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Dizziness and Vertigo

Dizziness and vertigo are common across all groups, but Black Americans face disparities in diagnosis and treatment. Black patients are less likely to be referred for specialized vestibular testing and vestibular therapy, leading to underdiagnosis of inner ear disorders such as BPPV and Meniere's disease. Black adults also have higher rates of conditions that contribute to dizziness — including hypertension, diabetes, and stroke — yet are more likely to have these symptoms dismissed or attributed to anxiety rather than fully investigated, increasing the risk of falls and related injuries.

Overview

Dizziness and vertigo are common balance-related symptoms that can make you feel lightheaded, unsteady, or like the room is spinning. Dizziness is a broad term describing feeling faint, woozy, or off-balance, while vertigo is a specific type of dizziness that creates the false sensation that you or your surroundings are moving or spinning. These symptoms are often linked to problems in the inner ear, which controls balance, but can also result from cardiovascular, neurological, or metabolic conditions. While usually not life-threatening, dizziness and vertigo can significantly affect daily life and increase the risk of falls.

Common Symptoms
  • A spinning sensation, either of yourself or your surroundings
  • Lightheadedness or feeling faint
  • Unsteadiness or loss of balance
  • Nausea or vomiting triggered by movement
  • Blurred vision or difficulty focusing
  • Ringing in the ears (tinnitus)
  • Feeling of motion or tilting when sitting or lying still
  • Dizziness triggered by changes in head position
  • Difficulty walking or standing during episodes
Risk Factors in Our Community
  • Inner ear disorders such as BPPV, Meniere's disease, or vestibular neuritis
  • Age — risk increases with older age
  • High blood pressure and cardiovascular disease
  • Diabetes, which can affect nerves and circulation
  • History of stroke or mini-strokes (TIAs)
  • Certain medications, including blood pressure drugs and sedatives
  • Dehydration and low blood sugar
  • Migraines and vestibular migraines
  • Head or neck injuries
  • Anemia and vitamin deficiencies

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Medical Disclaimer

This information is for educational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider for diagnosis and treatment.