Location Icon
9266125888
Take our Vertigo Screening Quiz !

Meniere’s Disease

divider
banner-divider

About the Disease

a vector image of women suffering from Menieres Disease
Meniere’s disease is a chronic vestibular disorder caused by fluctuating pressure of inner ear fluid. It presents with recurrent episodes of spinning with fluctuating hearing loss in one ear. It is a slowly progressive disease which should be treated at the earliest to prevent long-term complications. Increased fluid pressure causes the inner ear to expand like a balloon which leads to recurrent episodes of vertigo, hearing loss, ringing sound in the ear (tinnitus). Meniere’s disease can develop at any age, but it is more likely to occur in people of the age of 30–60 years.
Divider border Icon
divider Border icon

Symptoms

  1. Vertigo: The most bothersome complaint in Meniere’s disease is unpredictable recurring episodes of vertigo which may last for about 20 minutes to several hours. The vertigo bouts are often accompanied by nausea and vomiting.
  2. Hearing Loss: Fluctuating hearing loss in one ear is one of the earliest symptoms of Meniere’s disease. As the disease progresses, the temporary hearing loss may become a permanent disability.
  3. Tinnitus (ringing in the ear): Tinnitus is a perceived sound of ringing or buzzing in the ear. In the initial stages, the sound may come and go but with disease progression, the sound may become a constant feature.
  4. Fullness in the ear: Patients suffering from Meniere’s disease often feel pressure in the affected ear (aural fullness) or on the side of their heads before the spell of vertigo starts. This feeling may decrease after the vertigo spell subsides.
Divider icon
divider icon

Diagnosis

A detailed history followed by thorough Vestibular Evaluation and Audiometry will help the doctor reach the diagnosis and stage of disease. According to the test results, the treatment is planned.

Pattern border

Treatment

The treatment for Meniere’s disease focuses on relieving the symptoms of the disease, reducing inner ear pressure and preventing disease progression.
This would be achieved through various measures –

  • Dietary modifications.
  • Medication are aimed to:
    • Control the vertigo attack
    • Reduce inner ear pressure
    • Treat the disease pathology
  • Vestibular Rehabilitation Therapy: Once the acute symptoms are controlled, the patient can be assisted with customized vestibular rehabilitation treatment.
  • Intratympanic Injections: In patients who do not respond well to medical management, we offer intratympanic injections in the form of steroids and gentamicin. This helps to reduce inner ear pressure by providing a higher concentration of drug locally in the ear without systemic side effects.
  • Hearing Aids: When hearing loss becomes constant and affects the day-to-day life of the patient, hearing aids can be used to improve hearing outcomes.
  • Surgery: Surgery is rarely indicated in Meniere’s disease. It remains one of the last options to treat intractable Meniere’s disease when the vertigo episodes are severe and frequent.

Understanding the Goals of Meniere’s Disease Treatment

The primary goal of meniere’s disease treatment is not to cure the condition, but to reduce the frequency and severity of vertigo attacks, preserve hearing for as long as possible, and improve overall quality of life.

Because Ménière’s disease is chronic and progressive, treatment for meniere’s disease is usually long-term and multi-modal, tailored to the stage and severity of symptoms.

Phases of Treatment of Meniere’s Disease

Treatment of meniere’s disease typically follows a step-wise approach:

1. Acute Phase Management

  • Control vertigo, nausea, and vomiting
  • Reduce inner ear fluid pressure
  • Ensure patient safety during attacks

2. Inter-Episode (Maintenance) Phase

  • Dietary control
  • Long-term medications
  • Vestibular rehabilitation therapy

3. Refractory Disease Management

  • Intratympanic injections
  • Advanced interventions for uncontrolled vertigo

This structured approach ensures that meniere disease treatment is effective while avoiding unnecessary invasive procedures.

