If symptoms are severe and don't respond to medicine, your doctor may suggest another treatment, such as surgery to reduce the fluid or pressure in the inner ear. The goal is to get rid of your symptoms while saving as much of your hearing as possible.
Options include:. These treatments can cause permanent hearing loss, so they are usually done only as a last resort. Share on Facebook. Notice: Users may be experiencing issues with displaying some pages on stanfordhealthcare. We are working closely with our technical teams to resolve the issue as quickly as possible. Thank you for your patience. View the changes to our visitor policy » View information for Guest Services ». New to MyHealth? Manage Your Care From Anywhere. Activate Account.
Create a New Account. Forgot Username or Password? Medicines Your doctor may prescribe a diuretic medicine. Your doctor may also prescribe medicines to use when you have an attack, such as: Medicines that reduce the vertigo. When you make the appointment, ask if there's anything you need to do in advance, such as fasting before a test.
Make a list of:. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version. Diagnosis Your doctor will conduct an exam and take a medical history. A diagnosis of Meniere's disease requires: Two episodes of vertigo, each lasting 20 minutes or longer but not longer than 12 hours Hearing loss verified by a hearing test Tinnitus or a feeling of fullness in your ear Exclusion of other known causes of these problems.
Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Ferri FF. In: Ferri's Clinical Advisor Philadelphia, Pa. Accessed Nov. Dinces EA, et al. Meniere disease. Vestibular Disorders Association. Van Sonsbeek S, et al.
Cochrane Database of Systematic Reviews. What is Meniere's disease? Potential causes or triggers of Meniere's Although there is no known exact cause of Meniere's, it most likely has something to do with increased pressure in the inner ear, which is full of a fluid known as endolymph. Potential causes or triggers of Meniere's disease include: Head injury Infection to the inner or middle ear Allergies Alcohol use Stress Side effects of certain medications Smoking Stress or anxiety Fatigue Family history of the disease Respiratory infection Recent viral illness Abnormal immune response Migraines Symptoms of Meniere's disease People with Meniere's can experience: a feeling of pressure in the ear sudden dizzy spells tinnitus muffled hearing or hearing loss Symptoms vary from person to person, and some will experience many attacks over a period of several days, and others will have an isolated attack every once in awhile.
Hearing loss with Meniere's disease Meniere's disease can cause hearing loss, including mid- and low-frequency hearing loss , meaning low-pitched sounds may be harder to hear men's voices compared to women's voices, or the bass in music, for example.
Stages of Meniere's disease and diagnosis Meniere's disease commonly affects people in various stages , with symptoms developing over time. Early stage: During this time, a person will experience sudden and often out-of-the-blue episodes of vertigo that last anywhere from 20 minutes to an entire day.
An person's ear may feel blocked or full, and they may have some hearing loss, which typically goes away after the episode fades. It is also common to feel the effects of tinnitus.
Middle stage: Symptoms of vertigo tend to become less severe during this stage, while hearing loss and tinnitus will increase in severity. Many people will also experience long-term remission the disease goes away that can last several months.
Late stage: During the late stages of Meniere's disease, patients will not suffer from vertigo as often, and some people will be relieved from it forever. However, tinnitus and hearing loss will likely get progressively worse, and people will likely experience unsteady balance regularly. Most people at this stage feel unstable in dark lighting conditions, for example.
Delayed diagnosis for many patients One of the more frustrating aspects of this disease may be the delay in getting an official diagnosis. Emotional impact Along with the common symptoms of Meniere's disease, it's possible to suffer from depression or anxiety.
Remedies and relief strategies for Meniere's A variety of at-home remedies may help control Meniere's, although none of them have been studied extensively to know if they're effective or not. Meniere's diet recommendations Dietary changes may decrease the amount of fluid in the inner ear, which can weaken the symptoms of the disease.
These changes are worth trying because they aren't harmful and may improve your overall health: Decreasing sodium in your diet may help symptoms of Meniere's disease.
Reduce salt intake: Salt helps the body to retain water, so reduce intake of sodium-rich beverages and foods. Drink less caffeine: Caffeinated beverages can make symptoms like tinnitus worse, so it is best to decrease the amount of this stimulant in your diet. Other lifestyle changes Stop smoking: Many people who suffer from Meniere's disease and who regularly smoke report weakened symptoms after quitting.
Practice stress management: Stress and anxiety are both linked to Meniere's disease, but both can be a cause and symptom of the disease. Learning how to manage and identify stressors can bring relief. It also may be beneficial to try relaxation or meditation techniques. More: How I manage Meniere's with a low-salt diet Medical treatments for Meniere's Unfortunately, many of the treatments for Meniere's haven't been studied extensively. Those are: Inner ear injections of gentamycin, an antibiotic, to help with dizziness.
This is known as "chemical ablation. Inner ear injections of steroids to combat inflammation. One study indicated this may be effective. Other treatment options that have been less studied specifically for Meniere's include: Medications that treat dizziness, such as antihistamines, benzodiazapenes and anticholinergics Diuretics, which are drugs that treat fluid retention.
Surgery to reduce pressure and fluid in the inner ear There are plenty of other suggested Meniere's treatment options, but evidence is lacking for their use. Who treats Meniere's? Joy Victory , managing editor , Healthy Hearing Joy Victory has extensive experience editing consumer health information.
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