Monday, March 17, 2014

Meniere Illness (Idiopathic Endolymphatic Hydrops) Causes, Medical diagnoses, Effects, And Procedure

There is no remedy for Ménière's illness. Medical and behavioral therapy, nevertheless, are frequently useful in managing its signs. Although lots of operations have been established to reverse the condition procedure, their worth has actually been hard to set up. And, however, all procedures on the ear lug a risk of hearing loss. Meniere illness is a condition distinguisheded by repeating assaults of disabling dizziness (an incorrect experience of moving or spinning), changing hearing loss (in the lesser regularities), and noise in the ear (tinnitus).


The first operation is called is called Endolymphatic sac surgery The sac, into which fluid from the inner chamber of the ear drains, is exposed and opened. About two thirds of the patients who have this surgery seem to get better and the complication rate is ex­tremely low. The risk of hearing loss is very small. Since the acute symptoms of Meniere's disease are episodic, it is important to explain to your family and friends what might happen when you have an attack. Then, if the symptoms occur when they are present, they will understand and not be overly frightened.


Another destructive procedure that does not involve surgery or general anesthetic is the injection of gentamicin into the middle ear space. This medicine will be absorbed into the inner ear. Gentamicin is a medicine that is toxic to the vestibular system and slightly toxic to the hearing system. Patients who undergo this procedure face a 10% chance of sustaining hearing loss. Usually 2-3 injections are necessary to destroy the vestibular system using gentamicin injections. It is possible for the symptoms to recur a year or two later after having had gentamicin injections. The injections can be somewhat painful. Summary of Meniere's Disease.


Meniere's Condition is detailed under the SSA's Listing of Impairments. This certain condition falls under Medical List 2.07 of the Impairment Listings. Nevertheless, a medical diagnosis of Meniere's Condition will not necessarily qualify you for Social Safety Disability benefits. In order to certify, the SSA will require you to show that your Meniere's Disease has actually resulted in disrupted function of the vestibular labyrinth. This can be confirmed with different vestibular examinations. You will certainly likewise be required to supply proof of hearing loss, which can be obtained with a hearing examination carried out by an audiologist.


Ménière's syndrome is a problem of the inner ear that could impact both equilibrium and hearing. It can happen in either ear, although it typically impacts simply one ear. The condition could induce serious lightheadedness and a sensation of spinning referred to as vertigo. It can also trigger hearing loss, the feeling of ringing in the ears (called tinnitus), and a sensation of "fullness" in the ear. The adhering to are the most typical symptoms of Meniere's condition. Nonetheless, each individual might experience symptoms in a different way. Symptoms could take place unexpectedly, or might happen daily or occasionally.

Sunday, March 16, 2014

Ear Disorders Meniere's Illness The golden state Ear Institute Ear Doctors Palo Alto Bay Location

Meniere's condition, frequently called endolymphatic hydrops, refers to a triad of symptoms (dizziness, fluctuating hearing loss, and tinnitus) that persist in spells (Meniere attacks), and ultimately cause irreversible hearing loss. These three symptoms take place in numerous different vestibular ailments, so the term Meniere's disease is just utilized for those situations in which a cause has actually not yet been recognized which fulfill certain essential attributes. The most important quality is that the affected ear sheds hearing temporarily throughout the assaults, and with time develops permanent hearing loss. Individuals which never experience hearing loss do not have Meniere's illness.


