Materiały źródłowe

• #1 Meniere’s Disease: Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/15167-menieres-disease

  No, but if you have Mnires disease, you can reduce your risk that your condition will worsen. […] Contact your healthcare provider if you suddenly develop dizzy spells that may be vertigo. The sooner you receive a diagnosis, the sooner you can start treatments that can help.

• #2 Ears – Meniere’s disease | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/ears-menieres-disease

  One of the main treatments for Mnire’s disease is diet modification to reduce the intake of sodium (salt). The aim of the low sodium diet is to maintain body fluid levels and mineral concentrations so that secondary fluctuations in the inner ear fluid levels can be avoided. […] It is also recommended that people with Mnire’s disease avoid alcohol, caffeine and nicotine, which can also change the volume and concentration of fluid in the inner ear. […] It is also thought that stress can influence the frequency and / or severity of attacks so it is recommended that stress levels be managed as much as possible.

• #3 Meniere disease – self-care: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/patientinstructions/000709.htm

  There is no cure for Menière disease. However, making some lifestyle changes can help prevent or reduce attacks. […] Eating a low-salt (sodium) diet helps reduce the fluid pressure in your inner ear. This can help control symptoms of Menière disease. Your provider may recommend cutting back to 1000 to 1500 mg of sodium per day. […] Try to eat the same amount of food and drink the same amount of fluid at about the same time every day. This can help reduce changes in the fluid balance in your ear. […] Making the following changes may also help: Avoid caffeine and alcohol, which may make symptoms worse. If you smoke, quit. Quitting may help reduce symptoms. […] For some people, diet alone will not be enough. If needed, your provider may also give you water pills (diuretics) to help reduce the fluid in your body and fluid pressure in your inner ear.

• #4 Dietary Restriction for The Treatment of Meniere’s Disease

  https://pmc.ncbi.nlm.nih.gov/articles/PMC7265917/

  Menieres disease (MD) is an idiopathic inner ear disorder characterized by spontaneous recurrent vertigo, fluctuating sensorineural hearing loss (SNHL), aural fullness and tinnitus. The first-line treatment commonly includes dietary modification, as low salt diet and reduction of alcohol and caffeine daily intake. […] Although some studies showed a positive effect of these dietary restrictions, even in the prevention of recurrences, currently there is no uniform consensus on their usefulness. […] Dietary restrictions is among the first line treatment that has been proposed for long. They include low salt diet, abundant water intake, moderate alcohol and caffeine consumption, gluten-free diet, intake of specially processed cereals (SPC-flakes). […] Many clinicians recommend to reduce the intake of salt, caffeine and alcohol for the therapy of Menieres disease.

• #5 Meniere Disease – Ear, Nose, and Throat Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/ear-nose-and-throat-disorders/inner-ear-disorders/meniere-disease

  Meniere disease tends to be self-limited. Treatment of an acute attack is aimed at symptom relief and done in a staged fashion; the least invasive measures are done first, and then if the measures are ineffective, ablative procedures are sometimes done. […] A low-salt (1.5 g/day) diet, avoidance of alcohol and caffeine, and a diuretic (eg, hydrochlorothiazide 25 mg orally once a day or acetazolamide 250 mg orally 2 times a day) may help prevent or reduce the incidence of vertigo attacks and are commonly used first steps. However, there are no well-designed studies that clearly prove the efficacy of these measures for Meniere disease. […] Diuretics, a low-salt diet, and avoidance of alcohol and caffeine help prevent attacks.

• #6 Meniere’s Disease Treatment NYC | Mount Sinai – New York

  https://www.mountsinai.org/locations/ear-institute/conditions/vertigo-balance-disorders/menieres-disease

  Cutting back on salt will help keep the inner ear fluid low and help prevent vertigo. For most patients, 2000 mg of sodium a day is the target value. When symptoms are severe, 1500 mg a day is advisable. A low-salt diet consists of: not adding salt to food, avoiding prepared foods, and tallying the sodium intake by reading food labels. […] The vertigo associated with Meniere’s disease can usually be controlled with medications and dietary changes.

