What is Ménière's disease?
Ménière's disease is a balance disorder caused by an abnormality found in a section of the inner ear called the labyrinth.
There are an estimated 615,000 people in the U.S. who have Ménière's disease, with 45,500 new cases diagnosed each year.
What causes Ménière's disease?
The labyrinth contains the organs of balance and hearing. It is made up of two parts:
The membranous labyrinth is encased in bone and contains a fluid called endolymph.
When the head moves, the endolymph also moves, which causes nerve receptors in the membranous labyrinth to signal the brain about the body's motion.
Endolymph buildup in the labyrinth can interfere with the normal balance and hearing signals between the inner ear and the brain, resulting in Ménière's disease.
What are the symptoms of Ménière's disease?
The following are the most common symptoms of Ménière's disease. However, each individual may experience symptoms differently. Symptoms can occur suddenly, and may happen daily or infrequently.
The most debilitating symptom is vertigo, which is a severe spinning sensation that can cause:
Other symptoms may include:
Tinnitus. A ringing in the ears.
Loss of hearing
Pressure in the affected ear
Loss of balance
The symptoms of Ménière's disease may resemble other conditions or medical problems. Always consult your health care provider for a diagnosis.
Diagnosis of Ménière's disease
In addition to a complete medical history and physical examination, the health care provider may request:
Magnetic resonance imaging (MRI) scans. An MRI is done to determine if a tumor is present.
Electrocochleography. This test measures electrical activity of the inner ear.
Treatment for Ménière's disease
Specific treatment for Ménière's disease will be determined by your health care provider based on:
Your age, overall health, and medical history
Extent of the disease
Your tolerance for specific medications, procedures, or therapies
Expectations for the course of the disease
Your opinion or preference
Treatment may include:
Surgery. Several types of surgery are effective for treating the balance problems of Ménière's disease.
Medication. Medications may be given to control allergies, reduce fluid retention, reduce dizziness, or improve the blood circulation in the inner ear.
Change in diet. Eliminating caffeine, chocolate, alcohol, and salt may reduce the frequency and intensity of symptoms.
Behavior therapies. Reducing stress may lessen the severity of the disease symptoms.