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Health Condition

Ménière’s Disease

About This Condition

Ménière’s disease (MD) is a disorder of the inner ear causing episodes of dizziness (vertigo); ringing, buzzing, roaring, whistling, or hissing sounds in the ears (tinnitus); fluctuating levels of hearing loss; and a sensation of fullness in the ear.

Head trauma and syphilis can cause MD, although in most cases the cause is unknown.

Symptoms

People with Ménière’s disease may have vertigo that may be associated with nausea and vomiting. Symptoms may also include a recurrent feeling of fullness or pressure in the affected ear and hearing difficulty. People with Ménière’s disease may also have tinnitus, which may be intermittent or continuous. The symptoms of MD are associated with an underlying condition referred to as endolymphatic hydrops, an excess accumulation of the fluid of the inner ear.1 When people have only one of the symptoms associated with Ménière’s disease, such as tinnitus or vertigo, the condition is not usually considered MD.

Other Therapies

People frequently affected by disabling vertigo might require a surgical treatment (vestibular neurectomy or labyrinthectomy). Some people might benefit from a tinnitus masker, which is a hearing device that produces a sound that is more tolerable than the ringing in the ears. Healthcare providers may also suggest the use of earplugs in the presence of loud noises to prevent damage to the ear.

References

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3. Franklin DJ, Pollak A, Fisch U. Meniere's symptoms resulting from bilateral otosclerotic occlusion of the endolymphatic duct: an analysis of a causal relationship between otosclerosis and Meniere's disease. Am J Otol 1990;11:135-40.

4. Liston SL, Paparella MM, Mancini F, Anderson JH. Otosclerosis and endolymphatic hydrops. Laryngoscope 1984;94:1003-7.

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12. Bjorne A, Berven A, Agerberg G. Cervical signs and symptoms in patients with Meniere's disease: a controlled study. Cranio 1998;16:194-202.

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18. Hagnebo C, Melin L, Larsen HC, et al. The influence of vertigo, hearing impairment and tinnitus on the daily life of Meniere patients. Scand Audiol 1997;26:69-76.

19. House JW, Crary WG, Wexler M. The inter-relationship of vertigo and stress. Otolaryngol Clin North Am 1980;13:625-9.

20. Wiet RJ, Kazan R, Shambaugh GE Jr. An holistic approach to Meniere's disease. Medical and surgical management. Laryngoscope 1981;91:1647-56.

21. Andersson G, Hagnebo C, Yardley L. Stress and symptoms of Meniere's disease: a time-series analysis. J Psychosom Res 1997;43:595-603.

22. Sawada S, Takeda T, Saito H. Antidiuretic hormone and psychosomatic aspects in Meniere's disease. Acta Otolaryngol 1997;528:109-12.

23. Scott B, Lindberg P, Lyttkens L, Melin L. Psychological treatment of tinnitus. An experimental group study. Scand Audiol 1985;14:223-30.

24. Clendaniel RA, Tucci DL. Vestibular rehabilitation strategies in Meniere's disease. Otolaryngol Clin North Am 1997;30:1145-58.

25. Kaada B, Hognestad S, Havstad J. Transcutaneous nerve stimulation (TNS) in tinnitus. Scand Audiol 1989;18:211-7.

26. Steenerson R, Cronin GW. Treatment of tinnitus with electrical stimulation. Otolaryngol Head Neck Surg 1999;121:511-3.

27. Scott B, Larsen HC, Lyttkens L, Melin L. An experimental evaluation of the effects of transcutaneous nerve stimulation (TNS) and applied relaxation (AR) on hearing ability, tinnitus and dizziness in patients with Meniere's disease. Br J Audiol 1994;28:131-40.

28. Yan SM. Acupuncture for Meniere's syndrome: short- and long-term observation of 189 cases. Int J Acupunct 1999;10:303-4.

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30. Boles R, Rice DH, Hybels R, Work WP. Conservative management of Meniere's disease: Furstenberg regimen revisited. Ann Otol Rhinol Laryngol 1975;84:513-7.

31. Santos PM, Hall RA, Snyder JM, et al. Diuretic and diet effect on Meniere's disease evaluated by the 1985 Committee on Hearing and Equilibrium guidelines. Otolaryngol Head Neck Surg 1993;109:680-9.

32. Gibbs SR, Mabry RL, Roland PS, et al. Electrocochleographic changes after intranasal allergen challenge: A possible diagnostic tool in patients with Meniere's disease. Otolaryngol Head Neck Surg 1999;121:283-4.

33. Derebery MJ. Allergic and immunologic aspects of Meniere's disease. Otolaryngol Head Neck Surg 1996;114:360-5.

34. Derebery MJ. The role of allergy in Meniere's disease. Otolaryngol Clin North Am 1997;30:1007-16 [review].

35. Dornhoffer JL, Arenberg IK. Immune mechanisms in Meniere's syndrome. Otolaryngol Clin North Am 1997;30:1017-26 [review].

36. Howard BK, Mabry RL, Meyerhoff WL, Mabry CS. Use of a screening RAST in a large neuro-otologic practice. Otolaryngol Head Neck Surg 1997;117:653-9.

37. Derebery MJ, Rao VS, Siglock TJ, et al. Meniere's disease: an immune-complex mediated illness? Laryngoscope 1991;101:225-9.

38. Derebery MJ. Allergic management of Meniere's disease: an outcome study. Otolaryngol Head Neck Surg 2000;122:174-82.

39. Spencer JT Jr. Hyperlipoproteinemia, hyperinsulinism, and Meniere's disease. South Med J 1981;74:1194-7,1200.

40. Kirtane MV, Medikeri SB, Rao P. Blood levels of glucose and insulin in Meniere's disease. Acta Otolaryngol Suppl 1984;406:42-5.

41. Mangabeira Albernaz PL, Fukuda Y. Glucose, insulin and inner ear pathology. Acta Otolaryngol 1984;97:496-501.

42. Brookler KH, Glenn MB. Meniere's syndrome: an approach to therapy. Ear Nose Throat J 1995;74:534-8, 540, 542.

43. Knox GW, McPherson A. Meniere's disease: differential diagnosis and treatment. Am Fam Physician 1997;55:1185-90, 1193-4 [review].

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45. Saeed SR. Diagnosis and treatment of Meniere's disease. BMJ 1998;316:368-72 [review].

46. Boles R, Rice DH, Hybels R, Work WP. Conservative management of Meniere's disease: Furstenberg regimen revisited. Ann Otol Rhinol Laryngol 1975;84:513-7.

47. Stahle J. Medical treatment of fluctuant hearing loss in Meniere's disease. Am J Otol 1984;5:529-33 [review].

48. Spencer JT Jr. Hyperlipoproteinemia, hyperinsulinism, and Meniere's disease. South Med J 1981;74:1194-7,1200.

49. Karjalainen S, Sarlund H, Vartiainen E, Pyorala K. Plasma insulin response to oral glucose load in Meniere's disease. Am J Otolaryngol 1986;7:250-2.

50. Brookler KH, Glenn MB. Meniere's syndrome: an approach to therapy. Ear Nose Throat J 1995;74:534-8, 540, 542.

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The information presented by Healthnotes is for informational purposes only. It is based on scientific studies (human, animal, or in vitro), clinical experience, or traditional usage as cited in each article. The results reported may not necessarily occur in all individuals. Self-treatment is not recommended for life-threatening conditions that require medical treatment under a doctor's care. For many of the conditions discussed, treatment with prescription or over the counter medication is also available. Consult your doctor, practitioner, and/or pharmacist for any health problem and before using any supplements or before making any changes in prescribed medications. Information expires December 2018.

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