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How to Keep a Dizziness Diary
Your Doctor Can Actually Use

Last updated: August 16, 2026

A consultation is short. If what you can offer is "it just spins sometimes, maybe a few times a month?", the appointment is spent reconstructing your history from memory — and memory is exactly what dizziness is bad for. A diary moves that work out of the consultation room. Here is what's worth recording, and why each item matters.

What to record — and why it matters

RecordWhy the doctor cares
When it started Date and time of day. Spells that cluster in the morning, on waking, or during stressful weeks are a pattern — one you can't see from memory alone.
How long it lasted Seconds, minutes, or hours — measured, not guessed. Duration is one of the first things clinicians use to narrow down causes, and guessed durations inflate badly ("it felt like forever" is usually much shorter).
What it actually felt like Spinning (the room moves), rocking or swaying, lightheaded/about to faint, or unsteady on your feet. These point in different directions. "Dizzy" alone doesn't narrow anything.
What you were doing Rolling over in bed, standing up, looking up, coughing, nothing at all. A trigger that reliably precedes spells is exactly the kind of detail that gets lost by the time you're in the consultation.
Ear symptoms Ringing (tinnitus), fullness or pressure, muffled hearing — same side each time or not. Whether ear symptoms come with the spells matters.
Other symptoms Headache, light sensitivity, nausea and vomiting, palpitations, visual aura. Also note what medication you took, and whether it helped.
Conditions around you Weather changes, poor sleep, alcohol, salty meals, menstrual cycle. You don't need to interpret these — recording them is enough; patterns emerge over weeks.

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Record during the spell, not after

The single biggest problem with dizziness diaries is that they get written at the end of the day, or the end of the week. By then, the details that matter — exact duration, what you were doing the moment it started — are gone, and what remains is an impression. Impressions are biased: after a bad week you remember everything as worse.

This has a practical consequence: whatever you use to record has to work while you are dizzy. If logging a spell takes typing sentences into a notes app, it will not happen mid-spell. Prepare a format where the moment-of-attack entry is two or three taps — start time, kind of dizziness, done — and the details (triggers, ear symptoms) can be added after it passes.

Don't hand over raw notes — summarize

A stack of daily entries is data, not an answer. What a doctor can use in a minute is the summary on top: how many spells in the last month, the typical duration, the kind of dizziness, the triggers that repeat, and which ear the symptoms favor. Bring the raw entries too — but lead with the summary page.

An app built around exactly this

DizzyLog is an iOS diary for dizzy spells: logging an attack is 3 taps with a built-in duration timer, details can be filled in after the spell passes, and the record exports as a doctor-ready PDF summary. Barometric pressure is logged alongside automatically. Recording is free; Pro is a monthly plan with a 14-day free trial, a yearly plan, or a one-time purchase.

This article is general information about record-keeping, not medical advice. Dizziness has many possible causes, some of which need prompt attention — if you are experiencing dizziness, especially with sudden hearing loss, double vision, weakness, or trouble speaking, seek medical care rather than a diary.