Meniere’s disease is a disease caused by the increase in pressure in the fluids responsible for balance in the inner ear, and the most important finding is dizziness in attacks. Although it can be seen at any age, it is more common around the age of 40. Around 20% both ears get sick.
What Kind of Symptoms Does It Cause?
The main symptoms of Meniere’s disease are dizziness, ringing in the ears, hearing loss, and a feeling of fullness in the ear. Nausea and vomiting may be added to the dizziness. Dizziness is a sudden onset, lasting between 20 minutes and 24 hours, and is accompanied by nausea and vomiting. A feeling of fullness in the ear can sometimes occur before the dizziness begins. Tension, stress and excessive salt intake can initiate attacks of dizziness. Between episodes of dizziness, the patient may be completely normal or slightly unstable.
What is seen in the examination?
Ear examination of patients with Meniere’s disease is normal. If the patient is examined in a period without dizziness, no findings may be detected. During vertigo attacks, the most important finding that can be seen in the patient is involuntary eye movements called nystagmus. In addition, difficulty in standing and walking caused by dizziness, nausea and vomiting may be detected.
How Is It Treated?
Patients seen during a vertigo attack are usually hospitalized and treated. Since stress plays an important role, it is tried to relax the patient. Fluid is given by inserting the serum. Dizziness drugs administered into the serum or orally generally reduce the complaints and relieve the patient. In our clinic, cortisone treatment is also applied in the eardrum for 10 days during periods of dizziness and hearing loss attacks. We apply gentamicin injection into the eardrum in the same way in cases where vertigo attacks continue in meniere patients who have worn out, that is, permanent severe hearing loss.
In patients who have frequent attacks, some measures can be taken to prevent them. For this, the following can be counted:
– Avoiding excessive salt, sugar, alcohol and caffeine
– Avoiding stress
-Using diuretic drugs
-Using anti-dizziness medications