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Meniere Disease

Intro

Call your doctor and discuss your symptoms if any of the following occur.

  • Your attack lasts for more than 3 hours.
  • The symptoms during the attack become more severe.
  • You pass out.
  • You suffer hearing loss for more than 24 hours.
  • The attack is different than your typical (previous) episodes or does not respond to home treatments including prescribed medications.

If your doctor is not available, or if the doctor recommends treatment and workup, you should go to the hospital's emergency department for further evaluation to rule out other potential causes of the symptoms or to try other treatment options.

Self-Care at Home

The best way to manage an attack at home is to minimize the symptoms.

  • Lie in a quiet room with your eyes closed.
  • Try medications prescribed by your doctor: Medications that help decrease anxiety  such as diazepam (Valium) or prochlorperazine (Compazine) can be used to help shorten and decrease the severity of the symptoms. Your doctor can prescribe these types of medications and others after a complete evaluation and treatment plan is made.
  • If these treatments do not help during an attack, seek further medical evaluation for other treatment options. Rule out any other potential diseases.

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Prevention

No measures will prevent Ménière disease, but you can take preventive measures to avoid or minimize attacks and consequences of attacks.

  • Reduce salt in your diet.
  • Stop smoking.
  • Avoid exposure to loud noises.
  • Manage stress.
  • Use caution at home and on the job to avoid falling or having an accident if you feel dizzy.
Outlook

Most people can manage their symptoms with diet and lifestyle modifications and a medical plan prescribed by their doctor.

  • With a thorough evaluation and if you are motivated, you can often control attacks. Careful follow-ups with your primary care doctor and any consultants are needed on a regular basis to monitor symptoms, progress, and adjust therapy throughout the disease process.
  • About 10% of people require a surgical procedure to control their attacks. Thorough evaluation by an ear, nose, and throat specialist would be done for surgical options if medical management fails.

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