Why Do I Get Dizzy When Reading? The Causes

Feeling dizzy while reading is a common experience, often described as lightheadedness, unsteadiness, or a sensation that you or your surroundings are spinning. This phenomenon, which can disrupt concentration and comfort, stems from a variety of causes, ranging from issues directly related to eye function to broader bodily influences and environmental factors.

Eye Strain and Focusing Issues

Problems with how the eyes function during reading are frequent contributors to dizziness. Accommodative dysfunction, for example, refers to the eyes’ difficulty in properly focusing. This can lead to blurred vision, eye discomfort, and headaches, making it challenging to sustain attention on text and causing dizziness. The eyes may struggle to smoothly shift focus between different distances, adding to the strain.

Another common issue is convergence insufficiency, where the eyes find it hard to work together to turn inward and focus on close-up objects. This can result in eye strain, blurry vision, or double vision, often leading to dizziness. Uncorrected refractive errors also contribute by forcing the eyes to strain excessively to focus. Prolonged reading, especially from digital screens, can induce general eye fatigue, manifesting as headaches, blurred vision, and dizziness.

Brain’s Interpretation of Visual Input

The brain plays a significant role in interpreting visual information and integrating it with the body’s sense of balance. A common cause of dizziness is visual-vestibular mismatch, which occurs when the visual information the eyes send to the brain conflicts with signals from the vestibular system (inner ear) and the proprioceptive system (body’s sense of position). This sensory conflict can lead to symptoms similar to motion sickness.

Reading in a moving vehicle exemplifies this mismatch: the eyes are fixed on a stationary book, but the inner ear senses the vehicle’s motion. The brain’s attempt to stabilize visual input can also overload its processing capabilities, especially when dealing with complex visual patterns or scrolling digital content. This visual overload can lead to disorientation and a sensation known as cybersickness. The visual cortex can become overexcited by certain patterns, a condition called visual stress.

Systemic Body Influences

Beyond the eyes and brain’s visual processing, general physiological conditions can also contribute to dizziness that might become more noticeable during reading. Dehydration, for instance, can lead to lightheadedness, weakness, and fatigue, which can be exacerbated by the focused nature of reading. Similarly, low blood sugar, or hypoglycemia, can cause symptoms like lightheadedness, dizziness, and confusion when glucose levels drop below the normal range. General fatigue from lack of rest can also amplify feelings of dizziness. Poor posture, such as slouching, can impede proper blood flow to the brain, contributing to sensations of dizziness; additionally, certain medications can have dizziness as a side effect, which might become more apparent when engaged in a stationary, visually intensive task like reading.

Reading Environment and Habits

External factors and reading behaviors also play a role in inducing or worsening dizziness. Inadequate lighting or glare can increase eye strain and contribute to visual discomfort. Glare can similarly heighten eye fatigue. Reading in a moving environment, such as a car or train, can trigger motion sickness due to the conflict between what the eyes see (a stationary book) and what the inner ear feels (motion). Prolonged reading without taking regular breaks can also lead to increased eye strain and overall fatigue.

When to Seek Medical Guidance

If dizziness while reading is persistent, worsens, or significantly interferes with daily activities, seek medical guidance. Prompt medical evaluation is needed if dizziness is accompanied by:

  • Sudden, severe headache
  • Chest pain
  • Difficulty breathing
  • Numbness or weakness in the body
  • Fainting
  • Blurred or double vision
  • Rapid or irregular heartbeat
  • Confusion
  • Difficulty speaking

Consulting an optometrist, ophthalmologist, or general practitioner can help determine the underlying cause and guide appropriate treatment. It is important to remember that this information serves as general guidance and is not a substitute for professional medical advice.