• #7 Meniere’s Disease: Update | Dr Sean Flanagan

  https://sydneyentclinic.com/sean-flanagan/patient-resources-2/menieres-disease/

  A low salt diet from a Menieres perspective requires a significant change in lifestyle, even in those who generally live a healthy life and do not add salt to their food, or eat much in the way of processed foods. There is significant hidden salt in many foods, especially salt and breakfast cereals. Obtaining salt contents in all foods is essential and the book Salt matters is a good resource. Consulting a dietician can also be very helpful. The only way to monitor salt intake is to take a 24 hour urine collection. In general terms the first goal is to achieve less than 1200mg/day. If vertigo continues then further tightening to less than 600mg/day is targeted. […] Other considerations such as withdrawing caffeine, chocolate, smoking and alcohol are important for some patients. It is important to note that salt is not a trigger for many patients.

• #8 Ménière’s Disease: Symptoms, Causes, and Treatment

  https://patient.info/ears-nose-throat-mouth/tinnitus-leaflet/menieres-disease

  If needed, treatments which can help to prevent attacks include the following: […] Betahistine is a medicine that is thought to increase the blood flow around the inner ear. This may reduce the amount of fluid inside the labyrinth and prevent symptoms from developing. […] Other medicines. These are sometimes tried on the advice of a specialist. For example, thiazide diuretics or beta-blockers may help in some cases. […] There is little research evidence to prove that diet and lifestyle can help. However, some people claim their symptoms improve by one or more of the following: A low-salt diet. This may help to reduce the fluid build-up in the inner ear. […] Regular exercise and methods to combat stress. […] Stopping smoking. […] Food triggers. There seems to be a link between migraine and Meniere’s disease. Food triggers are known to cause migraine attacks in some people. A similar trigger may contribute to some attacks of Meniere’s disease. For example, cutting out alcohol and also avoiding caffeine (found in tea, coffee, cola and chocolate) may be worth trying.

• #9

  https://journals.lww.com/mtsm/fulltext/2023/07010/current_treatment_of_meniere_s_disease.1.aspx

  Meniere’s disease (MD) is a disorder of the inner ear, characterized by episodic vertigo, fluctuating sensorineural hearing loss, and tinnitus. […] There are several treatment options for MD are currently available to reduce the severity and its incidence of vertigo episodes, prevent its progression, treating the impact of end-organ damage such as hearing loss, tinnitus, and chronic dizziness with optimum symptomatic relief. […] The lifestyle changes include reduction of stress, avoidance of caffeine, and reduction of dietary salts. […] The most important treatment for MD is psychological support which includes explaining the disease to the patient and reassuring the patient for its recovery of manifestations with appropriate treatment. […] A low salt diet and reduction of alcohol and caffeine are helpful for the reduction of symptoms of MD.

• #10 Meniere’s Disease ENT Treatment in Utah – ENT Center of Utah

  https://entcenterutah.com/adult-care/dizziness-balance/menieres-disease/

  Recommended Adult Lifestyle Changes To Reduce The Frequency Of Mnires Disease Episodes […] – Avoid alcohol, caffeine, excessive fatigue, smoking, and stress […] – Eat properly […] – Get plenty of sleep […] – Minimize sodium intake […] – Remain physically active […] […] […] A low salt diet and a diuretic (water pill) may reduce the frequency of attacks of Mnires disease in some patients. In order to receive the full benefit of the diuretic, it is important that you restrict your intake of salt and take the medication regularly as directed. Anti-vertigo medications may provide temporary relief during attacks of vertigo. Anti-nausea medication is sometimes prescribed. Anti-vertigo and anti-nausea medications may cause drowsiness. Avoid caffeine, smoking, and alcohol. Get regular sleep and eat properly. Remain physically active, but avoid excessive fatigue. Stress may aggravate the vertigo and tinnitus of Mnires disease. Stress avoidance or counseling may be advised.

