The examination for otolithiasis is usually based on the patient's chief complaint symptoms, as well as by performing positional changes to diagnose. The onset of otolithiasis is caused by the detachment of the otoliths from the utricular macula, falling into the horizontal or superior semicircular canals, thereby triggering vestibular stimulation symptoms. Patients may experience vertigo, nausea, vomiting, and cold sweats among other related symptoms. Patients with otolithiasis usually have a short duration of illness, with the vertigo disappearing within 30 seconds to two minutes. After diagnosing otolithiasis, manual repositioning is typically required to move the otoliths from the semicircular canals back to the normal utricular macula position, thereby improving the patient's symptoms such as vertigo.