How to Identify Dizziness Caused by High Blood Pressure

One of the key indicators of dizziness related to hypertension is the sudden onset of symptoms, often occurring after physical exertion or emotional stress. Individuals experiencing this type of dizziness typically have blood pressure readings that are significantly higher than normal. In most cases, the dizziness improves notably after taking prescribed antihypertensive medications and allowing time for rest.

Common Symptoms of Hypertension-Related Dizziness

Patients often describe a sensation of the room spinning or a feeling of vertigo. This may be accompanied by nausea and vomiting, which are common responses to severe dizziness. It is important to note that these symptoms differ from those caused by other conditions, such as cervical spondylosis or inner ear disorders.

Distinguishing from Cervical Spondylosis

Dizziness caused by cervical spine issues typically occurs when the neck is moved suddenly or awkwardly. In such cases, blood pressure readings usually remain within the normal range. Diagnostic imaging of the cervical spine, such as X-rays or MRI scans, may reveal signs of bone spurs or degenerative changes, which are characteristic of cervical spondylosis.

Identifying Inner Ear Problems

Another condition that can mimic hypertension-related dizziness is vestibular or ear-related vertigo. This type of dizziness often comes on suddenly and is associated with hearing loss and tinnitus (ringing in the ears). Patients may also experience nausea and an inability to stand upright. A common cause is benign paroxysmal positional vertigo (BPPV), which can be effectively treated with a procedure known as the Epley maneuver or other forms of vestibular rehabilitation.

Key Takeaways for Accurate Diagnosis

Proper diagnosis is essential to determine the underlying cause of dizziness. Monitoring blood pressure during an episode is a crucial first step. If hypertension is ruled out, further evaluation by a neurologist or ENT specialist may be necessary. Imaging tests and specialized vestibular assessments can help pinpoint whether the issue is related to the cervical spine or the inner ear.