Diseases And Treatments

Ménière's Disease - What It Is, Causes and Treatments

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Ménière's Disease - What It Is, Causes and Treatmentswith medicines. In additionMénière's diseaseis an inner ear disorder that is characterized by episodes of sensation that the world is spinning in your ear. THEMénière's diseaseis a chronic disease characterized by increased pressure of the endolymph, which is the liquid in the labyrinth that lies within the ear. Usually occurs on only one side. In the labyrinth, there are auditory cells and cells responsible for balance. With increased endolymph pressure, these cells become impaired, triggering a series of symptoms.

The Syndrome orMénière's diseaseis not the same as labyrinthitis, but may be one of the causes of it. Labyrinthitis is a popular term used to define a set of symptoms such as dizziness, lack of balance, tinnitus, etc. The Syndrome orMénière's diseaseoccurs progressively, with frequent seizures and risks of hearing loss and other permanent complications. But it can also be incidental, that is, crises are sporadic and without sequencing and the problem is not chronic.

Causes of Ménière's Disease:Although many doubts and mysteries surround this syndrome, dizziness appears to be caused by the sudden increase in endolymph pressure within the labyrinth. This increase could be due to increased production or decreased drainage of the endolymph, caused by allergies, metabolic and autoimmune problems, infections or even eating errors.

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At the end of last year researchers at the University of Colorado have published a new hypothesis of vascular mechanism for the disease, which still lacks scientific proof. But the great truth is that there are many more questions than answers and we are far from understanding the true cause of the disease.

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Symptoms of Ménière's Disease:The main symptoms ofMénière's diseaseare episodes of vertigo (sensation of rotation or movement and loss of balance) preceded by deafness fluctuation, buzzing, and a feeling of pressure on the ear (plugged ear) similar to that altitude.

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At first, these symptoms manifest themselves only on one side, but can reach both with the evolution of the condition. The seizures can last from about 30 minutes to 8 hours and are accompanied by nausea, vomiting, malaise and diarrhea. The main symptoms ofMénière's diseaseare:

  • Vertigo.
  • Decreased hearing.
  • Buzz.
  • Clogged ear sensation.

Diagnosis of Ménière's Disease:There is no specific exam or test to diagnoseMénière's disease. In general, the diagnosis is made through the physical examination and the patient's medical history. Sometimes the patient remains with varying degrees of auditory symptoms and dizziness for up to 3 years before being able to find a doctor who makes the correct diagnosis.

The diagnostic criteria proposed by the American Academy of Otorhinolaryngology and Head and Neck Surgery are currently the most used to define the diagnosis ofMénière's disease. Are they:

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  • History of at least 2 episodes of vertigo lasting at least 20 minutes.
  • Confirmation of hearing loss through audiometric examination.
  • Presence of tinnitus.

In addition to these criteria, it is also important to rule out diseases that may cause a similar clinical multiple sclerosis, acoustic neuroma, diabetes mellitus, thyroid diseases and other ear diseases internal.

Treatmentsof Ménière's Disease:The treatment aims first at the relief of symptoms through diet with low sodium intake and prescription of diuretic and antivertiginous drugs.
If this therapeutic approach is not sufficient to reverse the condition, surgery and intratympanic application of antibiotics may be used.

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Prevention of Ménière's Disease:Because the Syndrome may be related to metabolic and autoimmune diseases, a daily control of these diseases is required to avoid complications in the labyrinth.

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