Dizziness with nausea

Synonyms in a broader sense

Medical: Vertigo

To form: Positional vertigo, Vertigo, Vertigo,

English: Vertigo, dizziness

Dizziness and nausea

Dizziness (Vertigo) and nausea (Nausea) are complaints that are often associated with one another.

If dizziness and nausea occur together, this can be attributed to some specific diseases, most of which have their origin in the central nervous system. The following illnesses should primarily be considered with this complex of symptoms:

Meniere's disease

Menière's disease is a disease that takes place in the human inner ear. People between the ages of 40 and 60 are particularly often affected. They typically suffer from the so-called Menière’s triad, consisting of

  • Vertigo attacks
  • unilateral hearing deterioration or hearing loss
  • "Ringing ears" (Tinnitus aurium).

During the spinning vertigo attacks, nausea is not infrequently felt, which can even lead to vomiting.

The cause of Meniere's disease is still unclear today. One assumes an endolymph congestion (endolymph is a potassium-rich liquid), which causes excess pressure in the cochlea.

Vestibular migraines

A vestibular migraine is typically characterized by recurring attacks of dizziness that last minutes to hours. Headaches can also occur. Headaches with nausea and vomiting, sensitivity to light and noise, or auras, as in a classic migraine, sometimes characterize the symptoms.

The term "vestibular migraines“Is not completely precise in this respect, as it may be possible that only vertigo without a headache occurs.

This article might also interest you: Dizziness and Migraines - All You Need To Know


The labyrinth denotes the human Inner ear to that

  • Hearing organ
  • Cochlea and
  • Balance organ (vestibular organ) counting.

So-called labyrinthitis is an inflammation of the inner ear that can develop in different ways.

To be mentioned here are:

  • acute or chronic existing Otitis media (Otitis media) that spreads to neighboring structures,
  • Meningitis (meningitis) or
  • viral infection, how mumps, rubella or an infestation with the Cytomegalovirusbelonging to the group of Herpes viruses counts.

Furthermore, an existing infection elsewhere can develop on the blood path into the inner ear spread and thereby also cause labyrinthitis. Infections that can cause labyrinthitis are Lyme disease and syphilis (Syphilis).

In addition to poor general health, patients with labyrinthitis complain of marked vertigo combined with nausea and vomiting. A hearing impairment can also occur.


In today's society, stress is a typical trigger for complaints such as dizziness and nausea.

Long-term or long-term stress at work or in private surroundings, above all, disrupts the cardiovascular system, resulting in increased heart rates and high blood pressure.

This can damage the balance organ and cause dizziness. The hormones are also influenced by chronic stress, which can cause additional symptoms of the gastrointestinal tract (e.g. nausea).


Dizziness is usually the result of a mismatch between the information our eyes send to the brain and the information sent to the brain by our balance organ.

For example, a common phenomenon is dizziness that occurs when reading while driving or traveling by train. Such dizziness is common a few minutes to an hour after driving.Fresh air in particular helps against the symptoms.

Even after a concussion, dizziness and nausea can occur. In this case, it depends on the severity of the injury. Typically, symptoms should not last more than a few days. However, there are also people who suffer from chronic dizziness. This often occurs in certain situations, so that individual dizziness and attacks of nausea last for a few minutes to hours.

However, they can be triggered again and again and under certain circumstances accompany those affected for a lifetime.

Read more on the subject under: Concussion


The causes of dizziness with nausea can basically be divided into three major disease areas. These include vestibular, non-vestibular and psychogenic vertigo.

Dizziness caused by the vestibular region

Vestibular vertigo is vertigo caused by a disruption of the balance organ in the inner ear. The most common cause in this case is so-called benign positional vertigo.
In healthy people, the organ of equilibrium consists of sensory cells that can measure both linear acceleration and rotational movements. The cells for measuring the rotational movements have small crystals on their gel-like coating as a special feature.
If one or more crystals loosen, they irritate the correct perception of the movement. The result is brief dizziness after a change in posture such as turning while lying down.
Another cause of a direct disturbance of the equilibrium organ is damage to the auditory and equilibrium nerves. In principle, it does not matter how and by what means the nerve itself or its course is damaged. From a nerve inflammation to a structure pressing on the nerve, anything is possible. If the transmission of information from the organ of equilibrium is disturbed, the brain cannot process the perceived sensory impressions correctly. Dizziness is a symptom and can be accompanied by nausea as the intensity increases.

You can find out more about the topic here: Dizziness from problems in the inner ear

Non-vestibular dizziness

Depending on the cause, it can be permanent or only appear in attacks. If there is no damage to the balance organ, doctors speak of non-vestibular causes. In this case, non-vestibular means that the cause is found somewhere in the body, but not in the inner ear itself.
In any case, a physical cause can be determined. From a visual defect to a rhythm disturbance of the heart, the causes are widely spread in this disease area. Even a space occupation in the brain that hinders the processing and filtering of sensory impressions is conceivable.
However, all physical causes have in common that they trigger vertigo. Affected people feel like they are in a carousel and, depending on the severity, may not be able to fix a point.

