Persistent Dizziness: When to Seek ENT Help - Otolaryngology

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Persistent dizziness can be a perplexing and distressing symptom, and it’s important to approach it with a thorough understanding of potential underlying causes. Given your description of experiencing a long-term sensation of swaying, particularly at night while lying down or while sitting, and the recent increase in frequency of these episodes, it is advisable to seek medical attention.
Dizziness can stem from a variety of sources, including vestibular disorders, neurological issues, cardiovascular problems, or even psychological factors. The sensation of swaying or feeling like the ground is moving can often be associated with vestibular disorders, which affect the inner ear and balance. Conditions such as benign paroxysmal positional vertigo (BPPV), vestibular neuritis, or Meniere's disease could be potential culprits.
In your case, since the dizziness occurs intermittently and has increased in frequency, it may be prudent to consult an Ear, Nose, and Throat (ENT) specialist, also known as an otolaryngologist. ENT specialists are well-equipped to evaluate and manage disorders related to the inner ear, which plays a crucial role in balance. They can perform specific tests, such as a Dix-Hallpike maneuver for BPPV, or imaging studies if a more serious condition is suspected.

Additionally, it may also be beneficial to consider a visit to a neurologist. Neurological conditions can sometimes present with dizziness, and a neurologist can help rule out any central nervous system issues that might be contributing to your symptoms.
When you visit the ENT or neurologist, be prepared to discuss your symptoms in detail. This includes the nature of your dizziness (e.g., spinning, swaying, lightheadedness), any associated symptoms (such as hearing changes, tinnitus, or headaches), and any triggers you may have noticed. This information will help the physician make a more accurate diagnosis.

In summary, given your persistent dizziness and the recent increase in episodes, it would be wise to seek an evaluation from an ENT specialist. They can assess your symptoms, conduct necessary tests, and determine if further referrals to other specialists, such as a neurologist, are warranted. Early intervention can be key in managing dizziness effectively, so don’t hesitate to seek help.