• #11 Meniere Disease Diet: Best Food, OTC Medicine for Treatment

  https://www.healthline.com/health/meniere-disease-diet

  Caffeine should be avoided because its a stimulant and can make tinnitus louder. […] Its better to avoid nicotine and tobacco altogether if you have Menieres disease. […] Changing your diet is a simple, inexpensive way to help relieve Menieres symptoms at home. […] A healthy diet and working with your healthcare provider to create an informed approach to medication and other treatment options can help improve your outlook.

• #12

  https://journals.lww.com/mtsm/fulltext/2023/07010/current_treatment_of_meniere_s_disease.1.aspx

  Patients with MD should avoid allergies by changing their lifestyle so that their quality of life will be improved. […] Symptoms of MD are aggravated by the consumption of large quantities of chocolate, caffeine, alcohol, and salt. […] Hence, patients should be investigated for such food allergies. All patients with MD are advised to reduce their salt intake to a maximum of 2 g/day, and 1.5 g/day if tolerated. […] When patients with MD have heavy insomnia or stress, which are thought to be underlying triggering factors, anxiolytics or hypnotics may be used.

• #13 Meniere’s Disease Symptoms & Treatment | Baptist Health

  https://www.baptisthealth.com/care-services/conditions-treatments/menieres-disease

  Changing your lifestyle habits and nutrition can help with Menieres disease prevention. Your doctor will likely recommend that you alter your diet and patterns of rest. […] Common prevention recommendations: […] Your doctor may ask you to limit or eliminate caffeine, alcohol, salt, chocolate, and Monosodium glutamate (MSG). […] Your doctor might recommend that you sit or lay down if you feel dizzy or unbalanced. Your doctor may also suggest that you rest during vertigo and immediately after an episode of vertigo.

• #14 Meniere Disease (Idiopathic Endolymphatic Hydrops) Medication: Vestibulosuppressants, Corticosteroids, Diuretics, Adrenergic Agonists

  https://emedicine.medscape.com/article/1159069-medication

  The goals of pharmacotherapy are to reduce morbidity and prevent complications. Medication is for both symptomatic and prophylactic use. […] Dimenhydrinate is used for prophylaxis of vestibular disorders that may cause nausea and vomiting. Through its central anticholinergic activity, it diminishes vestibular stimulation and depresses labyrinthine function. […] Diuretics or diuretic-like medications actually can decrease fluid pressure load in the inner ear. These medications help prevent attacks but are ineffective once an attack is triggered.

• #15 Meniere Disease (Idiopathic Endolymphatic Hydrops) Treatment & Management: Approach Considerations, Principles of Medical Management, Pharmacologic Therapy

  https://emedicine.medscape.com/article/1159069-treatment

  Medical therapy can be directed toward treatment of the actual symptoms of the acute attack or directed toward prophylactic prevention of the attacks. […] Quality evidence is lacking regarding deterrence and prevention of acute attacks of Mnire disease; however, a salt restricted diet, as described elsewhere (see Diet and Activity), is often suggested. In addition, avoidance of trigger substances may help prevent acute episodes. The following substances should be avoided: […] Finally, it is often suggested that patients try to avoid loud noises and to make use of stress-reduction techniques.

• #16 How Can I Prevent a Meniere’s Disease Attack?

  https://www.brainandlife.org/articles/i-have-meniere-s-disease-how-can-i-prevent-another

  No cure exists for Meniere’s disease, a rare inner ear disorder that affects about one in 2,000 people and is characterized by hearing loss, tinnitus (ringing in the ears), a sensation of fullness or pressure in the ear, and episodes of dizziness or vertigo. But lifestyle changesquitting smoking, adopting a low-salt diet, avoiding monosodium glutamate (MSG), limiting caffeine, doing balance exercises, reducing stressand some drugs help treat symptoms and may reduce the number of future attacks. […] To help prevent vertigo, doctors may prescribe a low-salt dietabout 1.5 grams of sodium per day (roughly a quarter of a teaspoon)and add a diuretic drug such as hydrochlorothiazide-triamterene (Dyazide). The combination lowers the level of fluid in the ear and may reduce bouts of vertigo and slow hearing loss progression. […] In addition to medications, vestibular rehabilitation therapyexercises that help you adjust your vision and balance to feel less dizzy and more in controlmay be effective in preventing at least some Meniere’s attacks and making the ones that do occur easier to manage.