Psychogenic dizziness

The last major area of ​​illness is dizziness for which no physical cause can be found. In technical jargon, it is called psychogenic dizziness. The occurrence of vertigo attacks can in most cases be assigned to a clear trigger and is usually justified by severe psychological stress situations. A typical example would be dizziness with nausea before an important exam. A characteristic of this type of vertigo is that it is vertigo. Those affected feel like they are on a swaying ship on the high seas.
Read more about the topic here: Dizziness from stress

Vestibular neuritis

Vestibular neuritis is an acutely occurring unilateral functional restriction or even a functional failure of the organ of equilibrium (vestibular organ).

According to the ending "itis", vestibular neuritis is an inflammation and mainly overwhelms people between the ages of 30 and 60. The causes of this disease are still not fully understood. One suspects one

  • Viral infection,
  • Virus reactivation of a dormant virus in the body
  • Circulatory disorder.

Vestibular neuritis is acute with the following symptoms:

  • Continuous vertigo that can last up to a few weeks
  • nausea
  • Vomit
  • Tendency to fall to the diseased side
  • horizontal, rhythmic eye movements to the healthy side (Spontaneous nystagmus)
  • Visual disturbances (Oscillopsia)

Hearing disorders do not occur in the context of vestibular neuritis. It seems to the person concerned as if fixed objects are trembling or swaying.

Stroke (apoplexy)

Also one Circulatory disorders of the brain can cause dizziness, nausea and vomiting. In addition, however, most of the time:

  • Signs of paralysis
  • Speech disorders
  • Visual disturbances
  • Disorders of balance
  • Headache and confusion on

It is of great importance that it is at every stroke about one acute emergency acts.

Inner ear diseases, vestibulopathy

The diseases of the inner ear include inflammations that either happen locally or have been transmitted through other organs. A middle ear infection (otitis media), osseous inflammation (e.g. mastoiditis) and diseases of the meninges can spread to the inner ear and irritate the organ of equilibrium there in such a way that dizziness can occur.
You can find more information on our website:

  • Otitis media
  • Mastoiditis


The word kinetosis comes from the Greek word "no"for" move "move down.
Kinetosis is a travel or motion sickness. Complaints arise through movement or acceleration of our organism, for example on the water, in the air, in the car, bus or train.

Children between the ages of 2 and 12 suffer from kinetosis in particular. Kinetosis does not affect men as often as women. The cause of the complaints is a deviation from what we perceive with our various sensory organs, such as the organ of equilibrium and the eyes.

A passing on of this nonsensical information to our brain then triggers the complaints.
The following symptoms

  • nausea
  • Vomit
  • dizziness
  • accelerated and / or deepened breathing
  • a drop in blood pressure
  • paleness
  • Pulse rise

When traveling by ship, a cabin in the middle of the ship would be advisable and an aisle seat in the area of ​​the wing is to be considered favorable in the aircraft.
In the event of complaints, it is advisable to drive in the car yourself or to choose the passenger seat as a seat. In the bus, the front seats are particularly suitable for sensitive people. You should also look outside. A seat facing the direction of travel is to be recommended on the train. Here, too, you should look outside.

Dizziness and nausea with vomiting & diarrhea

Typically, dizziness, nausea and vomiting or even diarrhea occur together in the so-called motion sicknesses, which are known as kinetoses.

They occur mainly when traveling by air, car, ship or train. The various visual and vestibular sensory impressions cannot be reconciled with the acceleration movements. The result is dizziness, which is accompanied by nausea and vomiting.

In addition, dizziness and tremors with sweating are also common. If you have known travel sickness, a prophylactic preparation containing the active ingredient dimenhydrinate (e.g. contained in travel tablets or Vomex) are taken to prevent the occurrence of kinetosis.
There are also certain plasters with the active ingredient scopolamine that can be stuck on and then gradually release their active ingredient.
The disadvantage of travel tablets and plasters is the severe tiredness they can trigger.

Depending on the type of dizziness that occurs, the following causes for the symptom complex dizziness, nausea and vomiting can also be distinguished: In the case of sudden and persistent vertigo, the most common cause is the inflammation of the vestibulochlear nerve, which supplies the inner ear and also the organ of equilibrium (= vestibular neuritis). The inflammation usually resolves itself within a week or two, but symptomatic treatment for nausea can be useful.
If, on the other hand, there is positional vertigo, which results in brief vertigo attacks when the head is repositioned, the cause is often a detachment of a so-called otolith (small "ear stone") in the inner ear. When the head moves, it moves freely in the semicircular canal of the inner ear and thus creates attacks of vertigo. The benign paroxysmal positional vertigo is the most common cause of vertigo symptoms. In addition to the attacks of dizziness, which last only a few seconds, you may experience nausea, vomiting and sweating. Certain positioning maneuvers can be carried out diagnostically and therapeutically.
Menière's disease can also be the cause: in this disease, a functional disorder in the inner ear leads to vertigo, a ringing in the ear and hearing loss in the affected ear. This typical triad is usually accompanied by nausea, vomiting and sweating as well as a slow pulse (bradycardia).

