Formal diagnosis
For all who may be interested, I have spoken to my GP today, and we have an appt together tomorrow to discuss, but she informed me that she spoke to my neuro doctor, and that my vertigo problems have just been a major symptom of what I am really diagnosed with. It's called Meniere's Disease. I have tried to insert the link but couldn't so here is some information. (hope I don't bore anyone :boring
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A.D.A.M. Medical Encyclopedia. Atlanta (GA): A.D.A.M.; 2011.
A.D.A.M. Medical Encyclopedia.
Meniere’s disease
Hydrops; Endolymphatic hydrops
Last reviewed: August 31, 2011.
Meniere's disease is an inner ear disorder that affects balance and hearing.
See also: Vertigo
Causes, incidence, and risk factors
The inner ear contains fluid-filled tubes called semicircular canals, or labyrinths. These canals, along with a nerve in your skull, help interpret your body's position and maintain your balance.
The exact cause of Meniere's disease is unknown. It may occur when the pressure of the fluid in part of the inner ear gets too high.
In some cases, Meniere's disease may be related to:
Head injury
Middle or inner ear infection
Other risk factors include:
Allergies
Alcohol use
Family history
Fatigue
Recent viral illness
Respiratory infection
Smoking
Stress
Use of certain medications
Between 50,000 and 100,000 people a year develop Meniere's disease.
Symptoms
Attacks or episodes of Meniere's disease often start without warning. They may occur daily, or as rarely as once a year. The severity of each episode can vary.
Meniere's disease usually has four main symptoms:
Drop in hearing
Pressure in the ear
Ringing or roaring in the affected ear
Vertigo
Severevertigo or dizziness is the symptom that causes the most problems. People who have vertigo feel as though they are spinning or moving, or that the world is spinning around them.
Severe nausea, vomiting, and sweating often occur.
Symptoms get worse with sudden movement.
Often, the person will need to lie down.
The dizziness and feeling of being off-balance will last from about 20 minutes to a few hours.
Hearing loss may occur. Usually the hearing loss is only in one ear, but it may affect both ears.
A person's hearing tends to recover between attacks but gets worse over time
Low frequency hearing is lost first
Roaring or ringing in the ear (tinnitus), as well as a sense of pressure in the ear are common
Other symptoms include:
Diarrhea
Headaches
Pain or discomfort in the abdomen
Nausea and vomiting
Uncontrollable eye movements
Signs and tests
A brain and nervous system (neurological) examination may show problems with hearing, balance, or eye movement.
A hearing test or audiogram will show the hearing loss that occurs with Meniere's. Hearing may be near normal after an attack.
A procedure called caloric stimulation tests eye reflexes by warming and cooling the inner ear with water. Abnormal results on this test can be a sign of Meniere's disease.
The following tests may also be done to distinguish Meniere's disease from other causes of vertigo:
Electrocochleography (ECOG)
Electronystagmography (ENG) or videonystagmography (VNG)
Head MRI scan
Treatment
There is no known cure for Meniere's disease. However, lifestyle changes and some treatments can often help relieve symptoms.
Your doctor may suggest ways to decrease the amount of water or fluid in your body. This can often help control symptoms.
Water pills (diuretics) may help relieve fluid pressure in the inner ear
A low-salt diet may also help (See: Sodium in diet)
Other changes that may help with the symptoms and keep you safe include:
Avoid sudden movements, which may worsen symptoms. You may need help walking when you lose balance during attacks.
Avoid bright lights, TV, and reading during attacks, because they may make symptoms worse. Rest during severe episodes, and slowly increase your activity.
Avoid activities such as driving, operating heavy machinery, and climbing until 1 week after your symptoms disappear. A sudden dizzy spell during these activities can be dangerous.
Gradually resume your activity after episodes.
Keep still and rest when you have symptoms.
Symptoms of Meniere's disease can cause stress. Make healthy lifestyle choices to help you cope:
Eat a well-balanced, healthy diet. Don't overeat.
Exercise regularly, if possible.