• #17 Meniere’s Disease

  https://dizziness-and-balance.com/disorders/menieres/menieres.html

  What can be done to reduce the frequency and severity of Menieres disease attacks (i.e. prevention) ? […] This is the way that we attempt to prevent Meniere’s attacks […] The purpose of treatment between attacks is to prevent or reduce the number of episodes, and to decrease the chances of further hearing loss and damage to the vestibular system. A permanent tinnitus (ringing in the ears), constant imbalance, or a progressive hearing loss may be the consequence of long-term Meniere’s disease. Hearing aids may be necessary. […] Standard medical treatments: […] The hydrops diet regimen will probably be recommended (see following). This is an important part of treatment for virtually all patients with Meniere’s disease. Evidence for this working is not strong. […] Between attacks, diuretic medication may be prescribed to help regulate the fluid pressure in the inner ear, thereby reducing the severity and frequency of the Meniere’s episodes. Dyazide (a combination of triamterine and hydrochlorothiazide) is the most common medication for this purpose, and others are listed above. Some literature suggests that diuretics are modestly helpful (Horner et al., 1989; Santos et al, 1993; Shinkawa and Kimura, 1986), but newer papers suggest no effect. See notes above concerning other agents.

• #18 Meniere’s Disease Symptoms | The University of Kansas Health System

  https://www.kansashealthsystem.com/care/conditions/menieres-disease

  Control of dietary salt to a level of 1500-2000 milligrams per day has been shown to effectively control most peoples Menieres disease symptoms. […] In people with significant symptoms, a mild diuretic can also be prescribed to further help reduce water in the body, specifically in the ear. […] As a very mild diuretic, a banana or other food high in potassium can be taken 2-3 times per week. […] Intake of caffeine and alcohol should be limited as well, at least initially.

• #19 Meniere’s Disease: Nonsurgical Treatment | IntechOpen

  https://www.intechopen.com/chapters/69749

  The first line of treatment is to encourage the patient to change his lifestyle into a healthier one. Regulation of sleeping cycle, avoiding stress, caffeine, alcohol, and tobacco, and changing into a low salt diet should be advised. […] Low salt diet has been suggested to Menieres disease patients since the 1930s, where daily intake of sodium is recommended to be under 2 grams. […] Low sodium intake has known benefits on cardiovascular health; hence, there is no harm to suggest it. […] Betahistine is suggested to improve microvascular circulation in stria vascularis that reduces the endolymph pressure, and it inhibits vestibular nuclei activity that results longer and easier recovery. […] Another treatment agent widely used for Menieres disease treatment is diuretics. Thiazide group of diuretics is usually suggested.

• #20 Meniere’s Disease

  https://dizziness-and-balance.com/disorders/menieres/menieres.html

  Betahistine (2 week trial, can be combined with other medications) […] A migraine prevention medication. (for example, verapamil, venlafaxine or topiramate) […] These are combined with symptomatic drugs such as meclizine, benzodiazepines, and antiemetics, to be taken during attacks. […] In persons with severe progressive bilateral disease, the author will generally recommend a trial of high dose steroids, ideally with injections in both ears. […] In persons who do not respond to medical management, we move on to low-dose gentamicin and/or intratympanic steroids (see flowchart and „last resort” section), and then definitive destructive treatment should this fail (which is rare). […] A unusual variant treatment is multiple injections of steroids into the middle ear. We have encountered individuals who have had as many as 40 of these injections. There is intrinsic risk of TM perforation and infection.

