Meniere's disease is a disorder of the inner ear that can lead to dizzy spells (vertigo)

and hearing loss. In most cases, Meniere's disease affects only one ear. It can occur at
any age, but it usually starts between young and middle-aged adulthood.

Signs and symptoms of Meniere's disease include:

 Recurring episodes of vertigo. 

 Hearing loss. 

 Ringing in the ear (tinnitus). 

 Feeling of fullness in the ear. 

Causes

The cause of Meniere's disease is unknown. Symptoms of Meniere's disease appear to

be the result of an abnormal amount of fluid (endolymph) in the inner ear, but it isn't
clear what causes that to happen.

Factors that affect the fluid, which might contribute to Meniere's disease, include:

 Improper fluid drainage, perhaps because of a blockage or anatomic abnormality

 Abnormal immune response

 aViral infection

 Genetic predisposition

Risk Factors

This problem is more common in people who are 30 to 60 years of age. Other
things that may raise the risk are:
 Having other family members who have this health problem
 Pressure changes in the atmosphere
 Allergies
 Stress
 Changes in hormones
 Problems sleeping
 Dietary changes, such as an increase in salt, caffeine, or alcohol
 Excessive sweating followed by a sudden increase in fluids

Diagnosis
The doctor will ask about your symptoms and health history. A physical
exam will be done. It will focus on the ears.

 A hearing test will be done.

-MRI scan
-Electrocochleogram
- Vestibular evoked myogenic potential test
-Caloric testing
-Glycerol dehydration test

Treatment

The goal of treatment is to manage symptoms. Choices are:

Medicines to:
-Ease vertigo
-Control nausea
-Reduce fluid buildup