OR: An Intro to Meniere's Disease
Meniere's Disease is a very disturbing illness, presenting patients with hearing loss, pressure in the ear, tinnitus, severe imbalance and vertigo.
Vertigo is the most dramatic and distressing symptom of Meniere's; it is described as a sudden loss of normal balance or equilibrium. The room may suddenly begin to spin and rotate at high speed. Focusing is difficult, and if the vertigo continues, nausea and vomiting may occur. Vertigo is commonnly caused by acute labyrinthitis (a viral inflammation of the inner ear), benign positional vertigo (a condition due to abnormally floating crystals in the inner ear that stimulate the nerve endings of the inner ear), delayed symptom of head injury, or result of cervical spine problems.
Hearing loss typically fluctuates with hearing being worse some days than others. The hearing loss in Meniere's may lead to severe permanent hearing loss and deafness in the affected ear.
People with Meniere's Disease report that tinnitus may be variable and often worsen before an attack of vertigo. Tinnitus is often described as a motor-like whirring noise present only in the ear with the hearing loss.
Pressure or a sense of fullness in the affected ear are also common.
Meniere's Disease rarely occurs in children. In most cases, it begins in both men and women in the thirties or early middle age. Also, Meniere's is rarely noted for the first time in older people. Ear surgeons see many patients with dizziness. Very few of these patients actually have Meniere's Disease.
SYMPTOMS
Symptoms of Meniere's Disease come in cycles. The patient suffers multiple episodes lasting several months at a time; then, it generally subsides. In some individuals, the symptoms seem to be more severe in spring, fall or when under extra emotional stress.
The most unpredictable and frightening symptom of Meniere's Disease is vertigo. The vertigo in Meniere's Disease is thought to result from an accumulation of excessive fluid in the inner ear. The fluid pressure stretches the membranes, that divide the compartments of the inner ear. As the membranes of the inner ear stretch, hearing diminishes and tinnitus worsens. When the membranes are severely stretched, the fluids of the inner ear may rupture them. This results in mixing of the fluids, one rich in sodium, the other rich in potassium. The mixture of these fluids is thought to bring on the vertigo.
After the membranes rupture, they eventually heal, but some hearing is usually lost. Surprisingly, with salt restriction, careful dietary planning and a mild diuretic, the symptoms of Meniere's Disease will often subside. In some cases, hearing can return to normal.
Classic symptoms of Meniere's aren't always present. Sometimes, hearing loss will precede episodes of vertigo by several years. Tinnitus alone, without associated hearing loss or vertigo, is rarely caused by Meniere's Disease. The only symptom in very early cases of Meniere's may be a sense of fullness or pressure in one ear.
Being me, I have Meniere's Disease in BOTH ears cause I am special. My attacks come with the afore mentioned warning of pressure/fullness in one or both ears and often a period of deafness - which is a nice break from the ringing/whining noise I must say!
This episode started with fullness in the wee hours of Saturday morning and dizziness through out the day. The deaf period began yesterday evening first in the right ear for about 30 minutes and later last night in both ears for about 5 minutes proving the adage that silence is truly golden. About 12:30 this morning the vertigo kicked in... Totally different from dizzy trust me!!
Tucker is very good at sensing when an attack is coming, bless him, and insists on staying practically glued to me. Considering the length of the deaf spells and the severity of the vertigo I will probably be 'down' or spinning out of control for another 24-36 hours.
And now you know...