• #21 Meniere’s disease treatment – USZ

  https://www.usz.ch/en/department/otorhinolaryngology-head-neck-surgery/service/menieres-disease-treatment/

  Attack prophylaxis, i.e. therapy to prevent further attacks, is complicated by the fact that there are currently only a few measures whose effectiveness has been proven in so-called double-blind, randomized controlled trials. […] Initially, measures that do not impair the function of the vestibular system are used, e.g. a therapy trial with betahistine and / or calcium antagonists or intratympanic administration of corticosteroids. […] If this does not achieve satisfactory control of the dizziness attacks for the patient, there is the option of low-dose, titrated intratympanic administration of gentamicin.

• #22 Meniere’s Disease

  https://dizziness-and-balance.com/disorders/menieres/menieres.html

  Vestibular suppressants such as Antivert (meclizine) or Lorazepam, and anti-emetics (e.g. phenergan or ondansetron) are used on an as-needed basis. […] Not so standard treatments […] Verapamil (typical dose: 120 SR) sometimes reduces the frequency of attacks. Nimodipine and Flunarizine have also been used. These medications are all calcium channel blockers. The evidence is not as good that these medications work. Because Menieres and Migraine are very often combined, this medication’s main role may be to treat the migraine associated vertigo that can be confused with or accompany Menieres disease. This medication is especially logical if the dizzy attacks are associated with headaches. There have been recent reports that other migraine medications are useful in patients who have failed diuretic treatment(Ghavami et al, 2018)

• #23 Meniere’s Disease

  https://dizziness-and-balance.com/disorders/menieres/menieres.html

  Some physicians prescribe Histamine injections. Most physicians in the USA consider this treatment to be ineffective. […] Prednisone or other steroids (e.g. Decadron) are occasionally helpful in short bursts. We would most often use these when considering a destructive treatment. […] There are a number of new medications that do not have much of a track record that can be tried under the supervision of your doctor. There also some unusual medications which are either considered „alternative” or which are available only outside the US which might be worth considering. […] What the author recommends for medical prevention of Meniere’s. These drugs are administered to most of his patients, generally in the following sequence: […] Low sodium (2000 mg) diet (1 month trial) […] Salt wasting diuretic such as dyazide (1 month trial)

• #24 Meniere’s Disease – Treatment | Earsite.com

  https://www.earsite.com/menieres-disease-treatment

  Initially, treatment is focused on the diet. Reducing sodium intake can help in reducing the water content of the inner ear. […] Caffeine and nicotine can be stimulants to the vestibular system and cause episodes of vertigo. Reducing coffee, tea, chocolate, and carbonated soda or switching to decaffeinated versions can be helpful. Reducing or eliminating smoking is not only good for Meniere’s disease but also good for your health in general. […] If episodes of vertigo persist despite changes in diet, medication called diuretics can be helpful. […] Popularized in Europe, this agent is thought to increase blood supply to the inner ear. […] Steroid treatment of the inner ear may offer beneficial effects for the symptoms of Meniere’s disease. Administration of steroids to the inner ear is an attempt to reduce the inflammation within the inner ear.

• #25 Ménière’s Disease: Symptoms, Treatments, and Outlook

  https://brainfoundation.org.au/disorders/menieres-disease/

  There is no cure for Mnires disease. Instead, treatments are available to help reduce your symptoms. There are also certain lifestyle modifications that may help prevent attacks from occurring. […] The first and simplest recommendations to treat MD include lifestyle dietary changes. Adopting a low salt diet is recommended to reduce fluid retention. It can also help to avoid alcohol, caffeine, and tobacco, improve your sleep quality, and decrease stress. Many people report that making these changes helps reduce the frequency of their attacks.

• #26 Meniere’s Disease: Symptoms, Causes, Treatments, and More

  https://www.healthline.com/health/menieres-disease

  Menieres disease is chronic, but treatments and lifestyle changes can help ease symptoms. […] Changing your diet may help to reduce the amount of fluid in the inner ear and ease symptoms. […] Lifestyle changes, aside from dietary ones, that may help improve your symptoms include: resting during vertigo attacks, eating regularly, to help regulate fluids in your body, managing stress and anxiety through psychotherapy or medication. […] It’s also important to quit smoking and to avoid any allergens. Both nicotine and allergies can make the symptoms of Menieres disease worse. […] Even though there’s no cure for Menieres disease, there are many strategies you might want to consider to reduce your symptoms.