Unfortunately, physicians don't understand exactly what causes Ménière's disease-and there is no treatment. Researchers assume that it may have to do with fluid degrees in the inner ear, or the closing up of capillary like just what occurs for individuals with migraine hassles. Because of viral infections, allergies, or autoimmune responses, there are likewise theories that Ménière's condition occurs. Treatment for people with Meniere's disease features medications to assist you control lightheadedness and liquid loyalty in your body, and tools that provide air pulses to the middle ear. Surgical procedure could likewise be required. There is no remedy for Meniere's condition yet, however a few of these procedures could ease signs. Deterrence



Obtaining a detailed history from the patient and completing thorough neurologic and otologic examinations are essential components of the diagnostic process. Audiometry should be completed to evaluate neurosensory hearing loss, as audiometrically documented hearing loss is part of the AAO-HSN diagnostic criteria for Ménière’s disease. 6 Primary care clinicians can initiate treatment for Ménière’s disease through lifestyle recommendations and prescription of specific medications. Everyday adjustments that incorporate dietary changes, stress reduction, adequate sleep, and regular exercise have been shown to improve vertigo symptoms in 60% of patients with Ménière’s disease. 5,9


What seems like Ménière's disease with unilateral hearing loss and vertigo is not always Ménière's disease, said Dr. Megerian. Therefore, the AAO-HNS guidelines have categories like 'probable' as part of their diagnostic criteria. The only time that a diagnosis of Ménière's disease is 'certain' is at post-mortem exam, forcing us to use indirect ways to ensure that something else is not masquerading as Ménière's disease. Ménière disease is a syndrome in which you experience episodes of spinning vertigo (sense of the room spinning), hearing loss , and tinnitus (ringing in the ear). Between the unpredictable attacks, you usually do not have any problems or symptoms of the disease.


Hearing loss can be either caused by a problem in the inner ear or by a problem with the nerve in the ear. Electrocochleography (ECog) is a test done to measure the electrical activity in the inner ear. Auditory brainstem response audiometry tests the function of the hearing nerves and the hearing center in the brain These tests can tell your doctor if the problem is caused by your inner ear or with your ear nerve. Balance Tests In this test, you will either have electrodes placed around your eyes to detect eye movement. This is because the balance response in the inner ear causes eye movements.

Saturday, March 15, 2014

Menieres Illness Treatments Info Hyperlinks And Definitions

Meniere's Illness is a sign complex of vertigo, calling noises in the ear (tinnitus), sensation of ear (acoustic) pressure, and fluctuating hearing loss. Prosper Meniere originally mentioned this sign complex in 1861. He was the very first physician to recommend that this sign complex was due to an internal ear trouble in contrast to central nervous system problem such as a stroke or growth. Menieres illness (Morbus Meniere) is a set of three of hearing, ringing in the ears and vertigo loss with the period of an attack lasting from mins to a number of hours. It is called after Prosper Menière, a french doctor, that first mentioned these symptoms, observed in his people.


In 1861, the French physician Prosper Meniere described a condition, which now bears his name. Meniere's disease is a disorder of the inner ear, which causes episodes of vertigo, ringing in the ears (tinnitus), a feeling of fullness or pressure in the ear, and fluctuating hearing loss. The area of the ear affected is the entire labyrinth, which includes both the semicircular canals and the cochlea. The disease is named for the French physician Prosper Meniere (1799-1862) who described it. (Incidentally, Meniere's name on his birth certificate is spelled without any accent marks.) The condition is also called recurrent aural vertigo.


At UC Irvine Division of Neurotology, Dr. Djalilian strives to create the current and most effective procedures to people with Meniere's disease. Aside from study into the most reliable procedures of Meniere's disease, Dr. Djalilian is leading a multi-institutional research into the genetics of Meniere's illness. The research study is looking at whether a gene is associated with the development of Meniere's in family members with numerous members with Meniere's disease. Endolymph accumulation in the labyrinth could interfere with the normal balance and hearing signals in between the internal ear and the brain, resulting in Ménière's illness. What are the signs of Ménière's disease?


