Types
There are many types of balance problems, which can be caused by different medical conditions.
Vertigo (A sense of motion or spinning)
- Benign paroxysmal positional vertigo (BPPV). This form of vertigo is caused by particles that break off and accumulate behind a membrane in the inner ear canal.
- Meniere's disease. Excessive fluid buildup in the inner ear can cause sudden vertigo, fluctuating hearing loss, and buzzing, ringing or a feeling of fullness in the ear.
- Vestibular migraine. This type of headache causes sensitivity to motion and dizziness that may be triggered by turning the head quickly, being in a crowded or confusing place, or driving and riding in a vehicle.
- Acoustic neuroma. An acoustic neuroma is a noncancerous (benign) growth on the acoustic nerve (which connects the inner ear to the brain). Symptoms may include dizziness, loss of balance, hearing loss and tinnitus.
- Motion sickness. This type of dizziness can occur while riding in boats, cars and airplanes, or on amusement park rides.
- Inflammation. Swelling in the inner ear can cause vertigo.
Feeling faint (presyncope)
- Blood pressure drop (orthostatic hypotension). A major drop in the higher number of a blood pressure reading (systolic pressure) can occur after standing or sitting up too quickly.
- Inadequate blood flow from the heart. Conditions such as partially blocked blood vessels (atherosclerosis), heart muscle disease (cardiomyopathy), abnormal heart rhythms (arrhythmia) or a decrease in blood volume can reduce blood flow.
Loss of balance (disequilibrium)
- Inner ear (vestibular) problems. Abnormalities in the inner ear can cause a sensation of a floating or heavy head, and unsteadiness in the dark.
- Balance disorders. Failing vision and nerve damage in the legs (peripheral neuropathy) are common in older adults and can cause balance problems.
- Joint and muscle problems. Muscle weakness and the wear and tear of arthritis on weight-bearing joints can contribute to loss of balance.
- Medications. Loss of balance can be a side effect from seizure drugs, sedatives and tranquilizers or overmedication.
Light-headedness
- Inner ear (vestibular) disorders. Abnormalities of the inner ear can lead to a false sense of motion and a sensation of floating.
- Anxiety disorders. Panic attacks and a fear of leaving home or being in large, open spaces (agoraphobia) may cause light-headedness.
- Hyperventilation. Abnormally rapid breathing typically accompanies anxiety disorders and may cause a feeling of light-headedness.
Read more about dizziness, benign paroxysmal positional vertigo (BPPV), Meniere's disease and orthostatic hypotension on MayoClinic.com.
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