• #27 Meniere’s Disease: Update | Dr Sean Flanagan

  https://sydneyentclinic.com/sean-flanagan/patient-resources-2/menieres-disease/

  Prophylactic Management […] As the pattern and severity of the disease varies greatly from patient to patient so does their management. Approximately 75-80% of patients can achieve good control with non-interventional treatment. The first step is to control the two major triggers of an attack, stress and salt. When we use the term stress this includes physiologic, emotional, endocrinologic, metabolic, muscular. […] Management of stress and ensuring adequate sleep is essential. Alternative treatments such as massage therapy and acupuncture can be helpful, as can formal psychological treatment in the form of cognitive behavioral therapy, especially in severe cases where consideration of surgical intervention is being made. The induced anxiety related to the severity of the disease and the unpredictability of the vertigo episodes is often enough to trigger further episodes, inducing a horrible feed back loop.

• #28 Meniere’s Disease – Barrow Neurological Institutephone iconphone iconGroup 49Group 49

  https://www.barrowneuro.org/condition/menieres-disease/

  Reducing salt intake can lower fluid retention in the body, potentially decreasing the pressure within the inner ear. Limiting caffeine and alcohol might also reduce symptoms for some people. […] Stress can exacerbate symptoms, so meditation, yoga, or counseling can be beneficial. […] Some people notice certain triggers for their vertigo attacks, such as specific foods, dehydration, or lack of sleep. Identifying and avoiding these triggers can help. […] The appropriate treatment plan varies significantly from person to person, depending on the specific symptoms and how the disease affects your daily life. Working closely with your healthcare provider to tailor a treatment strategy that best meets your needs is essential. With the right management approach, many people with Meniere’s disease can lead active and fulfilling lives. […] Early and proactive management of Meniere’s disease can help mitigate its impact, reducing the frequency and severity of symptoms and helping individuals maintain their daily activities and overall well-being.

• #29 How to Manage Meniere’s Disease | Harley Street ENT Clinic

  https://www.harleystreetent.com/blog/how-to-manage-menieres-disease

  Meniere’s disease is a chronic condition that affects the inner ear, causing episodes of vertigo, hearing loss, tinnitus (ringing in the ears), and a feeling of fullness in the affected ear. […] While it may not be possible to completely prevent Menieres disease episodes, these strategies can help reduce their frequency: Maintain a consistent sleep schedule. Avoid stress and overexertion. Stick to a balanced, low-sodium diet. Avoid exposure to loud noises, which can worsen symptoms like tinnitus.

• #30 Ménière’s Disease – ENT Health

  https://www.enthealth.org/conditions/menieres-disease/

  To help prevent an attack, avoid stress and excess salt ingestion, caffeine, smoking, and alcohol. […] Get regular sleep and eat properly. […] Remain physically active, but avoid excessive fatigue. […] Consult your ENT specialist about other treatment options.

• #31 Meniere’s Disease: Diagnosis and Management   – PcMED Project

  https://pcmedproject.com/ent/menieres-disease-diagnosis-and-management/

  Dietary and lifestyle modifications are the first line therapy for treatment of MD and should be continued indefinitely. […] Identify and avoid personal triggers (e.g., Alcohol | Caffeine | Nicotine | Stress | High salt intake). […] Treatment for Meniere’s disease focuses on identification and avoidance of triggers, but pharmacotherapy and surgical options can help in recalcitrant cases.

