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Ménière’s Disease: Symptoms, Causes & When to Seek Treatment for Vertigo

by Dr. Jennifer Chen

Do you experience sudden episodes of dizziness, a spinning sensation, or a feeling that the world is tilting around you? These symptoms, often accompanied by nausea and vomiting, could indicate Meniere’s disease. Untreated, this inner ear disorder can lead to progressive hearing loss, sometimes permanent.

What is an Inner Ear Balance Disorder?

The term “inner ear imbalance” is a broad one, encompassing any condition that disrupts the delicate balance mechanisms within the inner ear. This disruption sends misleading signals to the brain, resulting in vertigo, dizziness, and other related symptoms. While viral infections affecting the ear are a common cause, Meniere’s disease is a significant contributor.

The inner ear isn’t just for hearing; it’s also crucial for maintaining balance. Within the inner ear, the vestibular system – comprised of three semicircular canals (anterior, posterior, and horizontal) and two otolith organs (utricle and saccule) – plays a vital role. The semicircular canals detect rotational movements, while the otolith organs sense linear acceleration, and gravity. These structures work together to provide the brain with information about the body’s position and movement, allowing us to maintain equilibrium.

Who is Affected by Meniere’s Disease?

Meniere’s disease can develop at any age, but it most commonly affects adults between the ages of 20 and 40, with a higher prevalence among women. The underlying cause is believed to be an excessive buildup of endolymph, a fluid found in the inner ear. This excess fluid disrupts the normal function of the vestibular system, leading to the characteristic symptoms of the disease. The exact reasons for this fluid imbalance – whether due to impaired absorption, blockage of circulation, or other factors – remain under investigation.

The Three Hallmark Symptoms of Meniere’s Disease

Episodic Vertigo: This involves a sudden onset of intense dizziness that lasts for 20 minutes or longer, often accompanied by nausea and vomiting. The vertigo typically occurs without warning.

Low-Frequency Sensorineural Hearing Loss: This type of hearing loss affects the ability to hear low-pitched sounds and is caused by damage to the sensory cells within the cochlea. If left untreated, this hearing loss can become permanent.

Tinnitus: Patients often experience ringing, buzzing, roaring, or hissing sounds in the ear. In Meniere’s disease, the tinnitus is often low-pitched.

While these are the primary symptoms, individuals may also experience a feeling of fullness or pressure in the ear, fluctuating hearing, and difficulty with balance even between attacks. The frequency and severity of attacks can vary significantly from person to person.

It’s important to note that the symptoms of Meniere’s disease can be debilitating and significantly impact quality of life. Early diagnosis and management are crucial to minimize the progression of hearing loss and control the frequency and severity of vertigo attacks.

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