Brief Answer:
It could be Benign positional vertigo, Meniere's disease, or Spondylitis.

Detailed Answer:
Hi

Thanks for posting the query

I have gone through the query thoroughly and understood your problem.

Dizziness of spinning in nature could be due to various reasons such as Benign positional vertigo, Meniere's disease, Spondylitis, etc.

1. Due to the increased blood pressure, there can be damage to the peripheral vascular system of the inner ear causing a disturbance in the labyrinth and semi-circular canal. This has to be rectified, hence, anti-hypertensive medicines have to be continued to reduce the blood pressure and improve the perfusion in the inner ear.

2. It is better to take betahistine instead of Meclizine. Betahistine doesn't cause drowsiness and also, it reduces the blood pressure marginally and improves the perfusion in the inner ear.

3. Spondylitis is another condition which could present with similar symptoms. Hence, an x-ray of the neck has to be done to rule out bony changes.

4. Bed rest for a few days is mandatory. Avoid stress, excess salt in the food and caffeinated drinks.

You should get better with the above medications and home remedies. If not, then, we need to investigate further. An MRI of the brain would be required, to rule out any neurological lesions.

Hope this answers your query; I will be available for the follow-up, queries.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

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