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Meniere?s disease describes a set of episodic symptoms including vertigo (attacks of a spinning sensation), hearing loss, tinnitus (a roaring, buzzing, or ringing sound in the ear), and a sensation of fullness in the affected ear. Meniere?s disease is also called idiopathic endolymphatic hydrops and is one of the most common causes of dizziness originating in the inner ear. Although the cause is unknown, Meniere?s disease probably results from an abnormality in the volume of fluid in the inner ear.
People with Meniere?s disease have a ?sick? inner ear and are more sensitive to factors, such as fatigue and stress, that may influence the frequency of attacks. Your physician will take a history of the frequency, duration, severity, and character of your attacks, the duration of hearing loss or whether it has been changing, and whether you have had tinnitus or fullness in either or both ears. An audiometric examination (hearing test) typically indicates a sensory type of hearing loss in the affected ear. Rotational or balance platform testing, may also be performed to evaluate the balance system.
Electrocochleography (ECoG) may indicate increased inner ear fluid pressure in some cases of Meniere?s disease. The auditory brain stem response (ABR), a computerized test of the hearing nerves and brain pathways, computed tomography (CT), or magnetic resonance imaging (MRI) may be needed to rule out a tumor occurring on the hearing and balance nerve. Although there is no cure for Meniere?s disease, the attacks of vertigo can be controlled in nearly all cases.
Your otolaryngologist will help you choose the treatment that is best for you, as each has advantages and drawbacks. Intratympanic injections involve injecting medication through the eardrum into the middle ear space where the ear bones reside. Endolymphatic sac shunt or decompression procedure relieves attacks of vertigo in one-half to two-thirds of cases and the sensation of ear fullness is often improved. Selective vestibular neurectomy is a procedure in which the balance nerve is cut as it leaves the inner ear and goes to the brain.
Labryrinthectomy and eighth nerve section are procedures in which the balance and hearing mechanism in the inner ear are destroyed on one side. This study aimed to investigate the long-term efficacy of intratympanic methylprednisolone perfusion treatment for intractable Meniere’s disease. Tinnitus is a chronic condition that causes persistent ear ringing, ear fullness, and dizziness. Ototoxic medications, exposure to loud noises, and old age are some of the most common causes of tinnitus, but many other factors involving chronic illness, nutritional deficiencies, or life-threatening conditions linked with heart attack and stroke must be fully investigated whenever ear ringing or pounding noises in the head become constant. In many cases, frequent ear ringing from tinnitus can be attributed to a vitamin deficiency.
Besides tinnitus, other telltale signs of vitamin deficiency include fatigue, memory loss, headaches, painful numbness and tingling, and muscle spasms. Tinnitus can also be an indicator of hypertension; in addition to vitamin B supplementation, other important nutritional strategies you should use to find out what’s causing tinnitus include cutting out sodium, increasing your intake of water, and taking beneficial vitamins, minerals, and herbs that promote normal circulation and allover vascular health.
Tinnitus can sometimes be a warning sign of atherosclerosis, a heart condition in which an artery wall thickens and accumulates plaque, a sticky substance made up of fat, cholesterol, calcium, and other materials.
Pulsatile tinnitus may be caused by an arteriovenous malformation (AVM), an abnormal connection or block between the arteries and veins. If you’ve had a fall, or been in an accident, and you start to notice persistent ear ringing, then have your doctor examine you for signs of a head injury. Meniere’s disease is an inner ear disorder that can impair hearing and balance, causing dizziness, disorientation, hearing loss, and often, tinnitus. The temporomandibular joint is a hinge that connects your upper and lower jaws, allowing for smooth and even movement. Rarely, chronic tinnitus may be an early warning sign of a brain tumor, or cancer in other parts of the head or neck. If you found this article helpful, then please share with your friends, family, and coworkers by email, Facebook, or Google+. 350 patients with hearing loss and tinnitus due to advanced age were treated with the key ingredients of TinniFree, and the success rate for improved hearing and tinnitus was 82%. This formula is the most comprehensive hearing support formula, with targeted ingredients shown to be effective for noise-free hearing support.

