Shashank Nema*

Department of ENT, Head and Neck Surgery, All India Institute of Medical Sciences (AIIMS, Raipur), India

*Corresponding Author: Shashank Nema, Department of ENT, Head and Neck Surgery, All India Institute of Medical Sciences (AIIMS, Raipur), India.

Received: September 23, 2025; Published: October 09, 2025

Abstract

Dizziness and vertigo are among the most common complaints in otolaryngology clinics. Many patients undergo extensive vestibular evaluations—videonystagmography (VNG), HINTS+, positional tests, vestibular evoked myogenic potentials (VEMP)—as well as ophthalmologic, cardiac, and neurological assessments, only to receive normal results. Despite this, symptoms such as light-headedness, imbalance, and nausea persist. This group of “idiopathic dizziness” patients remains clinically challenging.

References

1. Staab JP., et al. “Diagnostic criteria for persistent postural-perceptual dizziness (PPPD): Consensus document of the Committee for the Classification of Vestibular Disorders of the Bárány Society”. Journal of Vestibular Research 4 (2017): 191-208.
2. Hall CD., et al. “Psychosocial factors associated with dizziness and chronic dizziness”. Frontiers in Neurology 15 (2024): 1531204.
3. Holmberg J., et al. “Treatment of phobic postural vertigo: a controlled study of cognitive-behavioral therapy and self-controlled desensitization”. Journal of Neurology4 (2006): 500-506.
4. Gupta S., et al. “Vertigo in association with gastro-esophageal reflux disease (GERD) and Helicobacter pylori among patients with peripheral vertigo”. International Journal of Otorhinolaryngology and Head and Neck Surgery5 (2021): 751-754.
5. Liu Y., et al. “Causal effects of gut microbiota on different types of vertigo: A two-sample Mendelian randomization study”. BMC Neurology 24 (2024): 3805.
6. Gordon BR., et al. “The effects of resistance exercise training on anxiety: a meta-analysis and meta-regression analysis of randomized controlled trials”. Sports Medicine 12 (2017): 2521-2532.
7. Sutton EF., et al. “Early time-restricted feeding improves insulin sensitivity, blood pressure, and oxidative stress even without weight loss in men with prediabetes”. Cell Metabolism6 (2018): 1212-1221.
8. Wehrens SMT., et al. “Meal timing regulates the human circadian system”. Current Biology12 (2017): 1768-1775.
9. Kaltenbach T., et al. “Are lifestyle measures effective in patients with gastroesophageal reflux disease? An evidence-based approach”. Archives of Internal Medicine9 (2006): 965-971.
10. Moayyedi P., et al. “The effect of dietary intervention in irritable bowel syndrome: systematic review and meta-analysis”. American Journal Gastroenterology5 (2015): 775-784.
11. Schuch FB., et al. “Physical activity and incident depression: a meta-analysis of prospective cohort studies”. American Journal of Psychiatry7 (2018): 631-648.

Citation

Citation: Shashank Nema. “Lifestyle Modification: A Potential Treatment of Idiopathic Dizziness".Acta Scientific Otolaryngology 7.11 (2025): 01-02.

Copyright

Copyright: © 2025 Shashank Nema. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.