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Author: admin | 07.10.2014 | Category: Ringing In The Ears Causes

In 1861, the French physician Prosper Meniere described a condition which now bears his name. An acute attack of Meniere’s disease is generally believed to result from fluctuating pressure of the fluid within the inner ear.
Abnormally enlarged fluid pathways into the ear, such as the vestibular aqueduct or cochlear aqueduct, may also be associated with Meniere’s-like symptoms, but recent evidence is against a relationship between the cochlear aqueduct and Meniere’s disease. Franz (2007) suggested a link between Meniere’s disease and joint disease of the jaw (temporomandibular joint), the cervical spine, Eustachian tube dysfunction, and autonomic nervous system dysfunction. Meniere’s disease can cause hair cell death, as well as mechanical changes to the ear.
Mechanical disruption of the inner ear is also likely, with dilation of the utricle and saccule of the ear being a well-known pathological finding. There is presently no evidence that Meniere’s disease kills the cochleovestibular nerve (Kitamura et al, 1997). Hearing tests often begin with showing a fluctuating low-frequency sensorineural hearing loss.
At the present time there is no cure for Meniere’s disease, but there are ways to manage the condition and help you control symptoms. If vomiting persists and you are unable to take fluids for longer than 24 hours (12 hours for children), contact your doctor.
Between attacks, medication may be prescribed to help regulate the fluid pressure in your inner ear, thereby reducing the severity and frequency of the Meniere’s episodes. 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. The purpose of treatment between attacks is to prevent or reduce the number of episodes, and to decrease the chances of further hearing loss.
The Meniett device, manufactured by Medtronic (R), is a noninvasive treatment option that works by sending small pulses of pressure into the ear canal. In extremely severe cases, treatments that deaden the inner ear such as gentamicin injections or surgery may be considered. Although intratympanic steroids injections have also been recently used to treat Meniere’s disease by Shea, the present consensus is that treatment has not yet been clearly proven to be effective or to have a reasonable scientific basis.
Another operation, called a labyrinthectomy, is recommended in persons who have lost all usable hearing or in whom vestibular nerve section is considered too dangerous.
For bilateral Meniere’s disease, when the patient is incapacitated and it cannot be determined which ear is causing the dizziness, intramuscular streptomycin (1 gm twice a day) can be given on an outpatient basis until the first sign of ototoxicity develops. Surgical treatments have not been shown to preserve hearing to any greater extent than medical treatments (Sismanis, 2010). Your inner ear fluid is influenced by certain substances in your blood and other body fluids.
People with certain balance disorders must control the amount of salt and sugar that is added to food.
There are several excellent books that can help in determining which foods are high in salt. Pay attention to the content of all over-the-counter medications as well as drugs prescribed by other doctors. Since the acute symptoms of Meniere’s disease are episodic, it is important to explain to your family and friends what might happen when you have an attack.
You may be able to protect yourself from injury if you feel that an attack is about to begin.
In September 2012, a visit to the National Library of Medicine’s search engine, Pubmed, revealed more than 6800 research articles concerning Meniere’s disease published since 1883. The American Hearing Research Foundation is a non-profit foundation that funds research into hearing loss and balance disorders related to the inner ear and is also committed to educating the public about these health issues. Many of us live symptom free using the supplements we often talk about and then look for our root cause. In September 2013 we released the results of over 5 years of intensive study into underlying causes and triggers of Meniere’s Disease. Learn some of the shocking revelations  as to why you may be suffering Meniere’s symptoms.
Learn how to find your own individual cause and triggers and use the knowledge to cure yourself of the debilitating  symptoms of Meniere’s disease. After 5 years of extensive research and study into underlying causes we now know that nobody has to live with the symptoms of Meniere’s. For years we have known that quality supplementation, dietary manipulation and lifestyle changes meant we could live symptom free.
If your doctor has told you there is nothing left to be done and your drugs are not working then you will be waiting a lifetime with vertigo, tinnitus, dizziness, brain fog, increasing deafness and all the other terrible symptoms you have. There is growing evidence that Meniere’s disease at least for some people is connected with autoimmunity. You can download a full report here and read an abstract report regarding a clinical study taken out in the US. Meniere’s disease has been ascribed to a disturbance of the vestibular apparatus or its connections within the Central Nervous System. In the Spring in many countries beware of hay fever and allergens in the air, pollen from trees and flowers, grasses will be causing havoc for people with Meniere’s disease. You could wear a dust mask during this season, steam your sinuses regularly and make sure you take great care in other areas of your life that could increase the chances of menieres attacks such as diet, stress and lifestyle (smoking, drinking etc). Acoustic neuroma is a non-cancerous tumor that develops on the nerve that connects the ear to the brain.
