Finding Your Footing With Meniere’s Disease
Meniere’s disease is an inner ear disorder that affects a person’s hearing and balance. The chronic condition can affect one or both ears and cause vertigo and hearing loss. Experts believe the disease is caused by excessive fluid in the tubes of the inner ear, but autoimmune conditions, genetics, and allergies are also suspected causes.

Listening for signs
Meniere’s disease typically affects people in episodes or attacks. Common symptoms include dizzy spells that can last a few minutes or an entire day, as well as hearing loss in one ear. Patients should also look out for the following symptoms:
- Tinnitus, or ringing in the ear
- Headaches
- Nausea and vomiting
- Aural fullness, or plugging of the ear
- Deafness
Diagnosing hearing loss
Treatment for vertigo, hearing loss, or any other Meniere’s disease symptoms depends on the diagnosis and severity of the condition. A hearing test using headphones checks to see if patients can hear different tones and words. An electrocochleography (ECOG) test is performed to measure electrical activity in the inner ear. An auditory brainstem response (ABR) test measures the nerve and the brain’s hearing center function.
Testing for balance disorders
Balance tests such as the electronystagmography (ENG) uses electrodes to detect eye movement. A doctor will push hot and cold water through the ear and check for involuntary eye movements caused by irregularities in the inner ear. Rotary chair testing and vestibular evoked myogenic potential (VEMP) are also diagnostic tests, albeit less common than ENG.
Surgery for Meniere’s disease
Patients who have Meniere’s disease can still experience vertigo symptoms, even with conventional treatments. When all medical treatments are exhausted, surgery may be an option to treat debilitating vertigo. Surgical procedures intend to either reduce pressure, destroy the balance function, but keep the hearing function, or destroy both hearing and balance functions.
Reversing pressure caused by fluid
An endolymphatic sac surgery operates on the endolymphatic sac responsible for regulating inner ear fluid levels. A small portion of bone is removed to reduce compression. The procedure may also include the placement of a shunt, a tube used to drain excess fluid.
Hearing or balance loss
A labyrinthectomy removes the hearing and balance function of the ear. The procedure is usually reserved for severe cases of near or complete hearing loss. The vestibular nerve section surgery cuts the nerve responsible for connecting balance and movement sensors in the inner ear. The operation preserves the hearing nerve to retain a level of hearing.
The possibility of spontaneous remission
Doctors can recommend a personalized treatment measure to help patients manage vertigo and hearing loss. Along with surgery, patients can manage symptoms with simple lifestyle changes such as reducing salt, caffeine, alcohol, and tobacco intake to keep inner ear fluid levels in check. Patients can manage vertigo and hearing loss by learning the triggers, resting after attacks, and finding the right treatment. For more information, speak with an ear, nose, and throat (ENT) specialist.
Recent Posts
Will I Need Assistance At Home Following Carpal Tunnel Surgery?
Carpal tunnel can be debilitating and sometimes requires surgery. Most people need some assistance at home during recovery.
Post-Operative Precautions Following Ear Tube Placement
Post-operative precautions after ear tube surgery are important. Taking medications and attending follow-up visits can help with recovery.
The Problems A Deviated Septum Can Cause: When To Schedule Your Septoplasty
A deviated septum occurs when the bony structure separating the nostrils is crooked. Problems can often be helped by septoplasty.
Being Pain Free: Transforaminal Epidural Steroid Injections For Relief
Chronic back or neck pain can benefit from transforaminal epidural steroid injections. The quick procedure can provide pain-free relief.
“No severe pain – Just a little discomfort – I was asked several times during procedure if I was OK – they showed genuine concern for my well being.”
“The staff was very polite, they were excellent. They explained exactly what was going on.”
“Dr. Dedhia made everything clear and even scheduled an early follow-up appt so I could get back to work sooner.”
“Entire staff was knowledgeable and courteous. They genuinely cared for my well being and made sure my wife and I were taken care of.”
“The nurses were very nice and caring!”
“Rebecca was amazing. I have always had trouble in the past with getting an IV started. I told Rebecca I was concerned about it. She got it on the 1st try – no digging in my arm and NO bruising the next day.”
“Experience was amazing. The nurses my son needed at this time couldn’t have been chosen any more perfect. They were supportive and understanding, patient and just great human beings.THANK YOU KINDLY ”
“Everyone was friendly and concerned about my comfort. They frequently asked how I was doing, or if I needed something.”
“The nurses were very nice and caring!”
“I can’t say enough about Marcia and the entire team. The care I received was well beyond anything I could have expected.”
“Incredibly professional, friendly and confidence of knowing their roles as healthcare employees. Excellent!”
“Dr. Dedhia made everything clear and even scheduled an early follow-up appt so I could get back to work sooner.”
“Everyone was concerned with my comfort.”
“Everyone was friendly and the place was very clean.”
“The staff was great, especially Mary and Marcia. Marcia was extremely helpful post-op and made sure I was comfortable and well-cared for.”
“Rebecca was amazing. I have always had trouble in the past with getting an IV started. I told Rebecca I was concerned about it. She got it on the 1st try – no digging in my arm and NO bruising the next day.”
“Experience was amazing. The nurses my son needed at this time couldn’t have been chosen any more perfect. They were supportive and understanding, patient and just great human beings.THANK YOU KINDLY ”
“All staff were wonderful.”
“Amazing nurses, very caring and friendly and put both me and my son at ease.”
“Dr. Tupper was amazing! He spent time explaining exactly what he was doing, what I would experience and made sure I was comfortable.”
“Efficiency of the staff. Courteous, friendly and caring attitude. Excellent office staff. Pleasant surroundings.”
“Incredibly professional, friendly and confidence of knowing their roles as healthcare employees. Excellent!”
“Dr. Best…is the best!”
“The staff was great, especially Mary and Marcia. Marcia was extremely helpful post-op and made sure I was comfortable and well-cared for.”
“The STAFF from the moment you walk in were the nicest people I’ve encountered at a medical facility.”
“The STAFF from the moment you walk in were the nicest people I’ve encountered at a medical facility.”
“Amazing nurses, very caring and friendly and put both me and my son at ease.”
“Marcia and staff were excellent and genuinely cared for my well being. Wish I could have taken them home.”
“Efficiency of the staff. Courteous, friendly and caring attitude. Excellent office staff. Pleasant surroundings.”
“No severe pain – Just a little discomfort – I was asked several times during procedure if I was OK – they showed genuine concern for my well being.”
“I can’t say enough about Marcia and the entire team. The care I received was well beyond anything I could have expected.”
“I liked that it was so clean. Every staff member was pleasant and easy to talk with.”
“I liked that it was so clean. Every staff member was pleasant and easy to talk with.”
“Dr. Best…is the best!”
“All staff were wonderful.”
“Everyone was concerned with my comfort.”
“NO wait time, RN Rebecca answered all questions prior to my visit by phone and again answered all questions and concerns while prepping me.”
“The staff was very polite, they were excellent. They explained exactly what was going on.”
“Dr. Tupper was amazing! He spent time explaining exactly what he was doing, what I would experience and made sure I was comfortable.”
“Entire staff was knowledgeable and courteous. They genuinely cared for my well being and made sure my wife and I were taken care of.”
“Everyone was friendly and concerned about my comfort. They frequently asked how I was doing, or if I needed something.”
“Marcia and staff were excellent and genuinely cared for my well being. Wish I could have taken them home.”
“Anesthesia staff was outstanding!”
“NO wait time, RN Rebecca answered all questions prior to my visit by phone and again answered all questions and concerns while prepping me.”
“Everyone was friendly and the place was very clean.”
“Anesthesia staff was outstanding!”