Get enough sleep.
Learn and practice relaxation techniques, such as guided imagery, progressive muscle relaxation, yoga, tai chi, or meditation.
Limit caffeine and alcohol.
Your health care provider may prescribe medicines for nausea and vomiting. Symptoms such as dizziness and vertigo may respond to sedative/hypnotics and benzodiazepines such as diazepam (Valium).
You may need ear surgery if your symptoms are severe and do not respond to other treatments.
Cutting the vestibular nerve with a surgical procedure helps control vertigo. It does not damage hearing.
Placing an antibiotic called gentamicin directly into the middle ear can help control vertigo.
Removing part of the inner ear with a procedure called labyrinthectomy helps with vertigo, but it causes complete hearing loss.
Hearing aids may be needed for severe hearing loss.
Expectations (prognosis)
The outcome varies. Meniere's disease can often be controlled with treatment.
The condition may get better on its own. However, Meniere's may be chronic or disabling.
Complications
Inability to walk or function due to uncontrollable vertigo
Hearing loss on the affected side
Calling your health care provider
Call for an appointment with your health care provider if symptoms of Meniere's disease, such as hearing loss, ringing in the ears, or dizziness, occur or worsen.
Prevention
There is no known prevention for Meniere's disease, but prompt treatment of ear infection and other related disorders may be helpful.
References
Crane BT, Schessel DA, Nedzelski J, Minor LB. Peripheral vestibular disorders. In: Cummings CW, Flint PW, Haughey BH, et al, eds. Otolaryngology: Head & Neck Surgery. 5th ed. Philadelphia, Pa: Mosby Elsevier;2010:chap 165.
Post RE, Dickerson LM. Dizziness: a diagnostic approach. Am Fam Physician. 2010;82:361-369.
Review Date: 8/31/2011.
Reviewed by: Seth Schwartz, MD, MPH, Otolaryngologist, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
A.D.A.M., Disclaimer
Copyright © 2011, A.D.A.M., Inc.
Causes, incidence, and risk factors
Symptoms
Signs and tests
Treatment
Expectations (prognosis)
Complications
Calling your health care provider
Prevention
References
What works?
Intratympanic gentamicin for Ménière's disease or syndrome Intratympanic gentamicin for Ménière's disease or syndrome Ménière's disease is characterised by three major symptoms: rotational dizziness (vertigo), hearing loss and ringing in the ears (tinnitus), sometimes accompanied by aural fullness. Intratympanic gentamicin is a relatively new therapy with promising results. Gentamicin is an antibiotic which damages the inner ear and the balance organ when it is applied behind the ear drum. This treatment may decrease the spells of vertigo in Ménière's disease. In this review we assess the effectiveness of this kind of treatment for Ménière's disease. Two randomised controlled trials, including a total of 50 patients, were identified which fulfilled the review inclusion criteria. Both of these found a beneficial effect of intratympanic gentamicin therapy for Ménière's disease, although the size of the effect differed between the two trials. Based on these findings, we conclude that intratympanic gentamicin may be an effective treatment for vertigo complaints in Ménière's disease, but it carries a risk of increasing hearing loss. Further research is needed to clarify the effect of intratympanic gentamicin on vertigo in Ménière's disease and the risk of inducing or increasing hearing loss. See all (7)...
FiguresDrugs of interest
Diazepam Diazepam is used to relieve anxiety, muscle spasms, and seizures and to control agitation caused by alcohol withdrawal. Digoxin Oral Digoxin is used to treat heart failure and abnormal heart rhythms (arrhythmias). It helps the heart work better and it helps control your heart rate. Read MoreDizziness Hearing loss Tinnitus Ear infection - acute Head injury Respiratory Stress and anxiety Fatigue Allergies Alcohol use and safe drinking
Meniere's DiseaseMedlinePlus.gov links to free, reliable, up-to-date health information from the National Institutes of Health (NIH) and other trusted health organizations.
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I am off for a few days- so everyone have a great weekend!! :ybiggrin: