Meniere's
Disease (MD or endolymphatic hydrops) is a disorder
of the inner ear associated with a change in the
volume of fluid inside a portion of the inner ear
called the labyrinth, which includes the membranous
labyrinth and the bony labryinth.
When the
head moves, endolymph fluid in the membranous
labyrinth shifts, telling nerve receptors to signal
the brain about the body's motion. If the amounts of
endolymph increases, doctors believe, the membranous
labyrinth can balloon or dilate. If it then
ruptures, endolymph fluid can mix with perilymph
fluid in the bony labyrinth, causing Meniere's
symptoms. The underlying cause of Meniere's is still
unknown, though many hypotheses have been advanced.
Symptoms
include dizziness, nausea, vomiting, unsteadiness, a
sense of fullness in the ear, ringing in the ear
(tinnitus), headache, abdominal discomfort and
hearing loss, which can increase if the disease
progresses. These symptoms occur in three stages of
severity, as the disease advances, and can happen
with varying frequency, duration and intensity.
Usually, attacks are sudden and may last several
hours. The very first episode may last longer than
24 hours, but subsequent episodes do not. While
children can get MD, it most commonly affects men
and women between 20 and 50.
Diagnosis is
difficult because other conditions present some of
the same symptoms, so diagnostic testing is
critical, including radiological studies.
Treatment
focuses on managing vertigo, reducing the frequency
of Meniere's attacks and, primarily, preserving
hearing. Eliminating alcohol, coffee and salt may
help make attacks less frequent and eliminating
tobacco and stress may make them less severe.
Medication can reduce symptoms, and several surgical
options are also available.
Hospitals Listing
Fortis Helthcare
New Delhi
{India}
Piyavate Hospital
{Thailand}
Piyavate Hospital
Moolchand
New Delhi
{India}
Shroff Eye Hospital & Clinic
New Delhi
{India}
Shroff Eye Hospital is the first in India to be Certified by JCI (Joint Commission International, US
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