Other tests may be done as well. Electrocochleography (ECoG) may indicate increased inner ear fluid pressure in some cases of Meniere's disease. The auditory brain stem response (ABR), a computerized test of the hearing nerves and brain pathways, computed tomography (CT) or, magnetic resonance imaging (MRI) may be needed to rule out a tumor occurring on the hearing and balance nerve. Such tumors are rare, but they can cause symptoms similar to Meniere's disease. Treatments for Meniere's Disease Since starting intratympanic steroid therapy for Meniere's disease a few years ago, we have not needed to use any surgical treatment for patients suffering from Meniere's disease. Meniere's Disease Surgical Treatment


The goal of treatment is to provide stable body fluid/blood levels so that secondary fluctuations in the inner ear fluid can be avoided. We recommend that patients avoid skipping meals and attempt to eat similar amounts during each meal during the day. It is critical that you drink plenty of water, especially if you are started on a diuretic (water pill). High salt foods should be avoided. Clearly, no salt should be added to meals, however it is of utmost importance that you select foods with low sodium content. High salt intake results in fluctuations in the inner ear fluid and may increase the symptoms that you are experiencing.


The Merck Manual has added head trauma as a risk factor due to the research on 300 Meniere's patients over the past fourteen years. Michael Burcon, BPh, DC has established a link between whiplash as a result of vehicular accidents or falling on one's head and Meniere's disease. It takes an average of fifteen years after the trauma before the onset of symptoms. Case history, thermography, MRI, CScan, and/or cervical x-ray and modified Prill relative leg length tests are used for diagnosis and upper cervical specific adjustments are performed for treatment to reduce or eliminate vertigo. 48 Prognosis edit


Hearing loss is generally most pronounced in the lower frequencies and is accompanied by a distinct sensation of pressure, fullness or a stopped-up feeling in the ear. Initially, hearing levels may fluctuate and then return almost to normal. However, as the disease becomes more advanced, hearing levels may remain permanently and severely impaired. Hearing loss may effect one or both ears. Typically, one ear will lose hearing and then the other ear will begin to lose hearing months or years later. Again, the hearing loss may be due to patchy areas of ischemic tissue within the inner ear secondary to a lack of adequate blood flow. Tinnitus (Ear Noises)

Meniere Illness (Idiopathic Endolymphatic Hydrops)

The job Meniere's Illness is a reflection of the illness that influences the internal ear. There is no treatment that can aid everyone impacted by the condition. One prospective solution is surgical treatment. The amount of individuals wish a doctor jabbing sharp items in their head? Meniere's Disease prevents individuals it causes from living a steady and pleased . The symptoms of the condition are similar to seasickness. The physical body of water that fluctuates is in the inner ear. A person impacted by this condition should regulate their everyday water intake, salt content, and preserve an array of other correct living behaviors to ward off incapacitating strikes. Created by Jason Williams.


The beginning of Meniere's illness is presently questionable While in the past, it was really felt that plumbing system issues (hydrops) in the ear accountabled for the illness. The most current point of view is that the plumbing troubles are merely a marker for the Meniere's condition, rather than always accountabling for the signs. Otonomy, Inc. today revealed that the UNITED STATE Food and Drug Administration (FDA) has given clearance of the company's Investigational New Medication (IND) application for the clinical trial of OTO-104 in patients with Meniere's illness, an incapacitating problem of the inner ear affecting balance and hearing. Much more


The inner ear in Meniere's patients has been shown to be the site of the problem. The inner ear is filled with fluid and separated into two compartments - the endolymphatic space and the perilymphatic space. Within the endolymphatic space the hearing and balance organs are found. In some cases, where control of dietary factors is not successful and symptoms require it, surgery is performed. There are several surgical options - endolymphatic sac (decompression and/or shunting) and vestibular nerve section. Endolymphatic sac procedures have about a 70-80% chance of control of vertigo and stabilization of hearing in appropriate patients and is relied on heavily in the management of this disease.



In September 2012, a visit to the National Library of Medicine’s search engine, Pubmed, revealed more than 6800 research articles concerning Meniere’s disease published since 1883. In spite of this concentration of effort by the medical community, Meniere’s disease remains a chronic, incurable disorder that causes progressive disability to both hearing and balance. At the American Hearing Research Foundation (AHRF) , we have funded basic research on Meniere’s disease in the past , and are very interested in funding additional research on Meniere’s disease in the future. Click here if you would you would like more information about contributing to the AHRF’s efforts to cure Meniere’s disease.


