Meniere's disease
Alternative names:
endolymphatic hydrops; hydrops
Treatment:
There is no known cure for Meniere's disease. Treatment is focused on relieving symptoms by lowering the pressure within the endolymphatic sac.
Antihistamines, anticholinergics, sedative-hypnotics, anti-emetics, diazepam, and other medications may relieve dizziness, vertigo, and associated nausea and vomiting. Diuretics may lower endolymphatic pressure.
Diet recommendations include a low-salt diet to reduce fluid retention (see sodium in diet).
Surgery on the labyrinth, endolymphatic sac, or the vestibular nerve may be required if symptoms are severe and do not respond to other treatment.
Avoid sudden movements that may aggravate symptoms. Help may be needed with walking due to loss of balance. Rest during severe episodes, and gradually increase activity. Avoid hazardous activities such as driving, operating heavy machinery, climbing, and similar activities until one week after symptoms disappear. During episodes, avoid bright lights, TV, or reading, which may make symptoms worse.
Expectations (prognosis):
The outcome varies. Meniere's disease can often be controlled with treatment. Recovery may occur spontaneously. However, the disorder may be chronic or disabling.
Complications:
Calling your health care provider:
Call for an appointment with your health care provider if symptoms of Meniere's disease, such as hearing loss, occur or worsen. Also call if new symptoms develop, especially persistent vomiting, a fever over 101 degrees F, convulsions, or fainting.
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