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What Is Meniere’s Disease?

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Meniere’s disease is a problem with the inner ear, the part of the ear responsible for balance as well as hearing. When you have Meniere’s disease, too much endolymph (fluid) backs up in the canals, a condition called endolymphatic hydrops. Extra fluid causes pressure to build up, so the canals swell and can’t work right. This leads to problems with the ear’s hearing and balance systems.

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Symptoms of Meniere’s

  • Vertigo (a spinning or whirling sensation that causes balance problems). Vertigo is often accompanied by nausea, vomiting, and sweating. Attacks of vertigo usually begin suddenly and may last for 20 minutes to several hours. You may have attacks rarely, frequently, or in clusters. The first attack is usually the most intense.

  • Problems with hearing. Hearing is often partially or completely lost during vertigo attacks. It’s common for hearing to gradually worsen as the illness progresses.

  • Tinnitus (ringing, buzzing, whistling, or roaring noises in the ear). These noises may come and go or may always be present. The noises may get louder just before a vertigo attack.

  • A feeling of pressure or fullness in the ear. This sensation is sometimes felt most strongly right before a vertigo attack.

You may feel fine between attacks, or hearing or balance problems may continue between attacks. Although Meniere’s usually affects only one ear, it can occasionally develop in both ears.

Publication Source: Harris JP, Conn's Current Therapy 2007, 59th ed., Ménière's disease, 2007, pp 227-232
Publication Source: Schessel DA, Minor LB, Nedzelski J, Otolaryngology: Head & Neck Surgery, 4th ed., Chapter 142 - Ménière's disease and other peripheral vestibular disorders, 2005, pp 3209-3211
Online Medical Reviewer: Ryan, Matthew W., MD
Date Last Reviewed: 8/2/2004
Date Last Modified: 7/9/2002