While there are various theories as to what causes Meniere's disease, researchers at the University of Colorado believe they finally know the mechanisms of the disease that will pave the way for a cure. The researchers noticed a strong correlation between low blood flow to the brain that causes things like migraine headaches and Meniere's disease. Although there is no recognized cure for Meniere's disease, there are treatment options that vary from conservative medication and diet therapy, to ablation of the vestibular nerve with strong antibiotics, to more aggressive surgical procedures that may reduce the severity of symptoms.


Meniere's disease is associated with excessive fluid buildup in the innermost section of the ear. This disease is characterized by a feeling of fullness in the ear, sudden vertigo or ringing in the ear. AIED is a rare disease that occurs when the immune cells or the antibodies target the cells in the inner ear. This is due to the immune system's inability to distinguish between the disease-causing agents and the body's own cells. The affected individual could suffer from rapidly progressive bilateral sensorineural hearing loss. Usually, sudden hearing loss in the affected ear is followed by hearing loss in the other ear.


A hearing test, also called audiometry — This simple test can tell whether you are experiencing hearing problems, how much hearing you have lost, and what type of hearing problems you have. People with Ménière's disease have a particular type of damage to nerves important for normal hearing, which may make it difficult to tell the difference between similar-sounding words such as "boat" and "moat." Computed tomography (CT) or magnetic resonance imaging (MRI), scans that allow physicians to see the brain, middle ear and other structures inside the head — These scans can check for tumors and other problems that can cause symptoms that are similar to Ménière's.

Meniere's Disease Causes, Effects And Treatments On EMedicineHealth.com

Meniere's condition is a persistent disorder that influences your harmony by disrupting your inner ear functions. Since 2011, there is no cure and the specific cause of the illness is not known. Signs are not constant and might turn up at any type of given time. When signs, which can feature dizziness, lightheadedness, calling or whiring of the ears, nausea and vomiting joineding the lightheadedness, present, it is thought about an attack. Low-Sodium Diet regimen No remedy exists for Meniere's illness, however a lot of strategies could assist you manage some signs. Research reveals that most people with Meniere's disease respond to procedure, although long-term hearing loss is difficult to stop.


Meniere’s affects approximately 3 to 5 million people in the United States. It is a disabling disorder resulting in repeated violent attacks of dizziness, ringing in the ear and hearing loss that can last for hours and can ultimately cause permanent deafness in the affected ear. Up until now, the cause of the attacks has been unknown, with no theory fully explaining the many symptoms and signs of the disorder. Severe vertigo 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.


The featured speaker at this year’s Meniere's Disease Research Institute's Workshop is Dr. Michael T. Burcon, B.Ph., D.C., world's leading expert on Meniere's disease (MD). Burcon has proven a correlation between MD and whiplash (caused by a vehicular accident or a fall on the head). The reason it took so long to find out the cause of MD is because it takes an average of 15 years from the time of the trauma until the onset of symptoms. affects about 8% of close relatives of those affected, but only 0.1% of the general population. The disease affects one ear in 85% of patients and both ears in 15%.


Physicians always attempt conservative therapies like minimizing salt in the diet plan or diuretics just before suggesting one of many surgeries for this condition. Given that it has the tendency to wax and wind down, I'm focusing on finding out to live with Ménière's with very little clinical intervention. A hearing test or audiogram will certainly reveal the hearing loss that occurs with Meniere's. Hearing may be near typical after a strike. A treatment called calorie stimulation examinations eye reflexes by warming up and cooling down the inner ear with water. Uncommon results on this test could be an indicator of Meniere's condition.