If, in addition to dizziness and nausea, there is also diarrhea, food poisoning or poisoning with certain plants or chemicals is also conceivable.
This symptom complex can also occur in the context of food allergies or drug allergies. Particularly in the case of elderly patients with a lot of medication or when administering new medication, one should think about poisoning from the medication. Often, poisoning of any kind also leads to sweating, tremors or skin reactions.

Read more about Dizziness with vomiting.

More symptoms

Other symptoms that may occur in connection with dizziness, nausea and diarrhea:

  • Tremble
  • sweat
  • fatigue
  • Circulatory problems
  • low blood pressure
  • Drowsiness
  • Balance disorder
  • a headache
  • migraine
  • stomach pain


Dizziness, nausea and Tremble are also a typical symptom combination of various diseases.

Besides those already mentioned above Food poisoning, plants etc. it mainly occurs in the context of psychogenic attacks of dizziness in addition to trembling.
In addition to panic attacks and phobias, this also includes the field of anxiety disorders. This leads to an exaggerated or inappropriate fear of certain situations, animals, places or a large crowd. Other symptoms such as dizziness (often a phobic vertigo), tremors, profuse sweating and racing heart are typical. You may also have a strong urge to urinate or have diarrhea and nausea.


Occurs increased sweating in addition to dizziness with nausea, this combination of symptoms speaks for one acute circulatory disorder.
In most cases the cause is a too low blood pressurewhich leads to an insufficient supply of blood to the brain. The brain reacts very sensitively to an insufficient supply of oxygen and calls up the symptoms within seconds dizziness and nausea emerged.

The sweating is in response to the activation of the Sympathetic to see, which is stimulated as a nerve in stressful and emergency situations. Actually, from an evolutionary point of view, it has the task of optimally supporting the body in the fight for survival. One aspect is to keep the body from overheating by means of cold sweat. From a physical point of view, a circulatory disorder is nothing more than an extraordinary stressful situation. The sympathetic nervous system is activated automatically and reflexively stimulates sweat production.


fatigue is a typical symptom of Anemia, the most common form is the Iron deficiency anemia. In addition to dizziness and tiredness, pale skin, poor performance or concentration, freezing and gastrointestinal problems are classic symptoms of anemia. If several of these symptoms occur together, anemia should be ruled out via a blood count.

Circulatory problems

Circulatory problems include dizziness and nausea as well as the occurrence of Racing heart. The perception of a faster heartbeat is often one of them "Blackening" accompanied.
You can find out more about the topic here: Dizziness and racing heart

The cause lies in one thing liquid volume too low in the blood vessel system. The heart notices the lack of fluid via sensors and tries to compensate for the vital supply of blood to the organs by increasing the frequency. If this does not succeed, there is an undersupply of organs.
Most sensitive responds the brainbecause it does not have its own energy storage.
Since it is also responsible for consciousness and perception, are Circulatory problems as Symptoms to see that from the brain and its associated structures.
Just that Racing heart can as show be assigned.

Read more about: Dizziness and circulation

low blood pressure & cardiac disease

But even if your blood pressure is too low (Hypotension) In addition to tiredness, dizziness, blackness in front of your eyes and poor performance. Cold, ringing in the ears or palpitations may also occur. In addition to anemia, hypotension can also be caused by an underactive thyroid, which can also be determined using certain laboratory values.

Furthermore, many cardiological diseases lead to symptoms of dizziness and, at the same time, fatigue or poor performance. Bradycardias, in which the pulse falls below 60 beats per minute, should be mentioned above all. Syncope (short-term unconsciousness) and a feeling of shortness of breath often occur.
Other cardiological diseases that are associated with dizziness and fatigue would be the carotid sinus syndrome (reduction in cerebral blood flow with dizziness, unconsciousness, drop in blood pressure and bradycardia), sinus node syndrome (disruption of the development of excitation and regression in the heart accompanied by dizziness and short-term unconsciousness) and various cardiac arrhythmias Dizziness and weakness here also chest pain, shortness of breath, possibly heart stumbling / racing heart).

Read more about: Dizziness and circulation


Drowsiness often occurs in addition to dizziness with nausea and is usually due to a circulatory disorder.
Often times it is a too low blood volume in the vasculature, which specifically causes the drowsiness. If there is not enough blood in the vessels, the heart cannot guarantee that all organs are supplied with oxygen-rich blood.