Acoustic neuroma can be difficult to diagnose, because the symptoms are similar to those of middle ear problems. There is currently inconclusive scientific proof as to the cause of Meniere’s disease, but all of the clients in my clinic have responded to alkaline, ionized water. I will continue to offer alkaline, ionized water to Meniere’s sufferers to see if they all respond to the alkaline, ionized water. Alkaline, ionized water helps to restore the body’s pH balance and thus symptoms that occur because this balance is lost, return to normal. Jean Perrins is a former nurse and admitted health nut who writes health articles for a number of on-line and off-line sources.
People may wonder why and if there is any connection to cholesterol and Meniere’s Disease. Health experts recommend a low cholesterol diet in order to lower or maintain cholesterol levels.
Adding cholesterol-lowering foods to your diet, such as margarines containing plant stanols or plant sterols. Certain fats have also been shown to increase cholesterol, regardless of whether they came from an animal. You should be eating at least three to five servings of fruits and vegetables each day as part of a low cholesterol diet. Breads, cereals, rice, pasta, and other grains, as well as dry beans and peas, are generally high in starch and fiber, and low in saturated fat and calories. Buy fruits and vegetables to eat as snacks, desserts, salads, side dishes, and main dishes.
Add a variety of vegetables to meat stews or casseroles, or make a vegetarian (meatless) main dish.
Wash and cut up raw vegetables (carrot, broccoli, cauliflower, lettuce, etc.) and store in the refrigerator for quick and easy use in cooking or snacking. Serve fresh fruit (bananas, berries, melons, grapes, etc.) for dessert or freeze it for a delicious frozen treat. To keep naturally low-fat vegetables low in fat and saturated fat, season with herbs, spices, lemon juice, vinegar, and fat-free or low-fat mayonnaise or salad dressing.
As part of a diet to lower cholesterol, be sure to decrease the amount of animal products you eat.
As mentioned earlier, saturated fats are the main cause of increased cholesterol in a diet. You can tell if a food contains trans fat by looking at the ingredient list on the food label. Buy margarine made with unsaturated liquid vegetable oils (such oils should be at the top of the ingredients list). Buy light or nonfat mayonnaise and salad dressing instead of the regular varieties, which are high in fat. People who are overweight usually have higher blood cholesterol levels than people at a healthy weight. Many people find lifelong changes, such as adhering to a low cholesterol diet, difficult to manage. Plaque is a collection of excess cholesterol covered by a scar that is deposited on artery walls.
Cholesterol is a major ingredient in the plaque that builds up in the coronary arteries (the blood vessels that supply blood to the heart) and causes heart disease. The plaque buildup narrows the space in the coronary arteries through which blood can flow, decreasing the supply of oxygen and nutrients to the heart.

Meniere’s disease is a disorder of the inner ear that causes episodes of vertigo, ringing in the ears (tinnitus), a feeling of fullness or pressure in the ear, and fluctuating hearing loss. These are called otolithic crisis of Tumarkin, from the original description of Tumarkin (1936). There is some controversy about this statistic however; some authors suggest that the prevalence of bilaterality is as low as 17% (Silverstein, 1992). A low-frequency sensorineural pattern is commonly found initially, but as time goes on, it usually changes into either a flat loss or a peaked pattern (click here for more information about hearing testing). Meniere’s patients who have associated migraines are reported to have an earlier age of disease onset and a higher rate of family history, suggesting a genetic component (Cha, 2007). Interestingly, the Framingham study found that 2% of the population of the United States believe they have Meniere’s disease, suggesting that there is considerable chance of misdiagnosis. In a review of literature, Ciuman (2009) stated that the endolymphatic sac in those with enlarged vestibular aqueduct was thin, whereas it was fibrous in those with Meniere’s. It is most often attributed to viral infections of the inner ear, head injury, a hereditary predisposition, and allergy. This is a gradual process over years, but frequently resulting in unilateral functional deafness. The saccule may dilate so that, in later stages, it is adherent to the underside of the stapes footplate.
