Otolithiasis is a relatively common otolaryngological disease. Clinically, symptoms such as nausea and vomiting may occur. When vomiting occurs, it is essential to ensure rest, avoid external stimuli, and refrain from vigorous exercise. Many patients find their symptoms gradually alleviating after rest. Additionally, a positional test can be conducted to determine the specific location of the lesion in the semicircular canals, followed by targeted manual repositioning treatment. If the condition is severe, with prominent symptoms of dizziness, nausea, and vomiting, oral anti-vertigo medications may be considered to help control the condition and alleviate symptoms. (The use of medications should be under the guidance of a professional doctor.)