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Meniere's Disease

Chronic hydrops disease of the inner ear

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our KBB (Kulak Burun Boğaz) department. Book Appointment →

What is Meniere's Disease?

Meniere's disease emerges with abnormal fluid dynamics of the endolymphatic canal in the inner ear. This disease, which progresses with episodic symptoms, can over time lead to permanent hearing loss.

During an attack, severe rotational vertigo, nausea-vomiting, intensification of tinnitus and a sensation of pressure in the ear are seen together. Attacks can last from minutes to hours.

As the disease progresses, low-frequency hearing loss spreads to all frequencies. Bilateral involvement develops in approximately 30% of patients.

Symptoms

Episodic rotational vertigo (20 min – 12 hours)
Low-frequency fluctuating hearing loss
Tinnitus (ringing in the ear) — worsens before an attack
Sensation of fullness and pressure in the ear
Nausea and vomiting during an attack
Imbalance and fatigue between attacks

Risk Factors

Autoimmune diseases (Hashimoto's, rheumatoid arthritis)
High salt intake and caffeine consumption
Stress and sleep disturbance
History of allergy and head trauma
Migraine association
Familial predisposition

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • If a severe vertigo attack is experienced for the first time
  • If hearing loss or tinnitus develop along with the attack
  • Frequent and prolonged vertigo attacks
  • If there is a fall risk due to imbalance
  • If unilateral hearing loss is progressive

Treatment Methods

01
Salt restriction (less than 1500 mg sodium per day)
02
Diuretic therapy (hydrochlorothiazide + triamterene)
03
Betahistine (symptom control)
04
Vestibular rehabilitation
05
Transtympanic gentamicin injection
06
Endolymphatic sac surgery or labyrinthectomy (in refractory cases)

Which Department to Visit?

You can visit our KBB (Kulak Burun Boğaz) department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About KBB (Kulak Burun Boğaz) Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.