Although a recent study showed significant neural deterioration in a guinea pig model of endolymphatic hydrops, a hallmark of Meniere’s (Megerian, 2005). The differential diagnosis is broad and includes perilymph fistula, recurrent labyrinthitis, migraine, congenital ear malformations of many kinds, syphilis, tumors, Multiple Sclerosis, etc. Over years, this gradually progresses to a “peaked” pattern with both low- and high-tone reduction, and finally a “flat” pattern, typically 50 db loss (110 db would be completely deaf).
This is an important part of treatment for virtually all patients with Meniere’s disease. A permanent tinnitus (ringing in the ears) or a progressive hearing loss may be the consequence of long-term Meniere’s disease.
It is thought that this reduces symptoms of Meniere’s disease by eliminating excess endolymphatic fluid within the ear. This operation, called a vestibular neurectomy or vestibular nerve section is very effective in eliminating vertigo (Li, 2008). Unfortunately, while the shunt would seem to be a logical thing to do, in most studies, the shunt procedure does not appear to be better than doing nothing (Silverstein and Rosenberg, 1992).
In a normal inner ear, the fluid is maintained at a constant volume and contains specific concentrations of sodium, potassium, chloride and other electrolytes. This fluctuation causes the symptoms of hydrops (pressure or fullness in the ears), tinnitus (ringing in the ears), hearing loss, dizziness and imbalance. For instance, when you eat foods that are high in salt or sugar, your blood level concentration of salt or sugar increases, and this, in turn, will affect the concentration of substances in your inner ear. High salt intake results in fluctuations in the inner ear fluid pressure and may increase your symptoms.
This should include water, milk and low-sugar fruit juices (for example, cranberry or cranberry-apple).
They can also suggest ways to prepare your favorite foods for a restricted-salt or low-sugar diet. The nicotine present in cigarettes constricts blood vessels and can decrease the blood supply to the inner ear, making your symptoms worse.
Then, if the symptoms occur when they are present, they will understand and not be overly frightened. Some attacks may occur during the night, so be sure you have a night light on; you will be relying more on vision to help maintain your balance. It may be necessary to take antidepressants or anti-anxiety drugs, under the supervision of an appropriate health care professional. In spite of this concentration of effort by the medical community, Meniere’s disease remains a chronic, incurable disorder that causes progressive disability to both hearing and balance.
Long-term vertigo control in patients after intratympanic gentamicin instillation for Meniere’s disease. Long-term disability of class A patients with Meniere’s disease after treatment with interlymphatic gentamycin.
The potential role of joint injury and eustachian tube dysfunction in the genesis of secondary Meniere’s disease. Evaluation of retrosigmoid vestibular neurectomy for intractable vertigo in Meniere’s disease: an interdisciplinary review. HLA-DRB1*1101 allele may be associated with bilateral Meniere’s disease in southern European population. Dexamethasone perfusion of the labyrinth plus intravenous dexamethasone for Meniere’s disease. Illness behavior, personality traits, anxiety and depression in patients with Meniere’s disease.
Dexamethasone inner ear perfusion for the treatment of Meniere’s disease: A prospective, randomized double-blind crossover trial. Haybach, Jerry Underwood (This book was written under the auspices of VEDA (Vestibular Disorder Association) for patients). I absolutely believe this, based on my own experience and the experience of the thousands of other sufferers I have been in contact with over the years. The site is being brought up to date to fall in line with the information in the two books above. In some cases dental work has preceded the onset of their original symptoms and in others the removing of their amalgam or correctional dental work has preceded a period of full or partial remission in their symptoms. Several hypotheses have been advanced regarding its aetiopathogenesis, but treatments based on these hypotheses have often not produced the desired results. If you have Menieres, even if you do not directly suffer from hay fever or pollen allergy, the pollen may get clogged up in your sinuses and cause dizziness and vertigo. This may have already been considered and discounted when you had your MRI when first suspicions of Meniere’s arose.
It is a very specific kind of water, made in a machine that hooks up to your kitchen faucet. If you are plagued with this debilitating condition, you may want to try adjusting your body pH.
If you eat foods high in cholesterol and that cholesterol deposits plaque on your blood vessel walls, then the blood flow can be restricted in and around the ear – the very opposite to what you want.
