<s>[INST] 35 yr old female, suffering from "episodes"  of shakey-ness, hot, dizzy, ringing ears, feels like I am in a tunnel, nauseous,  headache. Episodes come on with movement & activity. I.E. I just finished cleaning the bathroom, bending down, leaning, reaching, '& within 5 minutes of starting any activity symptoms come on. I take 1 single serve packet of salt & pour on my tongue, swallow with 1/2 OJ, lay down with ice pack on my neck & head, fan on my face and wait 10-30 minutes & symptoms go away. However, they return with any "hurried" (or normal) event. I have 2 children, haven't been able to work to work for 1.5 years [/INST] Hi, Thank you for posting your query. Based on your symptoms, you could be suffering from benign paroxysmal positional vertigo (BPPV). Treatment consists of betahistine tablets to provide relief from symptoms. Vestibular adaptation exercises would help in recurrence of the symptoms. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website:  My email: drsudhirkumar@yahoo.com </s>