The history of symptoms is important in diagnosing Meniere’s disease. Prior to your visit, we ask that you review and answer the dizziness questionnaire (link to questionnaire). Blood and allergy testing may be ordered to determine if other disorders such as infection, autoimmune, endocrine disorders or allergies are causing your symptoms. How Is Meneire's Disease Treated? Meniere’s disease can strike people of all ages at any time and is a frustrating and usually a chronic condition. The good news is that relief is possible. But it’s best to first understand the symptoms so you can describe them to your balance doctor. Meniere’s Disease Symptoms


A French physician, Prosper Meniere first described Meniere's disease in 1861. Meniere's disease is a disorder of the inner ear that causes attacks of vertigo, ringing (tinnitus), a hearing loss (often fluctuating), and/or a feeling of fullness (pressure in the ear). Although the complete cause of Meniere's disease is still unknown, the symptoms are believed to be caused by an increase in the amount of inner ear fluid. Two types of fluids are present in the inner ear. These fluids are known as perilymph and endolymph. The inner ear is divided into two chambers; one chamber is filled with endolymph and another with perilymph.


In most cases, Meniere's Disease will result in gradual permanent hearing loss. Currently there is no cure for the condition, although there are treatment options that can help control the symptoms of Meniere's Disease. In many cases the condition is so severe that it interferes with a person's ability to work. In these situations the person suffering from Meniere's Disease should consider applying for Social Security Disability benefits. Filing for Social Security Disability with Meniere's Disease To test hearing an audiometric examination is used. This test typically indicates a sensory type of hearing loss in the affected ear. If the ear is affected, speech discrimination is often diminished.

A Medical diagnosis Of Exemption With Controversial Therapies

Meniere's Disease is a sign complex of dizziness, ringing sounds in the ear (ringing in the ears), sensation of ear (acoustic) tension, and fluctuating hearing loss. Prosper Meniere at first mentioned this symptom complex in 1861. He was the very first physician to recommend that this sign complex was because of an internal ear issue instead of main nervous system condition such as a stroke or growth. Menieres condition (Morbus Meniere) is a triad of vertigo, tinnitus and hearing loss with the duration of an attack lasting from minutes to numerous hours. It is named after Prosper Menière, a french doctor, which initially described these signs, noted in his patients.


Physical excercise could be beneficial in reducing anxiety. Avoidance important consisting of caffeine could be suggested. If the past and diagnostic blood or skin test suggests an inahalant allergic reaction, desensitization therapy might be recommended. When Ménière's disease is out of control, the initial order of administration is to severely restrict salt chloride consumption (table salt). Great evidence alreadies existing that during vulnerable durations, salt filling correlates with additional regular dizziness spells and that decreasing of salt intake associates with an early decrease in dizziness spells and with less hearing variation. 1


Medication(s) may be prescribed to reduce the severity of symptoms and possibly to decrease the frequency of Meniere's spells. Diuretics (water pills) may act on the inner ear to help remove excess fluid. Anti-vertigo medications (meclizine or Antivert® ) or tranquilizers (Valium® or Xanax®) can provide temporary relief but may be sedating or habit-forming. Steroids, such as prednisone, can help reduce the severity of acute attacks but have significant side effects if taken for prolonged lengths of time. Medications such as Glycerol USP, Diamox®, or Neptazane® are recommended by some physicians. Occasionally, vasodilators or vitamins are helpful, but their results are less predictable; they are rarely indicated.


Larissa - I had a client come to my office (I am a natural health practitioner and I do muscle-testing sessions) and she was complaining about her Meniere's disease. I did find the problem was linked to her Candida and other digestive problems. The tinnitus and fullness of the ear in Meniere’s disease may come and go with changes in hearing, occur during or just before attacks, or be constant. The symptoms of Meniere's disease may be only a minor nuisance, or can become disabling, especially if the attacks of vertigo are severe, frequent, and occur without warning.


