Your doctor may prescribe medications to address immediate symptoms or prevent future episodes. These may include diuretics (which reduce fluid retention), motion sickness drugs, and anti-nausea medications. More than 90% of patients will have complete relief of their vertigo. Hearing is preserved at the preoperative level about 80% of the time. Patients usually stay in hospital 2 to 3 days after surgery, and the balance usually recovers over 3 or 4 weeks. If the incidences of vertigo are not controlled by medications, surgery may be recommended.
It’s caused by an abnormality in part the inner ear called the labyrinth. Fluid build-up here can cause a severe spinning sensation (vertigo) and affect the hearing. Also, practice the same precautions you do for other illnesses, Rittmann says.
To date, no significant drug-drug interactions have been observed across multiple study populations including bipolar mania and treatment resistant depression. Your healthcare provider may prescribe a medicine to reduce fluid retention and suggest limiting your salt intake. This helps control the intensity and amount of Meniere’s disease symptoms in some people. Duke otologists and neurotologists diagnose and treat Meniere’s disease, a chronic condition of the inner ear that can cause vertigo (dizziness), hearing loss, and tinnitus.
Meniere’s disease is a chronic condition affecting the inner ear that can cause vertigo, hearing loss, tinnitus, and pressure in the ear. While there is no cure for Meniere’s disease, there are several new treatments that can help manage symptoms and improve quality of life for those affected.
Doctors can inject some medications into the middle ear to improve symptoms of vertigo. Reducing the amount of fluid that the body retains may improve the fluid volume and pressure in the inner ear. As a result, the severity and frequency of symptoms may decrease. However, it is unclear whether stress and anxiety cause symptoms of Ménière’s disease, or whether the disease leads to stress and anxiety.
A person with Ménière’s disease should seek medical support, as several methods are available to manage the symptoms. The membranous labyrinth contains a fluid called endolymph. It also has hair-like sensors that respond to the fluid’s movement and send messages to the brain through nerve impulses. The most disruptive feature of Ménière’s disease is the sudden onset of vertigo attacks. Eventually, most people with Ménière’s develop some degree of long-term hearing loss. In a person with Méniére’s disease, levels of hearing loss may fluctuate, especially early on in the disease’s progression.
Randomized controlled studies, observational studies, comparative studies, case series, and case reports were evaluated for eligibility. There were total number of articles 84 (18 Case Reports; 32 cases series; 34 original articles) [Figure 1]. This article focuses only on the current treatment options of MD. This article examines the epidemiology, medical treatment, surgical treatment, and lifestyle modifications of MD. This analysis provides a better understanding of the treatment of MD which will provide prompt relief of disabling symptoms.
Meniere’s disease (MD) is a disorder of the inner ear, characterized by episodic vertigo, fluctuating sensorineural hearing loss, and tinnitus.[1] MD is one of the most puzzling inner ear disorders. There are different treatment modalities adopted for MD which range from lifestyle changes and medical treatment to extensive surgery. Appropriate treatment of MD prevents this morbid disease and improves the quality of life. There are numerous treatment options available for reducing the severity and incidence of morbid symptoms of the MD and decreasing the incidence of episodic attacks of vertigo.
Vestibular Rehabilitation Therapy
Vestibular Rehabilitation Therapy (VRT) is a type of physical therapy that focuses on exercises to improve balance and reduce dizziness. VRT can help individuals with Meniere’s disease regain their sense of balance and reduce the frequency and severity of vertigo episodes.
Intratympanic Steroid Injections
Intratympanic steroid injections involve injecting steroids directly into the middle ear to reduce inflammation and fluid buildup. This treatment can help control vertigo attacks and improve hearing in some cases.
Endolymphatic Sac Decompression Surgery
Endolymphatic sac decompression surgery is a procedure where a small portion of the endolymphatic sac is removed to relieve pressure and reduce fluid buildup in the inner ear. This surgery may be recommended for individuals who do not respond to other treatments.
Medication Therapy
Medication therapy may include diuretics to reduce fluid retention, anti-nausea medications, and drugs prescribed to alleviate vertigo symptoms. These medications can help manage symptoms and improve quality of life for those with Meniere’s disease.
Cochlear Implants
Cochlear implants may be recommended for individuals with severe hearing loss due to Meniere’s disease. These electronic devices bypass damaged parts of the inner ear and stimulate the auditory nerve, providing improved hearing abilities.
While there is no one-size-fits-all treatment for Meniere’s disease, these new therapies offer hope for individuals struggling with this debilitating condition. It is important for individuals with Meniere’s disease to work closely with their healthcare providers to find the best treatment plan for their specific needs.