They also have no dietary cholesterol, except for some bakery breads and sweet bread products made with high-fat, high-cholesterol milk, butter, and eggs.
You can choose a diet containing up to 35 percent fat, substituting unsaturated fat for saturated fat. Limit the high-fat granola, muesli, and oat bran varieties that are made with coconut or coconut oil and nuts, which increases the saturated fat content. For example, two tablespoons of regular Italian dressing can add as many as 14 grams of fat. When you reduce the fat in your diet, you cut down on the richest source of calories, as well as on saturated fat and cholesterol.
The effect of plaque buildup in the arteries is the main cause of heart disease and heart attacks in people with high cholesterol. If not enough oxygen-carrying blood can pass through the narrowed arteries to reach the heart muscle, the heart may respond with a pain called angina.
This can reduce your risk of a heart attack by lowering the cholesterol content in unstable plaque, making it more stable and less prone to rupture.
Some patients may go months between episodes without experiencing any problems.  It occurs gradually over time and is most common in those between 40 and 60 years old.
In Figure 1, the area of the ear affected is the entire labyrinth, which includes both the semicircular canals and the cochlea.
A Meniere’s episode generally involves severe vertigo (spinning), imbalance, nausea and vomiting.
These are attributed to sudden mechanical deformation of the otolith organs (utricle and saccule), causing a sudden activation of vestibular reflexes. Between the acute attacks, most people are free of symptoms or note mild imbalance and tinnitus. We suspect that this lower statistic is due to a lower duration of follow-up and that the 50% figure is more likely to be correct. Recently, the the HLA-Cw allele was found to much higher in Meniere’s patients than controls (Khorsandi et al., 2011). This mechanical disruption and distortion of normal inner ear structures may result in the gradual onset of a chronic unsteadiness, even when patients are not having attacks.
The process of diagnosis usually includes hearing testing (audiometry), an ENG test, several blood tests (ANA, FTA), and an MRI scan of the head.
While some people have hearing that fluctuates like this without any further symptoms of dizziness or tinnitus, in most cases, this does not progress to Meniere’s disease (Schaaf et al, 2001).
Experience has show that STRICT adherence to this dietary regimen will result in significant improvement in most patients.

At present, we favor gentamicin for most instances where destructive treatments are being considered. While very effective, this procedure, especially the hearing-sparing variant, is presently generally felt to be of much higher risk than gentamicin injection. This treatment however damages the inner ear and causes bilateral vestibular paresis, which has its own set of symptoms and disability.
Limiting or eliminating your use of caffeine and alcohol will also help to reduce symptoms of dizziness and ringing in the ears. Aim for a diet high in fresh fruits, vegetables and whole grains, and low in canned, frozen or processed foods. Try to anticipate fluid loss which will occur with exercise or heat, and replace these fluids before they are lost. It may increase symptoms in some patients, possibly because of the link to migraine associated vertigo, and also because it contains sodium. With their assistance, you’ll find that modifying your eating habits can help you control the symptoms of your balance disorder.
Nonsteroidal anti-inflammatory agents such as ibuprofen or naproxen should also be avoided when practical. You will want to make sure that the path to the bathroom is free of throw rugs, furniture or other obstructions. Auditory and vestibular hair cell stereocilia: relationship between functionality and inner ear disease. Long-term effects of the Meniett device in Japanese patients with Meniere’s disease and delayed endolymphatic hydrops reported by the Middle Ear Pressure Treatment Research Group of Japan. Intratympani gentamicin treatment of patients with Meniere’s disease with normal hearing.
We have also been in contact with many doctors and other health professionals (sometimes sufferers themselves).
It is different in each individual but the common threads have been narrowed down enough for us to know what to do. For people who have Meniere’s symptoms in BOTH ears (bilateral) the study says the number is 16%!!
Two cases are described where common intraosseous pathology within the lower half of the functional face, i.e. If the tumors affect both hearing nerves, it is often because of a genetic disorder called neurofibromatosis.
It makes sense because inflammation caused by acidosis and dehydration can cause tissues to swell. It changes the tap water into alkaline, super-oxygenated, super hydrating, high antioxidant water that rids the body of free radicals, free radical damage and toxins. Like fruits and vegetables, naturally low-fat, low-cholesterol breads and other foods in this group are also good choices as part of a low cholesterol diet. Because ingredients are listed in descending order of predominance, smaller amounts are present when the ingredient is close to the end of the list.