Why Multiple Treatments Are Often Needed

No single treatment works for all patients with Ménière’s disease.
This is because:

  • Inner ear fluid pressure fluctuates
  • Hearing involvement varies
  • Triggers differ between individuals

Combining dietary changes, medication, vestibular rehabilitation, and targeted procedures provides the most consistent symptom control. This integrated approach is now considered the standard for treatment of meniere’s disease worldwide.

Role of Vestibular Rehabilitation in Meniere Disease Treatment

While vestibular rehabilitation cannot stop fluid buildup, it plays a crucial role in improving balance and reducing motion sensitivity between vertigo episodes.

Vestibular rehabilitation is especially helpful for:

  • Persistent imbalance
  • Fear of movement after vertigo attacks
  • Delayed recovery between episodes

This makes it an essential supportive therapy in comprehensive meniere’s disease treatment.

What Determines Treatment Success in Ménière’s Disease?

Successful treatment for meniere’s disease is measured by:

  • Reduced frequency of vertigo episodes
  • Shorter attack duration
  • Improved functional balance
  • Stabilisation of hearing loss
  • Better daily functioning

Early diagnosis and adherence to treatment significantly improve long-term outcomes.

Common Myths About Meniere’s Disease Treatment

  • Vertigo exercises cure Ménière’s disease – Exercises help compensation but do not correct fluid imbalance
  • Surgery is inevitable – Most patients never require surgery
  • Hearing loss always becomes total – Many patients maintain usable hearing with proper management

Addressing these misconceptions helps patients make informed decisions.

When Should Treatment Be Escalated?

You should consult a specialist urgently if:

  • Vertigo attacks become more frequent or severe
  • Hearing loss progresses rapidly
  • Medical therapy fails to control symptoms
  • Daily life and safety are significantly affected

Escalation of treatment for meniere’s disease at the right time prevents unnecessary disability.

Conclusion

Meniere’s disease treatment is most effective when started early, personalised carefully, and adjusted over time.

With the right combination of lifestyle changes, medication, rehabilitation, and advanced therapies when needed, most patients can achieve good long-term symptom control.

Nationwide care with 200+ clinics in 54+ cities.

Visit a NeuroEquilibrium Clinic today!

FAQ's

How do you treat Ménière’s disease?

Treatment of Méniere disease is aimed at controlling the symptoms and lessening the number of attacks. These can be treated with diet changes, medications to control vertigo and nausea, and balance-enhancing therapy. In more chronic instances, a more complex set of testing the vestibular motions and rehabilitation, like Neuroequillibrium, is used to detect inner ear abnormality and recommend a specific course of treatment.

Individuals affected with Méniere’s disease are typically advised to shun consuming foods that may aggravate the level of fluid imbalance in the inner ear. These usually consist of high salt content foods, caffeine, alcohol and highly processed food. Sugar consumption and eating foods without food additives such as MSG should also help. Balance and consistency of the diet may be important in the management of symptoms.

Normal life with MENIERes disease entails the ability to treat and avoid triggers. Typically, many individuals have habits that they exercise on a daily basis, including keeping to dietary guidelines, stress management, proper rest, and treatment plans. Knowledge of warning signs and pacing activities can also be used to avoid extreme episodes and enable people to remain active, independent and productive in the long term.

High salt intake, stress, sleeplessness, caffeine, alcohol, dehydration, and abrupt increase or decrease in pressure are common triggers of Meniere’s disease. Others observe the flare-ups when they are sick or going through hormonal fluctuation. Individuals respond differently to trigger factors and therefore monitoring of symptoms and lifestyle may aid in determining individual patterns of responding to these factors and enhance long term management of symptoms.

Méniere disease is not said to be curable although it can be managed through the right care. With an appropriate combination of lifestyle change and medication, many of them find that the number and severity of attacks generally decrease over time. Neuroequillibrium centers specialize in long-term management techniques which assist the patient to gain balance, lessen the vertigo incidences and enhance the quality of life.

हिन्दीతెలుగు
Ménière’s Disease can affect both hearing and balance—schedule your appointment today to get diagnosed.




Book an Appointment for Vertigo profile test