Bedside examination first
Many cases of positional vertigo can be identified through the history and correctly performed positional tests.
Chakkar is a symptom, not a diagnosis. At HealthNest, an ENT surgeon examines you, performs and interprets VNG when it is needed, and can treat BPPV during the same visit when indicated.
Messages are answered the same day. Clinic hours: Mon–Sat 5:30–8:30 pm and Sun 10 am–1 pm.
Brief spinning when you turn in bed, hours of unsteadiness and dizziness with hearing changes do not always have the same cause. Dr. Akansha Tewari combines your history with an eye-movement, positional and balance examination before deciding whether any test is likely to help.
Many cases of positional vertigo can be identified through the history and correctly performed positional tests.
Eye-movement recordings are used when they can clarify the cause, document balance function or guide the next step.
You leave knowing what the findings may mean, what to do next and which warning signs should not wait.
Triggers, timing, hearing changes, headaches and medicines are reviewed.
Eye movements, positional tests and balance are assessed.
An in-house VNG may be performed when it can clarify the diagnosis.
BPPV manoeuvres can be performed during the same visit when indicated.
You leave with clear instructions, follow-up advice and warning signs.
Feedback shared by patients and families on Google.
My mother was suffering from severe episode of vertigo for two days. She wasn’t able to sit up straight, walk or even open her eyes for few seconds. I found Dr Akanksha Tewari through Google search and consulted with her immediately. She quickly diagnosed and performed required procedures, and was kind to explain everything on call as well as in person. My mother got well within the first 7 hrs of consultation and medication. Thank you so much Dr Akanksha. Much recommended!
Experiencing vertigo can be daunting, but the team here really understands how to help. Dr. Tewari’s expertise and the advanced VNG testing provided clarity and reassurance. I’m grateful for the compassionate care I received.
I used to feel dizzy and was very worried. After consulting Dr. Akansha at Healthnest Clinic, I am feeling better now. Thank you so much ma’am.
Grateful to Dr Akansha for treating my dad’s vertigo. She is a very kind, attentive and knowledgeable doctor who cares deeply for her patients. Highly recommend her for any ENT related ailments.
If a test is unlikely to change your treatment, it may not be necessary. When VNG is appropriate—for example in unexplained recurrent vertigo, suspected vestibular weakness or when objective documentation matters—the findings are interpreted in the context of your examination.
New to VNG? Read our complete VNG guide: procedure, preparation, results and contraindications.
Spinning triggered by turning in bed, looking up or bending can often be diagnosed with positional testing and treated with a repositioning manoeuvre.
Vestibular neuritis can cause a prolonged attack. Early assessment helps plan symptom relief and balance recovery.
Episodes accompanied by ear pressure, ringing or fluctuating hearing may need ongoing medical and hearing assessment.
Vestibular migraine can cause vertigo or motion sensitivity even without a typical migraine headache, and balance tests may be normal.
Ongoing rocking, swaying or visual-motion sensitivity after an initial event is a recognised condition and can be treated.
Not every dizzy spell starts in the ear. Recognising when another medical or neurological assessment is needed is part of the consultation.
Answer a few doctor-designed questions in under a minute, check for warning signs and get educational guidance on the next step.

MBBS | MS ENT | DNB | AIIMS Fellow
Dr. Tewari personally performs the clinical vestibular examination, interprets VNG findings and carries out repositioning manoeuvres. Keeping assessment and interpretation together helps build a practical plan around the patient, not around a test report.
Go to an emergency department immediately if vertigo occurs with:
These symptoms can signal a stroke or another urgent neurological or ear condition. Do not wait for a clinic appointment.
Book a specialist vertigo assessment with Dr. Akansha Tewari at HealthNest Clinic, Golf City, Lucknow.
Messages are answered the same day. Clinic hours: Mon–Sat 5:30–8:30 pm and Sun 10 am–1 pm.