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Meniere's Disease Tips

Meniere's Disease- What Exactly Is It?

Dr. Manni Hingorani 93% (35 ratings)
MS - ENT, MBBS
ENT Specialist, Delhi
Meniere's Disease- What Exactly Is It?

It is a disorder of the inner ear, which is characterized by episodes of vertigo, ringing in the ear (tinnitus), hearing loss, and fullness in the ear.

Epidemiology, Incidence, and Prevalence

The reported prevalence of Meniere disease varies widely, from 15 per 100,000 in the United States to 157 per 100,000 in the United Kingdom.

Causes

The cause of Meniere’s disease is elevated endolymphatic pressure. Causes of elevated endolymphatic pressure include:

  1. Metabolic disturbances
  2. Hormonal imbalance
  3. Trauma
  4. Infections, such as otosyphilis and Cogan’s syndrome (interstitial keratitis)
  5. Autoimmune diseases, such as systemic lupus erythematosus and rheumatoid arthritis, may cause an inflammatory response within the labyrinth

Signs and Symptoms

  1. Recurrent episodes of vertigo, hearing loss and tinnitus
  2. These episodes may be accompanied by a headache and a feeling of fullness in the ears
  3. People may also have additional symptoms related to irregular reactions of the autonomic nervous system, such as nausea, vomiting, and sweating, which are typical symptoms of vertigo and not of Meniere disease
  4. Sensation of being pushed sharply to the floor from behind
  5. Sudden falls without loss of consciousness

Complications of Meniere’s disease may include the following:

  • Injury due to falls
  • Anxiety regarding symptoms
  • Accidents due to vertigo spells
  • Disability due to unpredictable vertigo
  • Progressive imbalance and deafness
  • Intractable tinnitus

Differential Diagnosis

Investigations

Laboratory studies - No blood test is specific for Meniere’s disease but to exclude obvious metabolic disturbances, infections, or hormonal imbalances:

MRI of the brain - Should be done to rule out abnormal anatomy or mass lesions. Specifically, acoustic neuromas or other cerebellopontine angle lesions, multiple sclerosis, or Arnold-Chiari malformations, also can be ruled out. Note that mass lesions rarely are found but are important to exclude.

CT scan of the brain - They are done to detect possible dehiscence of the semicircular canals, congenital abnormalities, widened cochlear and vestibular aqueducts, and subarachnoid hemorrhage.
Audiometry - It is particularly helpful for documenting present hearing acuity and detecting future change.

Management - 

  1. Vestibulosuppressants
  2. Diuretics and diuretic-like medications
  3. Steroids
  4. Aminoglycosides
  5. Histamine agonists
  6. Endolymphatic sac decompression or shunt
  7. Labyrinthectomy

In case you have a concern or query you can always consult an expert & get answers to your questions!

2432 people found this helpful

Meniere's Disease Treatment With Panchkarma!

Dr. Ritesh Chawla 88% (1122 ratings)
B.A.M.S, M.D In Ayurvedic Medicine
Ayurveda, Amritsar
Meniere's Disease Treatment With Panchkarma!

Certain ailments progress quite fast after the symptoms are experienced, and one such is the Meniere’s disease. A hearing disorder that affects the inner ear in human beings, the condition usually affects only one ear and may lead to permanent hearing loss unless medical intervention is sought. The disease has a host of symptoms, such as spinning or vertigo, ringing sounds in the ear, feeling pressure in the ear, and a fluctuating hearing sensation. The symptoms progress at a fast pace and soon leads to permanent loss of hearing.

What causes the Meniere’s Disease?

Improper fluid drainage follows an anatomic abnormality or blockage in the ear which could lead to Meniere’s disease. In addition, various conditions such as head trauma, migraine, viral infections, allergies, and abnormal immune response are responsible for causing Meniere’s disease. A casual approach to this condition may cause irreplaceable damage. This may disturb the patient and lead to depression, anxiety, emotional stress, and fatigue. Recurrent episodes of the disease may lead to loss of balance and increase the risks of falls or an accident.

How to treat the condition the Ayurvedic way?

Ayurveda advocates the use of Panchakarma therapy for healing the problems associated with Meniere’s disease. According to Ayurveda, the body accumulates toxins owing to lifestyle choices and poor health habits. This causes an imbalance in the fluids in the body and leads to various disorders, such as Meniere’s disease.

What is Panchakarma therapy?

Panchakarma therapy is an Ayurvedic procedure that uses five methods to balance the doshas in the human body. The treatment helps to deeply cleanse the tissues, removes toxins, tackles stress, and reduces deep-rooted anxiety. It is a crucial treatment option in Ayurveda that helps the patient achieve a balanced state of mind, body, and consciousness through detoxification and rejuvenation. Patients undergoing this method are required to undertake oil massages and oil baths in addition to nasal administration.

Panchakarma therapy also reduces the symptoms and presents a pleasing and soothing experience. Panchakarma treatment differs from one case to the other. The therapy must be customized for the best results. It is specific to one’s age, dosha imbalance, strength, and immunity levels.

It generally comprises two procedures:

  • Oleation: Wherein oil is applied to the body and fomentation, during which the patient undergoing therapy has to sweat out bodily toxins.
  • Lifestyle changes: Along with undergoing panchakarma therapy, it is important to observe certain lifestyle changes. This includes physical exercise to restore balance in the body and to treat depression and anxiety.

