What's wrong with low blood pressure, dizziness, and rotation

Low blood pressure but dizziness and rotation may be related to inner ear problems, cervical spondylosis, or neurological abnormalities. The vestibular system in the inner ear is responsible for balance, cervical problems may affect blood flow, and neurological abnormalities may interfere with signal transmission. It is recommended to clarify the cause through ear, nose, and throat examination, cervical spine imaging examination, or neurological evaluation, and adopt targeted treatment based on the diagnosis.

1. Inner ear vestibular system problems: The inner ear vestibular system is an important organ for maintaining balance in the human body. Diseases such as vestibular neuritis, benign paroxysmal positional vertigo (BPPV), or Meniere's disease may cause dizziness and rotational sensation. Vestibular neuritis is usually caused by viral infection and manifests as sudden dizziness; BPPV is related to otolith detachment, and symptoms worsen when the head position changes; Meniere's disease is accompanied by tinnitus, hearing loss, and ear fullness. The treatment methods include vestibular rehabilitation training, otolith reduction surgery, and medication therapy. Vestibular rehabilitation training helps restore balance function through specific movements, while otolith reduction surgery involves manual reduction of fallen otoliths. Medications such as antihistamines or sedatives can alleviate symptoms.

2. Cervical spondylosis: Degenerative changes in the cervical spine, disc herniation, or neck muscle tension may compress blood vessels or nerves, leading to insufficient blood supply to the brain and causing dizziness. Cervical X-ray, CT or MRI examination can provide a clear diagnosis. The treatment methods include physical therapy, medication therapy, and surgical intervention. Physical therapy such as cervical traction, hot compress, and massage can alleviate symptoms, while medication such as nonsteroidal anti-inflammatory drugs or muscle relaxants can reduce pain and inflammation. In severe cases, surgery such as discectomy or spinal decompression may be considered.

3. Neurological abnormalities: brainstem or cerebellar lesions, multiple sclerosis, or migraine related dizziness may cause a sense of rotation. Brain stem or cerebellar lesions may be accompanied by other neurological symptoms, multiple sclerosis is an autoimmune disease, and migraine related dizziness is associated with headache attacks. Neurological examinations such as electroencephalography, MRI, or blood tests can assist in diagnosis. The treatment methods include medication therapy, lifestyle adjustments, and rehabilitation training. Medications such as antiepileptic drugs, immunosuppressants, or migraine specific drugs can control the condition, lifestyle adjustments such as regular sleep and avoiding triggers can help prevent seizures, and rehabilitation training can improve neurological function.

Low blood pressure but dizziness and rotation should be taken seriously, and timely medical treatment to identify the cause is key. Based on specific diagnosis, targeted treatment measures such as vestibular rehabilitation training for inner ear diseases, physical therapy for cervical spine diseases, or medication for neurological abnormalities can effectively alleviate symptoms and improve quality of life. Maintaining good posture, avoiding excessive fatigue, and undergoing regular physical examinations in daily life can help prevent the occurrence of related diseases.