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What is Meniere's Disease and How is it Treated?

Ménière's disease can cause recurrent vertigo with hearing fluctuation, tinnitus and ear fullness. A single dizzy episode does not establish the diagnosis.

What should you know?

Episode duration and audiogram findings matter; alternatives such as vestibular migraine need consideration. Management includes attack control, hearing support and an individual lifestyle plan. Benefits of salt or other dietary changes vary; one strict limit is not suitable for everyone. Persistent severe disease may lead to intratympanic treatment or surgery. Gentamicin and some operations carry hearing and balance risks that require discussion.

Assessment and next steps

The clinician assesses episode duration, movement triggers, hearing and neurological symptoms. Findings guide positional tests, audiometry or imaging. Online manoeuvres are not appropriate for every cause of dizziness.

Care and when to seek help

Seek emergency care for new speech difficulty, limb weakness, double vision, inability to stand or sudden severe headache. Avoid driving while dizzy and take precautions against falls.

This information does not replace an individual consultation. Diagnosis and treatment depend on a medical assessment.

Consultation and treatment
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