Meniere’s Disease is a condition of the inner ear that causes episodes of vertigo, tinnitus (ringing or buzzing in the ear), and hearing loss. Meniere’s disease is thought to be due to endolymphatic hydrops, which is an excess of fluid in the inner ear that can cause damage to the vestibular apparatus. An accurate diagnosis is determined by a detailed subjective history from the individual, as well as ruling out other causes. At this time, there is no cure for Meniere’s Disease; therefore treatment consists of symptom management. Cornerstone Physiotherapy has been voted as one of the top Physiotherapy clinics in Toronto.
This week we’re talking about Sadie and her journey to weaning off her anxiety medications. This week, we’re going to profile a super patient of mine, Sadie, who was struggling with anxiety and wanting to wean off of her anxiety medications–which can cause some nasty side effects of their own.
On Monday, we learned a bit about my patient, Caroline, and her frustrating—but classic—case of IBS. In most cases only one ear is involved, but both ears may be affected in about 15 percent of patients.
When the history has been completed, diagnostic tests will check your hearing and balance functions. Speech discrimination (the patient?s ability to distinguish between words like ?sit? and ?fit?) is often diminished in the affected ear.
In a darkened room, eye movements are recorded as warm and cool water or air are gently introduced into each ear canal.
In many people, careful control of salt in the diet and the use of diuretics can control symptoms satisfactorily.
This device is a mechanical pump that is applied to the person?s ear canal for five minutes three times a day.
While vertigo attacks are permanently cured in a high percentage of cases, patients may continue to experience imbalance.
This is considered when the patient with Meniere?s disease has poor hearing in the affected ear.
There are many different factors that may cause tinnitus, some of which may indicate an underlying health problem needing immediate medical attention. Most often, tinnitus symptoms- ringing, buzzing, or whooshing sounds in the ears- result from neurological damage to the nerve cells of the inner ear’s cochlea. Symptoms of pulsatile tinnitus are whooshing or pounding sounds in the ears and head that “pulse” in time with your heartbeat. Tinnitus, in addition to bruxism, (involuntary teeth grinding) may occur when there is a deformity or other sort of imbalance in the temporomandibular joint area.
For that reason, it’s crucially important to undergo an MRI or CAT scan, in order to rule out cancer when determining the cause of tinnitus ear ringing.
Feel free to join the discussion by leaving comments, and stay updated by subscribing to the RSS feed. The TinniFree formula is based on clinical journal reports cited by leading tinnitus research organizations.
Overtime, the disease can progress resulting in more frequent episodes of vertigo and progressive hearing loss.
However, the presence of endolymphatic hydrops does not always lead to the development of the disease. A hearing test is also an important piece of information to determine if hearing loss has occurred. Diet Modifications – A low-sodium diet and the avoidance of CATS (coffee, alcohol, tobacco, and stress) have been demonstrated to help reduce the severity of symptoms.
Physiotherapy – Between episodes of vertigo, individuals may notice feelings of imbalance or dizziness. Vestibular Rehabilitation Therapy (VRT) can assist in managing dizziness and imbalance between episodes.
Today, I want to talk a bit about how we diagnosed and treated her IBS and share some follow-up feedback from her about how it’s going!

Hearing loss is often intermittent, occurring mainly at the time of the attacks of vertigo. In some individuals, especially those with involvement of both ears, allergies or autoimmune disorders may play a role in producing Meniere?s disease.
Since the eyes and ears work in coordination through the nervous system, measurement of eye movements can be used to test the balance system. The treatment includes either making a temporary opening in the eardrum or placing a tube in the eardrum.
A ventilating tube must be first inserted through the eardrum to allow the pressure produced by the air pressure pulse generator to be transmitted across the round window membrane and change the pressure in the inner ear.
Endolymphatic sac surgery does not improve hearing, but only has a small risk of worsening it. Labryrinthectomy and eighth nerve section result in the highest rates for control of vertigo attacks. To find out what’s causing your tinnitus, have yourself tested for the following illnesses and medical conditions.
When vitamin levels are low, you may experience a breakdown in nerve cell functioning, resulting in symptoms of neuropathy, nerve damage. Signs of TMJ disorder are persistent jaw pain, tinnitus ear ringing, sores on the insides of the cheeks, and headaches.
Reproduction in whole or in part in any form or medium without express written permission is prohibited. The cause for this excess fluid is generally unknown, but some research suggests it may be due to compression of blood vessels, autoimmune disorders, genetics, or a virus. As the disease progresses, objective tests using infrared goggles can also detect deficits of the vestibular system. Many people with Meniere’s also find that limiting intake of monosodium glutamate (MSG) and sugar can reduce symptoms. By working with a vestibular physiotherapist, impairments that are present between vertiginous episodes can be identified and vestibular exercises can be prescribed to improve symptoms. Our vestibular physiotherapists can also assist with lifestyle changes that may assist your management of the condition. As a Traditional Chinese Medicine practitioner who specializes in digestive health, I am very excited to write to you about all the things that Chinese medicine can help with when it comes to digestive issues.
I wanted to welcome to a new feature on the blog, where we will be featuring patient profiles and care plans to show you exactly how patients are conquering their illnesses with Traditional Chinese Medicine. In later stages of the condition, individuals can also experience balance difficulties between episodes. Individuals can keep a dietary journal to assist in determining what foods may influence their symptoms.
Although vestibular rehabilitation will not prevent an episode of vertigo, it greatly helps manage the symptoms that may be present between attacks. To have medications prescribed, you should discuss this condition with your family physician or ENT that is monitoring your care.
Usually, the hearing loss involves mainly the lower pitches, but over time this often affects tones of all pitches. Because Meniere?s disease affects each person differently, your doctor will suggest strategies to help reduce your symptoms and will help you choose the treatment that is best for you.
Anti-depressants and anti-anxiety medications may be used as well, if stress and anxiety are present. Gentamicin alleviates dizziness but also carries the possibility of increased hearing loss in the treated ear that may occur in some individuals. Tinnitus and fullness of the ear may come and go with changes in hearing, occur during or just before attacks, or be constant. Corticosteroids do not cause worsening of hearing loss, but are less effective in alleviating the major dizzy spells.

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