###Human: Why am I having head spinning and vomiting issues quite often? ###Assistant: Hello, WeIcome to icliniq.com. I have seen all your reports (attachment removed to protect patient identity). ECG and 2D echo which are showing no heart disease and cardiac output are also good. Now, we will come to your complaint. Spinning followed by vomiting, the first reason may be due to orthostatic hypotension when you suddenly get up, you feel spinning due to reduced blood pressure. It shows autonomic failures. The second cause can be vestibulocochlear neuritis that is in the ear, they maintain our body balance, but due to swelling, they cannot maintain and you feel spinning sensation and vomiting. For this, you can take tablet Vertin 16 mg once a day and once visit ENT doctor nearby and check your BP at lying and sitting position.