• #32 Meniere’s Disease Treatment, Symptoms, Diagnosis & Causes

  https://www.emedicinehealth.com/meniere_disease/article_em.htm

  How Can I Prevent Meniere’s Disease? […] No measures will prevent Meniere’s disease, but you can take preventive measures to avoid or minimize attacks and consequences of attacks. […] Reduce salt in your diet. […] Stop smoking. […] Avoid Alcohol and Caffeine […] Avoid exposure to loud noises. […] Manage stress. […] Use caution at home and on the job to avoid falling or having an accident if you feel dizzy.

• #33 Meniere’s Disease: Update | Dr Sean Flanagan

  https://sydneyentclinic.com/sean-flanagan/patient-resources-2/menieres-disease/

  Management of inhalant and food allergies is important in a subset of patients. Allergies are up to three times as prevalent in Menieres Disease. Interestingly this is especially the case if also suffering from Migraine. The symptoms of MD are generally better controlled, with fewer vertigo attacks and more stable hearing, in those patients with allergy and MD whose underlying allergic disorder is down-regulated with immunotherapy and/or dietary avoidance of reactive food allergens. When there is inadequate control medications and surgical interventions must then be considered.

• #34 Menière’s Disease | AAFP

  https://www.aafp.org/family-physician/patient-care/clinical-recommendations/all-clinical-recommendations/menieres-disease.html

  Individuals with Menires disease should receive counseling about the natural history of the disease, measures for symptom control, treatment options, and outcomes. […] Diuretics and/or betahistine should also be offered for maintenance therapy to reduce symptoms or prevent Menires disease attacks. […] Vestibular rehabilitation/physical therapy should be offered to individuals with Menires disease to manage chronic imbalance but not to manage acute vertigo attacks.

• #35 Ménière’s Disease: Symptoms, Causes and Treatments

  https://propelphysiotherapy.com/vestibular/menieres-disease-symptoms-causes-and-treatments/

  Ménière’s disease is an inner ear (vestibular system) disorder that affects approximately 1 in every 1000 Canadians. […] While Ménière’s can be disabling, many forms of therapy, including physical therapy can help to mitigate the signs of the disease. […] Although there is no cure for Ménière’s, there are many treatment options available to those who suffer from the disease. These can include medications (anti-vertigo, anti-nausea and diuretics), dietary changes (reducing sodium, eliminating alcohol and caffeine), injections to the inner ear and surgery. […] While these options may help, physical therapy also offers a treatment approach to alleviate the symptoms of Ménière’s disease. […] Research suggests that vestibular physical therapy can improve both subjective and objective measures of balance in clients with Ménière’s Disease. […] This type of training can be static or dynamic, involve internal or external perturbations all with the goal of improving postural control and stability to decrease the risk of falls.

• #36 Treatments | Stanford Health Care

  https://stanfordhealthcare.org/medical-conditions/ear-nose-and-throat/menieres-disease/treatments.html

  There is no cure for Mnires disease, but treatment can prevent attacks or reduce their severity. […] Lowering the fluid volume in your inner ear can help prevent attacks. Excess salt in your diet causes your body to retain fluid, which can build up in your inner ear. Your clinician may recommend a low-salt diet or a diuretic (water pill) to decrease fluid retention. […] Some people report reduced episodes by limiting or avoiding alcohol, caffeine, and smoking. You can also prevent attacks by recognizing triggers such as emotional stress, fatigue, illness, or allergies. By avoiding your triggers and maintaining good overall health, you may have better disease control. […] Medications can also help prevent and reduce the frequency of Mnires disease attacks. They include: Diuretics to reduce fluid build-up in the inner ear. […] Balance therapy is a specialized exercise program to help you improve your balance and manage vertigo and dizziness.

