Patients with otolithiasis should avoid strenuous exercise during their episodes, as such activities may trigger an acute attack, leading to symptoms like dizziness, nausea, and vomiting, which can be severe in some cases. Therefore, it is crucial to rest after the onset of symptoms and then visit an otolaryngologist as soon as possible to determine the specific condition. In terms of treatment, most patients may consider manual repositioning therapies, which can gradually improve symptoms. However, there is also a possibility of recurrent attacks, so regular long-term follow-ups are essential to monitor recovery.