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There are several possible cause of vertigo. The most common causes of vertigo that has persisted for a few months would be from crystals that form in the inner ear, called benign paroxysmal positional vertigo, or BPPV. Inflammation of the inner ear is also very common, called labyrinthitis, particularly for vertigo of short duration. There are many other less common causes of vertigo, including orher conditions within the ear, such as Meniere's disease, neurologic conditions, such as from migraines or growths/inflammation affecting the nerve that services the inner ear.
The referral is appropriate, because the specialist will be able to perform tests to clarify the specific cause of the vertigo.
Until you can be seen, there are some over the counter medicines that may be able to help, such as meclizine or dimenhydrinate. These medicines are primarily marketed for motion sickness, but can also help with vertigo from other conditions.
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Anxiety can cause virtually any subjective symptom, so yes, it can also cause vertigo. However, there is no test to be able to show when anxiety causes such symptoms, so the usual approach is to first check for other causes of the symptoms, and only if other causes are excluded, it can be said to be due to anxiety.
Yes, a growth in the brain is one of the possible causes. It is only in a very small percentage of cases in which it is found that vertigo is due to a brain tumor, but it is possible. If there are no other neurologic conditions or headaches, then a brain tumor is less likely, but it does not exclude the diagnosis. Since an ear condition is far more common, the evaluation will focus first on the evaluation of the ear, but if the ear tests normal, then a neurologic evaluation would be done.
The usual dose of one pill four times per day, as needed for relief of vertigo.
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