• #37 Meniere’s Disease ENT Treatment in Utah – ENT Center of Utah

  https://entcenterutah.com/adult-care/dizziness-balance/menieres-disease/

  […] […] If vertigo attacks are not controlled and become disabling, one of the following surgical procedures might be recommended: […] – Endolymphatic sac decompression is an ear operation that usually preserves hearing. Attacks of vertigo are controlled in up to 70-80% of cases, but control is not permanent in all cases. Recovery time after this procedure is short compared to the other procedures. […] – Selective vestibular neurectomy is a procedure in which the balance nerve is cut as it leaves the inner ear and goes to the brain. Vertigo attacks are permanently cured in a high percentage of cases, and hearing is preserved in most cases. […] – Labyrinthectomy is a procedure in which the balance and hearing mechanism in the inner ear is destroyed on the affected side. This is considered when the patient with Mnires disease has poor hearing in the affected ear. Labyrinthectomy has the highest cure rate for vertigo attacks, however all remaining hearing will be lost in this procedure, which is why it is usually only considered in patients with poor hearing.

• #38 Meniere’s Disease – Treatment | Earsite.com

  https://www.earsite.com/menieres-disease-treatment

  This is a more powerful way of delivering steroid to the inner ear. […] This form of treatment involves injection of medication through the eardrum into the middle ear. […] Another option is a surgical procedure to help drain the endolymphatic sac. Of the surgical options, this is the most conservative operation with minimal risk to hearing. […] This is an operation to divide the balance nerves and interrupt the connection between the inner ear and the brain. 90-95 percent of patients who undergo this operation for Meniere’s disease will not have another spell of vertigo. […] Nearly all patients with Meniere’s disease will be vertigo-free after a labyrinthectomy.

• #39 Meniere’s Disease Surgery | Ear Institute of Chicago

  https://www.chicagoear.com/our-services/ear-surgery/menieres-disease/

  Menieres disease affects about 150/100,000 Americans and often affects the most productive years of life. […] Generally speaking, early in the disease an individual may respond to a low sodium diet. However, today, if one does not quickly respond to a low sodium diet, there are other options to try to prevent the episodes of vertigo. These options consist, for example, of either steroid injections into the middle ear or gentamicin injections, so called intra-tympanic (IT) treatment or middle ear perfusion. […] A shunt operation usually is advised when hearing is relatively good in the involved ear. […] Section (cutting) of the vestibular nerve may be advised when hearing is good in the involved ear. […] The symptom of vertigo is eliminated in approximately 93 95% of cases. […] Vertigo is eliminated in approximately 97 98% of cases.

• #40 Meniere’s Disease: Nonsurgical Treatment | IntechOpen

  https://www.intechopen.com/chapters/69749

  Ahsan et al. suggested that Meniett could be useful for Menieres disease treatment, but Syed and van Sonsbeek were unable to show this effect in their randomized controlled studies where they compared the device effect to placebo. […] Though it is a surgical procedure, it is minimally invasive so its effects on Menieres disease will be discussed in this chapter. […] Ventilation tube insertion could be beneficial and postponed more invasive procedures. […] It is important to control the effects and related vegetative symptoms of vertigo during acute attack. […] Better understanding of the disease and psychological state and their relation with better results seem to be beneficial for patients. […] Vestibular rehabilitation between attacks could help patients to cooperate with disease and help them to keep their functionality levels up.

• #41 Ménière’s disease

  https://www.nhs.uk/conditions/menieres-disease/

  Mnire’s disease symptoms can come on suddenly and without warning. […] There are some lifestyle changes you can make that may help manage the symptoms. […] talk to a GP about trying a low-salt diet. […] try to avoid caffeine in drinks such as tea and coffee and foods like chocolate. […] You must tell the Driver and Vehicle Licensing Agency (DVLA) if you have dizziness that comes on suddenly or happens often.

• #42 Meniere’s Disease | UCI Health | Orange County, CA

  https://www.ucihealth.org/medical-services/conditions/menieres-disease

  The treatment of Meniere’s disease can involve diet changes and stress control to medical and surgical treatment. […] Of these, a high percentage (60 percent to 80 percent) are controlled with a very strict diet, lifestyle changes and sometimes medication. […] The strict diet includes limiting daily sodium to 1500 mg, eliminating all caffeine (including decaffeinated coffee, which has caffeine) and no alcohol. […] Lifestyle changes include stress reduction through biofeedback, meditation, yoga and daily exercise.

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