Detailed history of the problems, patient is facing, has to be noted, along with provocating factors like sound, visual stimuli, movement.
Whether problem started suddenly, or gradually or presence of associated symptoms( problem) like ringing sensation in the ear, hearing loss, ear fullness as in Meniers Disease , displacement of calcium carbonate crystals to one part of the inner ear to another as in BPPV , after an infection as in labyrinthitis or vestibular neuronitis ,vesicles ( varicella and herpes Zoster lesions) in the ear canal, double vision, numbness of the face, swallowing and speech problem, fits, loss of consciousness, head ache or blindness. Vestibular migraine another cause for vertigo .Above mentioned symptoms points towards any involvement of ear and higher centres (brain)
Other causes for giddiness are hormonal problems, hypoglycemia ( low sugar levels), heart problems, hypotension( low blood pressure) anaemia, anxiety, phobia, panic attacks to name a few.
Hope you got some idea of balance problems.
Informative
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