CINCINNATI -- Reds first baseman Joey Votto was scratched from the starting lineup Sunday because of dizziness, a condition that cost him 10 starts earlier this month.
But Votto was able to make a late appearance in the game, walking on four pitches as a pinch-hitter with two outs in the ninth inning.
The Reds beat the Indians in 11 innings, 4-3.
Votto hit home runs Saturday against Cleveland in the first two at-bats of his first start since May 16. The flu and dizziness caused by an inner ear infection had forced him to miss several games from May 7 to May 22 and leave two others early.
The symptoms returned Sunday, Cincinnati manager Dusty Baker said.
"He's still feeling the effects," Baker said. "We knew it wouldn't go away overnight."
Meanwhile, Reds second baseman Brandon Phillips plans on trying to play with a hairline fracture of his right thumb.
Phillips, who has an NL-leading 27 RBIs this month, was hurt while fielding Grady Sizemore's sharp grounder that ended the eighth inning of Saturday's 7-6 Cleveland win. He immediately left that game and sat out Sunday while getting further examinations.
Phillips hopes to try playing with the injury, he said.
"I just need to give it a couple of days," Phillips said after Cincinnati's 4-3, 11-inning win on Sunday. "It is really swollen right now. I'll think about the next step when it gets here, after the swelling goes down."
Phillips has hit .350 (28-for-80) with five home runs in May, boosting his overall average from .188 to .275.
"We're going to wait a couple of days," Baker said. "He might be available."