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Published on: 7/15/2026
Benign paroxysmal positional vertigo (BPPV) causes dizziness when lying down because tiny calcium crystals in the inner ear become dislodged and shift into the balance-sensing canals. When you change head position, these misplaced crystals send confusing motion signals to the brain, triggering a brief but intense spinning sensation.
Because dizziness can stem from many causes — from BPPV to blood pressure changes, migraines, or other inner ear conditions — it's important to identify the likely source before deciding on next steps. Taking a free, instant, online symptom check can help you narrow down possible causes based on your specific symptoms and guide you toward the right care, whether that's home maneuvers, a primary care visit, or a specialist referral.
Reviewed for medical accuracy: 07/15/2026
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Submit your own QuestionBenign Paroxysmal Positional Vertigo (BPPV) is a condition where tiny crystals in your inner ear become dislodged. These crystals, called otoliths, usually help you sense movement. When they move out of place, they can float into the ear canals and cause dizziness or a spinning feeling, especially when you change positions, like lying down or turning over in bed.
Understanding BPPV can help you know why you feel dizzy and what can be done to manage it.
(References)
Lindell E, Finizia C, Johansson M, Karlsson T, Nilson J, & Magnusson M. (2018). Asking about dizziness when turning in bed predicts .... Journal of vestibular research : equilibrium & orientation, 30149484.
Lindell E, Karlsson T, Johansson M, Magnusson M, & Finizia C. (2019). Investigation of self-reported dizziness in the elderly when .... The Journal of laryngology and otology, 30929651.
Feng XZ, Zhu JS, Lu JN, & Zhang LP. (2017). [Clinical features and advanced progress of secondary .... Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery, 29797965.
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