The brain reacts very quickly to the lack of blood flow with a gradual loss of its functions. The drowsiness is there as a warning symptom to see the last possible course of action and yourself Failure to do so will result in a faint can develop.

Read more about the topic here: Dizziness and lightheadedness

Balance disorder

A Balance disorder usually goes with dizziness and nausea hand in hand, since perceived sensory impressions contradict each other.
The sensation of the body position in the room does not correspond to the visually perceived impressions in the case of a balance disorder. The effect is that the brain cannot process the information properly. The person concerned then feels dizzy with blurred vision. The nausea occurs as a side effect, as special brain centers such as the vomiting center can be activated reflexively.

Read more about the topic here: Balance disorder and dizziness

Headache migraine

Next Dizziness and tiredness can also occur a headache be a sign of anemia.
Keep going traumatic brain injury after an accident or one concussion associated with dizziness, nausea and vomiting, and headache. Short-term unconsciousness after the accident and a memory gap (amnesia) are also typical here.
There is also a certain one Form of migraine (vestibular migraines) associated with attacks of dizziness. This is one of the forms of migraine with aura and is associated with recurring attacks of dizziness and the typical migraine symptoms (pulsating, mostly one-sided headache, sensitivity to light or noise, vomiting and nausea).

However, if there is no accident, the laboratory parameters are OK and no other underlying illnesses are known, you should contact someone if you have complaints for a long time Brain tumor be thought. Depending on their location in the brain, brain tumors can cause a wide variety of symptoms; the growth in size can lead to headaches and if they are located close to the inner ear or to nerves of the inner ear that are supplied, dizziness can also occur.

stomach pain

If stomach pain with dizziness and nausea, this speaks for one disproportionate distribution of blood volume towards the intestines.
Often it is poorly digestible or incompatible food components that irritate the intestines after eating. The more difficult it is for the intestine to digest, the more blood it needs for its own supply.

To step dizziness and nausea in addition to stomach pain, this suggests that the Intestinal too much of the blood volume claimed for themselves and other organs like the brain are undersupplied. The brain shows its undersupply in Dizziness with nausea, of the belly its disturbed digestion in stomach pain.

Read more about the topic here: Abdominal pain and nausea


The prognosis for dizziness and nausea is usually very good.

First of all, these are symptoms that are often triggered by an acute situation such as driving a car on a very winding road. Although these complaints occur again and again when driving, they are harmless and usually only last a short time.

In the case of chronic dizziness, diseases of the organ of equilibrium and the brain should first be excluded. If such a condition occurs, it can often be treated so that the symptoms go away.

However, there are also cases where the cause remains unexplained or cannot be treated, so that the symptoms occur more frequently and often occur over a longer period of time.

Dizziness, vomiting & nausea from heat

In summer, when the temperature is hot and a long stay in the sun, it can get through heat dizziness and nausea.
Often there is a so-called Heat stroke This is due to the heat, too little drinking, a lack of hat or clothing that is too warm.
The permanent sunlight on your head can cause it to become Sunstroke come. After staying in the sun (even hours afterwards), it usually only occurs with light forms Dizziness and nausea, with worse forms occur additionally a headache and a Circulatory collapse with a sharp drop in blood pressure.
In the worst case, it can lead to confusion or seizures. The skin is reddened, those affected sweat profusely and the body temperature of the body rises sharply (up to over 40 ° C). Dizziness, nausea and vomiting can result.
The first thing to do is to lower your body temperature to prevent the worse consequences of the high body temperature. This is mainly done using cold water and removing it from sunlight.
To avoid heat stroke, it is important on hot days much to drink and wear airy clothing so that heat cannot build up under clothing.

Dizziness, vomiting & nausea during pregnancy

Especially in the first three months of pregnancy leading to the first trimester are summarized dizziness, (morning) Nausea and vomiting typical symptoms. They are therefore also called unsure signs of pregnancy designated. In addition, chest tightness or missed periods also indicate pregnancy. A positive pregnancy test confirms the suspicion with the symptoms dizziness, nausea and vomiting.

If you have problems with your circulation during pregnancy, not only exercise and sport but also plenty of fluids can help.
An important complication in pregnancy, which manifests itself through dizziness, nausea and vomiting, is the Compression of the vena cava, a large vena cava that carries blood back to the mother's heart through the abdomen.
From a certain size of the uterus and the child, pressure can occur on the vein. This results in decreased blood flow back to the heart. The mother's blood pressure drops, causing dizziness and nausea. In the worst case, the pressure on the vein can also lead to a reduced blood supply to the baby. Since the compression of the vena cava occurs mainly when standing or lying on your back for long periods of time, it makes sense to avoid these postures for long periods of time.