An eating pattern high in fruits, vegetables, whole grains, low-fat or nonfat dairy products and a moderate amount of lean meat, skinless poultry, and fish is a good way to lose weight and improve your blood cholesterol.
The most important part of your new healthy lifestyle is learning how to overcome these challenges and quickly return to your goal. This is why lowering your LDL cholesterol is such an important part of reducing your risk of a heart attack.
It is believed to be caused by an imbalance of fluid in the inner ear, though what causes this imbalance is unknown.
Patients suddenly feel that they are tilted or falling (although they may be straight), and bring about much of the rapid repositioning themselves. Other possibilities, however, are selection bias and different patterns of the disease in different countries.
Vestibular (motion sensing) hair cells seem more resilient but there is also a slow decline in the caloric response in the diseased ear over roughly 15 years (Stahle et al, 1991). The periodic dilation and shrinkage of the utricle is also a reasonable explanation for periodic attacks of another inner ear disorder, BPPV.
A recent study examined the relationship between hearing fluctuation and vertigo attacks (Neill et al., 2010). Antivert and Ativan are commonly used vestibular suppressant medications and Compazine or Phenergan are commonly used medications for nausea. Injections of gentamicin are given through the ear drum, through a small hole or through a small tube.
We presently do not recommend vestibular nerve section for Meniere’s disease, except in situations where gentamicin injection has failed.
One recent study did conclude a higher success rate than gentamicin injection (Derebery et al., 2010).
Be cautious about the milk intake — some individuals have food allergy and get symptoms from milk products.
Large amounts of caffeine may trigger migraine (migraine can be difficult diagnostically to separate from Meniere’s disease). We are particularly interested in projects that might lead to method of stopping progression of hearing loss and the disabling attacks of dizziness. These beliefs stem from years of research and communicating with thousands of sufferers, doctors and other health professionals, in addition to having first and second hand experience. Some evidence points to middle ear infection, syphilis, head injury, viral illness, respiratory infection, stress, fatigue, use of OTC and prescription medications, allergies, smoking, alcohol use and genetic factors.
If you suffer from Meniere’s, then high cholesterol could be making things a lot worse for you. Small buildups of this substance are thought to be unstable and more likely to rupture, releasing their contents into the bloodstream, possibly causing a blood clot that may trigger a heart attack. It is typically felt in the chest or sometimes in other places, like the left arm and shoulder. Following a severe attack, most people find that they are exhausted and must sleep for several hours. This is a very disabling symptom as it occurs without warning and can result in severe injury.
Silverstein suggested that 75% of persons destined to become bilateral do so within five years. One way for this to happen is when the drainage system, called the endolymphatic duct or sac is blocked. Finally, it also seems likely that there may be a rupture of the suspensory system for the membranous labyrinth.
The studies concluded that hearing fluctuation often occurs indepentantly of vertiginous episodes. After the attack subsides, you will probably feel very tired and need to sleep for several hours. We do not presently recommend this procedure for our patients except in unusual situations.
Together, these cases contributed to the chance discovery of the comparative compression sign which, when able to be elicited, may be considered pathognomonic for a dental origin of the condition. All of the above creates acidity in the body with the exception of genetic factors which only govern 35 percent of what is going on.
Often destructive treatment (for example labyrinthectomy or vestibular nerve section) is the only way to manage this problem. In some cases, the endolymphatic duct may be obstructed by scar tissue, or may be narrow from birth.
This might create some mechanical instability of the utricle and saccule and consequently some chronic unsteadiness. Prednisone or other steroids (for example Decadron) are occasionally helpful in short bursts. A recent trend is to make an attempt to damage the sac, in addition to improving its drainage. It is suggested that, in addition to other hypothesized causes involving the vestibular apparatus and the CNS, Meniere’s disease and vertigo may also be caused by common, readily-identifiable intraosseous dental pathology.
Vestibular suppressants such as Antivert (meclizine) or Klonazepam are used on an as-needed basis.
As the sac is the immune organ of the ear, this idea makes sense if one is attempting to immunosuppress the ear. The majority of people with Meniere’s disease are over 40 years of age, with equal distribution between males and females.

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