Manoeuvres and medicines. |
| Neurologist | Headaches, numbness, unsteady walking, or a history of stroke or migraine. |
| Your physician | Lightheaded on standing: blood pressure, blood sugar, anaemia or medicines. |
| Audiologist (us) | Spinning or imbalance, with or without hearing change. We assess and refer with a report. |
Call us on +91 88848 64343. We will tell you whether to come to us, see a doctor, or go to an emergency department.
A calm room at either centre. No special preparation needed.
Bring someone to take you home if you have been very dizzy, and do not drive yourself during a bad spell.
Some cases need detailed eye-movement recordings (VNG or vHIT) or a scan. If yours does, we will say so and explain where to have it done. Clinics in Bangalore have quoted about ₹4,000 to ₹12,000 for VNG.
VNG price range from NeuroEquilibrium's published Bangalore figures. It is not a Poorvam price.
When one balance organ is weaker, the brain can learn to make up for it. Exercises speed that up.
The exercises should match your cause, so we give them after an assessment, or when your ENT or neurologist has referred you with a diagnosis. For some people, especially older adults with a fall, we may also refer you to a physiotherapist. Most people do the exercises at home for a few minutes several times a day, over several weeks, and come back so we can check progress and step them up.
Inner-ear problems, blood pressure medicines, poor eyesight and weaker legs add up. Light the path to the bathroom, remove loose rugs, and sit on the bed edge before standing.
In older adults, dizziness often has more than one cause. Hearing loss also raises the risk of falls, so a hearing test is worth doing at the same visit.
Balance assessments run at our Phase 1 centre on Hulimangla Road, near Westside, and our Phase 2 centre in Ananth Nagar, above the Bata showroom. That suits patients from Electronic City, Hosa Road, Begur, Bommasandra and Chandapura who would otherwise travel across Bengaluru for a vertigo assessment.
Same team, same equipment, same hours at both. Pick whichever is closer.
Hulimangla Road, near Sai Mandir Temple, above RxDx Multi Speciality, Hulimangala, Bengaluru 560105
Mon–Sat, 9:30 am – 6:30 pm. Sunday closed.
Lift available. Home visits available.
Closest for Hulimangla, Neeladri Nagar, Doddathoguru, Konappana Agrahara.
Ananth Nagar, above Bata showroom, opp. Udupi Aaradhya restaurant, Bengaluru 560100
Mon–Sat, 9:30 am – 6:30 pm. Sunday closed.
Upstairs, reached by stairs. There is no lift. Home visits available.
Closest for Ananth Nagar, Hebbagodi, Bommasandra, Chandapura.
Go to an emergency department now if dizziness comes with face droop, slurred speech, weakness, double vision or the worst headache of your life. For spinning brought on by head movement, or vertigo with hearing loss or ringing, start with an ENT or an audiologist. For vertigo with headaches, numbness or trouble walking, see a neurologist. An audiologist assesses the inner ear and balance and tells you which doctor you need.
BPPV (benign paroxysmal positional vertigo) is the most common cause of spinning vertigo. Tiny crystals in the inner ear slip into the wrong canal, so a head movement such as rolling over in bed or looking up sets off a short, strong spin, usually under a minute. It is usually treated with a repositioning manoeuvre such as the Epley, done by a trained clinician.
It depends on the cause. BPPV often settles after one or a few repositioning manoeuvres. Vestibular neuritis usually improves over weeks, helped by balance exercises. Ménière's disease can be controlled but tends to come and go. Finding the cause is the first step.
VNG (videonystagmography) records eye movements with goggles to test the balance system in detail. Clinics in Bangalore have quoted about ₹4,000–12,000 for it. Many people don't need it. Your vestibular assessment starts with a case history, positional and bedside balance tests and a hearing test, and we tell you if VNG or a scan is the right next step.
Yes. The inner ear holds both the hearing organ and the balance organ, so many causes of vertigo are in the ear. That is why a hearing test is part of every balance assessment: a change in hearing on one side points to a different cause than vertigo with normal hearing.
Vestibular rehabilitation exercises retrain the brain to rely on the balance system again. They include keeping your eyes on a target while moving your head, repeating the movements that make you dizzy in a controlled way, and standing and walking practice. They should be set for your cause, so get assessed before you start.
A calm assessment with a hearing test, a clear explanation and the right next step.
