Hi, I am Dr. Atul Kumar Nimawat MS ENT.
Sudden-onset dizziness, especially described as a “jolt,” accompanied by headache and ear pain, could be due to a few common ENT-related causes such as:
Viral or bacterial labyrinthitis/vestibular neuritis – an inner ear inflammation affecting balance.
Otitis media with labyrinthine irritation – a middle ear infection extending to inner structures.
Eustachian tube dysfunction – leading to pressure changes and dizziness.
Early signs of vestibular migraine – especially if there’s a history of headaches.
Since you’ve already started Azithromycin, which is an antibiotic, it’s important to complete the prescribed course. However, antibiotics are only helpful if there’s a confirmed or suspected bacterial infection. If the cause is viral or inflammatory, antibiotics may not provide relief.
Next Steps
Get an ENT consultation – A clinical ear examination and possibly audiometry or vestibular tests may be required.
Avoid sudden movements or jerks – as they can aggravate dizziness.
Hydrate well and get adequate rest.
If dizziness worsens or is accompanied by vomiting, visual changes, or severe headache, consult immediately.