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Recurring Dizziness: Is It Just an Ear Problem? – Dizziness in Your 40s
Blog September 13, 2025

Recurring Dizziness: Is It Just an Ear Problem? – Dizziness in Your 40s

Dr. Yeonseung Choe
Dr. Yeonseung Choe
Chief Director

Among the patients I see in my clinic, women in their 40s are particularly numerous.

Among them, I frequently encounter those who complain of 'dizziness'. Initially, they might dismiss it as simple fatigue, but it often progresses to recurrent dizziness, exhausting not only their daily lives but also their mental well-being.

Are you perhaps experiencing something similar?

Vertigo where the whole world seems to spin, instability making it difficult to balance, or even a foggy, unclear sensation in the head, as if a cloud has settled.

This suffering cannot be adequately described by simply saying 'dizzy'. After undergoing various tests and being told there's nothing specifically wrong, it often leads to frustration and even self-blame, wondering, 'Am I just overly sensitive?'

"Doctor, I've had all my ear exams, even a brain MRI, and they say there's nothing wrong. But why do I keep getting dizzy? I don't know what else to do…"

Every time I hear such a patient's voice, it reminds me that dizziness is a 'complex message from the body' that cannot be resolved by mere symptom suppression.

The Body's Hidden Imbalance, Like a Wheel Spinning in Vain

Like a wheel spinning in vain, recurrent dizziness often involves multiple intertwined issues, like an invisible tangled thread. When diagnosed with "no abnormalities" in hospital tests, many feel frustration and helplessness.

However, I interpret this 'no abnormalities' result as a deeper clue sent by the body.

This is because it might not just be a structural issue of the ear or brain, but rather a signal created by a functional imbalance, or specifically, a chronic imbalance, throughout our entire body.

The 40s are a transitional period in many respects. Responsibilities at work and home increase, and crucially, hormonal changes, such as those related to estrogen, also begin.

Amidst these changes, factors like stress, sleep deprivation, indigestion, and chronic fatigue interact in complex ways, disrupting the body's delicate balance. I often refer to this as 'autonomic nervous system dysregulation'.

Chronic stress excessively activates the sympathetic nervous system within the autonomic nervous system, which can constrict blood vessels and subtly affect cerebral blood flow. If one doesn't get proper sleep at night, the brain cannot fully rest, leading to accumulated fatigue. As these factors accumulate one by one, our body's overall systemic imbalance deepens, much like a wheel spinning in vain.

What I particularly focus on is the link between the autonomic nervous system, cerebral blood flow, and digestive function. Upon closer examination of individuals experiencing dizziness, they often report not just dizziness, but also poor digestion, constant anxiety, difficulty falling asleep, and a heavy, fatigued feeling throughout their body.

These are not isolated symptoms, but rather warning signals from a single, tightly interconnected system. If the brain does not receive adequate blood supply, or if the autonomic nervous system's regulatory capacity declines, the brain becomes hypersensitive to minor stimuli, which can manifest as dizziness.

Listening to the Body's Language, Adopting an Integrated Approach

So, how should we understand and resolve these complex messages? I believe that rather than simply suppressing symptoms to temporarily quell dizziness, an integrated approach is needed—one that understands the body's language and aids in overall balance restoration.

Just like untangling a knotted skein of yarn strand by strand, precise diagnosis and treatment tailored to each patient's individual body condition and lifestyle context are crucial.

In Korean Traditional Medicine (Hanbang), dizziness is interpreted not merely as an 'ear issue', but from the perspective of various systemic imbalances, such as Qi circulation disorder, blood deficiency, Dam-eum (Phlegm-fluid retention), and Gangiulgyeol (Liver Qi Stagnation).

For example, Dam-eum (Phlegm-fluid retention) refers to dizziness caused by the accumulation of unnecessary waste products in the body, while Gangiulgyeol (Liver Qi Stagnation) signifies dizziness arising from the body's regulatory functions becoming stagnant due to stress.

I take each of the patient's sensory descriptions as important clues, deeply inferring why their dizziness began and what patterns it exhibits. For instance, "The ceiling feels like it's spinning" and "The ground feels like it's giving way" describe completely different types of dizziness, each suggesting different causes and treatment methods.

Based on this understanding, herbal medicine treatment is not just a simple drug, but a process of transforming the body's environment and restoring neurological and constitutional balance. Beyond merely stopping the dizziness, the focus is on resolving the underlying chronic imbalances (such as stress, sleep deprivation, indigestion, chronic fatigue, etc.).

This is the path to helping stabilize the autonomic nervous system, improving cerebral blood flow, and strengthening digestive function, thereby restoring overall vitality to the body.

Dizziness is an important signal your body is sending you.

If you ignore this signal and only chase symptoms, your body may start speaking in an even louder voice. Listening to your weary body and mind, and striving to understand their complex messages, is the very first step on the path to recovery. Would you like to embark on a journey with me to uncover your body's hidden stories and reclaim true health?

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Dr. Yeonseung Choe

Dr. Yeonseung Choe Chief Director

Based on 15 years of clinical experience and precise data analysis, I present integrated healing solutions that restore the body's balance, covering everything from diet to intractable diseases.

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