Austin: 512-339-4040Lakeway: 512-682-4798Marble Falls: 830-992-2830Dripping Springs: 512-339-4040
Patient PortalPay Bill
Ask the ENT

Dizziness & Imbalance

| Raymond J. Brown, MD | Ear & Hearing | Reviewed Mar 2026

Quick answer: Dizziness can come from the inner ear (BPPV, vestibular neuritis, Meniere's disease), the brain (migraine, stroke), the cardiovascular system, medications, or anxiety. Distinguishing vertigo (true spinning — usually inner ear) from lightheadedness (faintness — usually cardiovascular) from disequilibrium (unsteadiness) helps focus the workup. Capital ENT's evaluation includes hearing testing in a sound-isolation booth and videonystagmography (VNG); CT or MRI is added when indicated. Sudden hearing loss with dizziness, severe headache, weakness, or trouble speaking is a medical emergency — seek immediate care.

Do you experience episodes of dizziness or imbalance? If you do, you are not alone. Dizziness is the second most common reason someone visits their family doctor. Dizziness symptoms, which may vary from one person to another, may include lightheadedness, feeling off balance, or vertigo (the illusion that your surroundings are moving).

Determining the cause of your dizziness requires a thorough evaluation of your balance system. The team of experts at Capital ENT and Sinus Center, including ENT physicians and audiologists, will perform a comprehensive evaluation of the ear and balance system and coordinate your care with other specialists as necessary, such as cardiology or neurology.

Our physicians use advanced diagnostic imaging tests such as our in-office CT scanner to provide high resolution pictures of the middle ear cavity, or our outpatient MRI scanner to check for abnormalities of the brain that may cause dizziness.

Our audiologists use the latest in sound isolation booth technology to obtain highly accurate hearing testing. This evaluation is critical as many causes of dizziness may also cause hearing loss. They may also perform a test called videonystagmography (VNG), which allows them to evaluate the different parts of the balance system to determine which part is causing the problem.

This article is for educational purposes only and does not replace an in-person evaluation. Every patient is unique — schedule a consultation to discuss your specific symptoms and treatment options.

Medically reviewed by Dr. Raymond Brown · Last updated March 7, 2026

Raymond J. Brown, MD

Dr. Brown is a board-certified ENT specialist who provides comprehensive care for patients of all ages. He has a special interest in treating nasal and sinus disorders, as well as obstructive sleep apnea. He was honored by his peers as a 2024 and 2025 Austin Top Doctor for his commitment to excellence in ENT care.

Sudden dizziness or vertigo? Same-day ENT visits available — get evaluated today. Learn about ENT Urgent Care
Book Urgent Care

Experiencing Dizziness or Balance Problems?

Capital ENT's physicians and audiologists can perform a comprehensive evaluation to determine the cause of your dizziness. Same-day and next-day appointments often available.

Book Appointment