In addition, proper rest and the intake of ghee is recommended along with the intake of food. Medicated milk is also recommended by experienced Ayurvedic practitioners. Meat soups as per the condition can help in improving the condition.

These courses of treatment help to alleviate the condition of Meniere’s disease. Thus, if you are seeking an Ayurvedic treatment to cure Meniere’s disease, you may take consultations from a trained medical practitioner. In case you have a concern or query you can always consult an expert & get answers to your questions!

5636 people found this helpful

Meniere's Disease - Know The Stages!

Dr. Harmeet Singh Pasricha 93% (58 ratings)
DNB (ENT), MBBS, MNAMS - Otorhinolaryngology
ENT Specialist, Gurgaon
Meniere's Disease -  Know The Stages!

What Causes Meniere’s Disease?
Meniere's Disease is a disorder that basically affects the sense of balance and hearing of the patient. This condition takes place in the inner ear and it may cause problems like vertigo, where patients experience a spinning sensation and a ringing sound as well. This is a chronic disorder, which requires a number of lifestyle changes so that it can be managed and treated without becoming a debilitating problem.

Read on to know more about the symptoms and causes of the condition.

Symptoms: The various signs and symptoms of this disease include a feeling of fullness in the ear, which has been affected by the condition. Also, most patients have a spinning sensation and a ringing sound in the affected ear. Nausea and vomiting may also be caused by this condition, along with sweating and loss of balance. It is also normal to feel uncoordinated when you are suffering from this condition.

Secondary Symptoms: This condition may also cause many other complications, which are known as secondary symptoms. These include anxiety, depression and stress. This usually happens due to the problems in the ear and even the problem of vertigo. This may cause problems for people who climb heights or ladders for their work or even for other recreational causes. The constant sense of dizziness and spinning may cause a person to become anxious and undertake stress when it comes to carrying out various kinds of functions in day to day living.

Causes: There are various causes of this condition, even though many medical reports suggest that the exact cause has not really been understood so far. As any doctor will tell you, the in the inner ear there is a labyrinth which contains fluids. When there is a problem with the composition and level of these fluids, the patient may develop Meniere’s Disease. This condition specifically affects the inner part of the ear. This part is made up of passages and a cavity as well as soft membrane like structures with hair like sensors. These sensors respond to the fluid’s movement within the ear. When this fluid does not have the appropriate levels, it can lead to many complications like Meniere’s Disease, which affect the nerve impulse that these sensors catch and transmit to the brain.

Stages: This disease progresses over a set of three stages. In the very first stage, the patient will experience much dizziness and nausea, before that progresses to the second stage. In this stage, the patient will have moderate to severe vertigo. This is also known as the middle stage. Finally, this may culminate into the third or late stage, which leads to more frequent episodes of vertigo. The hearing of the patient and the ringing sound in the ears will also get worse in this stage. If you wish to discuss about any specific problem, you can consult an Ent Specialist.

3219 people found this helpful

What Causes Meniere's Disease?

Dr. Harmeet Singh Pasricha 93% (58 ratings)
DNB (ENT), MBBS, MNAMS - Otorhinolaryngology
ENT Specialist, Gurgaon
What Causes Meniere's Disease?

What Causes Meniere’s Disease?
Meniere's Disease is a disorder that basically affects the sense of balance and hearing of the patient. This condition takes place in the inner ear and it may cause problems like vertigo, where patients experience a spinning sensation and a ringing sound as well. This is a chronic disorder, which requires a number of lifestyle changes so that it can be managed and treated without becoming a debilitating problem.

Patient can have fluctuating hearing loss in this condition.

Read on to know more about the symptoms and causes of the condition.

Symptoms: The various signs and symptoms of this disease include a feeling of fullness in the ear, which has been affected by the condition. Also, most patients have a spinning sensation and a ringing sound in the affected ear. Nausea and vomiting may also be caused by this condition, along with sweating and loss of balance. It is also normal to feel uncoordinated when you are suffering from this condition.

Secondary Symptoms: This condition may also cause many other complications, which are known as secondary symptoms. These include anxiety, depression and stress. This usually happens due to the problems in the ear and even the problem of vertigo. This may cause problems for people who climb heights or ladders for their work or even for other recreational causes. The constant sense of dizziness and spinning may cause a person to become anxious and undertake stress when it comes to carrying out various kinds of functions in day to day living.

Causes: There are various causes of this condition, even though many medical reports suggest that the exact cause has not really been understood so far. As any doctor will tell you, the in the inner ear there is a labyrinth which contains fluids. When there is a problem with the composition and level of these fluids, the patient may develop Meniere’s Disease. This condition specifically affects the inner part of the ear. This part is made up of passages and a cavity as well as soft membrane like structures with hair like sensors. These sensors respond to the fluid’s movement within the ear. When this fluid does not have the appropriate levels, it can lead to many complications like Meniere’s Disease, which affect the nerve impulse that these sensors catch and transmit to the brain.

Stages: This disease progresses over a set of three stages. In the very first stage, the patient will experience much dizziness and nausea, before that progresses to the second stage. In this stage, the patient will have moderate to severe vertigo. This is also known as the middle stage. Finally, this may culminate into the third or late stage, which leads to more frequent episodes of vertigo. The hearing of the patient and the ringing sound in the ears will also get worse in this stage. If you wish to discuss about any specific problem, you can consult an ENT Specialist.

3378 people found this helpful
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