Vertigo

Vertigo — Expert Diagnosis & Care by Dr. Chirag Gupta

Vertigo isn’t just “feeling dizzy.” It’s a disorienting sensation that the world around you is spinning, tilting, or moving when it isn’t — and it can upend daily life, work and relationships. At Dr. Chirag Gupta’s clinic we combine precise diagnostics, evidence-based treatments and compassionate rehabilitation to help you stop the spinning and get back to confident, steady living.

What is vertigo?

Vertigo is a symptom — a false perception of motion — rather than a single disease. It commonly arises from problems in the inner ear (peripheral vertigo) or from the brain and its pathways (central vertigo). Episodes can last seconds, minutes, hours or longer, and may be accompanied by nausea, vomiting, hearing changes, imbalance, visual disturbance or falls. Because causes and risks vary widely, accurate evaluation is essential.

Common causes we treat

• Benign Paroxysmal Positional Vertigo (BPPV) — brief, intense spinning with head movements; the most common and highly treatable form.
   
• Vestibular Neuronitis / Labyrinthitis — sudden, prolonged vertigo often following a viral illness; may include hearing changes.
   
• Meniere’s Disease — recurrent vertigo with fluctuating hearing loss, tinnitus and aural fullness.
   
• Migrainous Vertigo (Vestibular Migraine) — episodic dizziness associated with migraine features.
   
• Central causes — vertigo from strokes, multiple sclerosis, or brainstem/cerebellar problems that require urgent neurologic assessment.
   
• Medication, metabolic or cardiovascular contributors — some drugs, low blood pressure, or metabolic disorders can mimic or worsen vertigo.
   

How we evaluate you — precise, efficient, patient-centered

Our approach is structured to identify the cause quickly and tailor the best treatment plan:

1. Detailed history & symptom mapping — when did it start, triggers, duration, associated hearing or neurological symptoms, medication review and risk factors.
    
2. Targeted clinical examination — vestibular bedside tests including Dix-Hallpike, head impulse test, nystagmus observation and neurological screening.
    
3. Instrumented testing when needed — video nystagmography (VNG), vestibular evoked myogenic potentials (VEMP), audiometry, posturography or imaging (MRI/CT) when central causes are suspected.
    
4. Multidisciplinary review — collaboration with ENT, audiology, physiotherapy and, where appropriate, neurology or cardiology to ensure comprehensive care.
    

Treatments we offer — evidence-based and personalized

We don’t use a one-size-fits-all approach. Your treatment is chosen based on the diagnosis, severity and your lifestyle:

• Repositioning maneuvers (for BPPV) — quick, non-invasive procedures like the Epley or Semont maneuvers that resolve symptoms in a single session for many patients.
   
• Vestibular rehabilitation therapy (VRT) — tailored balance and eye-movement exercises to retrain the brain and reduce dizziness, improve gait and prevent falls.
   
• Medication management — short-term symptom relief (antiemetics, vestibular suppressants) and longer-term therapies when appropriate (migraine prophylaxis, diuretics for Meniere’s).
   
• Hearing and tinnitus care — integrated audiological support for associated hearing loss or persistent tinnitus.
   
• Minimally invasive interventions — intratympanic steroid or gentamicin injections for select Meniere’s cases, and referral for surgical options when indicated.
   
• Lifestyle modification & counseling — diet, sleep, stress management and medication review to reduce recurrence and improve quality of life.
   

Why choose Dr. Chirag Gupta?

• Specialist-led care: Dr. Chirag Gupta brings focused expertise in vestibular disorders with a patient-first philosophy.
   
• Fast, accurate diagnosis: We prioritize targeted testing and fast turnaround so you can begin recovery sooner.
   
• Holistic, multidisciplinary support: From hearing tests to physiotherapy and counseling, we design care that treats the whole person.
   
• Practical outcomes: Our goal is measurable improvement — fewer episodes, better balance, reduced medication reliance and restored confidence.
   
• Patient education: We equip you with clear explanations, home exercise plans and relapse prevention strategies so you’re never left guessing.
   

Typical patient journey

• First visit: Thorough assessment, bedside tests and immediate treatment if indicated (e.g., repositioning for BPPV).
   
• Follow-up plan: Short course of vestibular physiotherapy, medication review and scheduled reassessment.
   
• Rehabilitation: Guided VRT sessions and home program; progress tracked with objective balance measures.
   
• Long-term care: For chronic conditions, we provide ongoing monitoring, symptom control plans and lifestyle guidance.
   

Frequently asked questions

Will I recover completely?
Many causes of vertigo — especially BPPV and vestibular neuritis — improve significantly with appropriate treatment and rehabilitation. Chronic conditions can be effectively managed to reduce frequency and severity.

Is dizziness dangerous?
While most vertigo is benign, sudden severe vertigo with neurological signs (double vision, slurred speech, limb weakness) requires immediate medical attention as it can signal a stroke.

Can vestibular physiotherapy really help?
Yes. Vestibular rehabilitation is the cornerstone of recovery for many vestibular disorders and has robust evidence supporting improved balance and reduced dizziness.

Do I need imaging?
Not always. Imaging is reserved for atypical presentations or when central causes are suspected. Overuse of scans is avoided — clinical assessment guides investigation.