In addition to the above, in order to qualify for disability as a result of Meniere's Disease you must also be able to prove that you suffer frequent attacks related to the condition and that you are developing a progressive loss of hearing. All of these things combined must also be proven to interfere with your ability to perform gainful work activity. Most cases of Meniere's disease have no known cause. In some cases, it can be associated with head trauma or middle or inner ear infections. Allergies and autoimmune disorders may also bring about the onset of this condition.


While some people have hearing that fluctuates like this without any further symptoms of dizziness or tinnitus, in most cases, this does not progress to Meniere's disease (Schaaf et al, 2001). Some recent studies have suggested that the pattern and severity of the hearing deficit does not correlate with the duration of illness (Mateijsen et al, 2001), but from our experience, it seems more likely to us that the hearing pattern is rather variable and that these authors simply did not study enough patients. Meniere's disease occurs when a part of the canal, called the endolymphatic sac, becomes swollen. This sac helps filter and remove fluid in the semicircular canals.

Online Medical Encyclopaedia

There is no treatment for Ménière's condition. Medical and behavioral therapy, nonetheless, are usually useful in handling its symptoms. Although many procedures have been developed to alter the condition procedure, their worth has actually been hard to set up. And, sadly, all procedures on the ear bring a threat of hearing loss. Meniere illness is a condition characterized by persisting assaults of disabling vertigo (an untrue sensation of relocating or spinning), changing hearing loss (in the lower frequencies), and sound in the ear (tinnitus).


Meniere's disease is an inner ear condition that can cause you to feel dizzy, experience vertigo and ringing in the ears. The National Institute on Deafness and Other Communication Disorders estimates that over 600,000 people in the United States, mostly adults between the ages of 40 and 60, suffer from this disorder. Treatment includes medications, rehabilitative exercises and surgery, in extreme cases. Your diet can play a role in the severity of your symptoms. You can eat many foods you normally enjoy but may need to make a few adjustments. Fresh Foods


Hearing loss can be either caused by a problem in the inner ear or by a problem with the nerve in the ear. Electrocochleography (ECog) is a test done to measure the electrical activity in the inner ear. Auditory brainstem response audiometry tests the function of the hearing nerves and the hearing center in the brain These tests can tell your doctor if the problem is caused by your inner ear or with your ear nerve. Balance Tests In this test, you will either have electrodes placed around your eyes to detect eye movement. This is because the balance response in the inner ear causes eye movements.


Numerous research studies have recorded that patients with Meniere's illness have the tendency to have even more emotional disability compared to the normal populace, potentially including depression and/or anxiousness, in reaction to their disease. It may be essential to take antidepressants or anti-anxiety medications, under the supervision of a suitable health care expert. Research Findings on Meniere's Disease Between the severe strikes most people are without signs or have marginal discrepancy. The ringing in the ears and hearing loss could linger even though it could vary. In its most severe discussion, Meniere's Disease can progress to irreversible loss of hearing in the afflicted ear and unanticipated falling strikes ("decline strikes"). What creates Ménière's Condition?


The purpose of this site is to inform people with Menieres Disease about available treatments and possible help to alleviate the symptoms of Meniere's. The site is also designed for convenience. The described treatments may have links to online stores so that you may research and purchase the supplements directly, no spending hours searching for products and no driving. This saves you time and money and you help support this site for Meniere's treatment and awareness. As always, you should check with your doctor before starting any supplements or medications. This site is for informational purposes only.


Attacks of dizziness may come on suddenly or after a short period of tinnitus or muffled hearing. Some people have single attacks of dizziness once in a while. Others may have many attacks close together over several days. Some people with Meniere's disease have "drop attacks" during which the dizziness is so bad they lose their balance and fall. People with Meniere's will have sudden dizzy spells after experiencing tinnitus or muffled hearing. Symptoms vary from person to person, and some will experience many attacks over a period of several days, and others will have one attack every once in awhile. Potential causes or triggers