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Suggest Treatment For Vertigo And Ménière's Disease Symptoms
Posted on
Tue, 10 Nov 2015
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Tue, 10 Nov 2015
Answered on
Tue, 1 Dec 2015
Last reviewed on
Question : I get vertigo, I Think i have mariner's disease what are the cures for that
Brief Answer:
You need to confirm the exact diagnosis.
Detailed Answer:
Hi,
Thank you for your query.
1. Epley's Maneuver is used for treating BPPV (Benign Paroxysmal Positional Vertigo). You may have both BPPV and Meniere's Disease.
2. Meniere's disease is diagnosed on the following criteria:
a. Vertigo
b. Fluctuating hearing loss
c. Tinnitus
d. Fullness in the ear
There is usually nausea and vomiting, the hearing usually worsens during an attack and the tinnitus also worsens.
3. You should get a PTA (Pure Tone Audiogram) to document any hearing loss. Meniere's disease usually causes low frequency hearing loss initially ( Audiogram sloping to left).
4. Get a Tympanogram done to check middle ear pressures and Eustachian Tube function. If this Impedance Audiogram is normal, it may be Meniere's as it does not affect the middle ear. If this Impedance Audiogram is abnormal, then a trial of medication should be taken for three to four weeks. If this does not work, a myringotomy with a grommet insertion may help.
5. Meniere's disease cannot be cured but it should normally respond to a salt restricted diet, acetazolamide (diamox) and betahistine (Vertin). HBOT (HyperBaric Oxygen Therapy) with trans-tympanic steroids, Meniette's Device Therapy are some more options before you consider gentamicin injections or sac surgery.
6. The course of Meneire's Disease is unpredictable. It may burn out or keep persisting.
I hope that I have answered your queries. If you have any further questions, I will be available to answer them.
Regards.
You need to confirm the exact diagnosis.
Detailed Answer:
Hi,
Thank you for your query.
1. Epley's Maneuver is used for treating BPPV (Benign Paroxysmal Positional Vertigo). You may have both BPPV and Meniere's Disease.
2. Meniere's disease is diagnosed on the following criteria:
a. Vertigo
b. Fluctuating hearing loss
c. Tinnitus
d. Fullness in the ear
There is usually nausea and vomiting, the hearing usually worsens during an attack and the tinnitus also worsens.
3. You should get a PTA (Pure Tone Audiogram) to document any hearing loss. Meniere's disease usually causes low frequency hearing loss initially ( Audiogram sloping to left).
4. Get a Tympanogram done to check middle ear pressures and Eustachian Tube function. If this Impedance Audiogram is normal, it may be Meniere's as it does not affect the middle ear. If this Impedance Audiogram is abnormal, then a trial of medication should be taken for three to four weeks. If this does not work, a myringotomy with a grommet insertion may help.
5. Meniere's disease cannot be cured but it should normally respond to a salt restricted diet, acetazolamide (diamox) and betahistine (Vertin). HBOT (HyperBaric Oxygen Therapy) with trans-tympanic steroids, Meniette's Device Therapy are some more options before you consider gentamicin injections or sac surgery.
6. The course of Meneire's Disease is unpredictable. It may burn out or keep persisting.
I hope that I have answered your queries. If you have any further questions, I will be available to answer them.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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