Meniere's Disease Symptoms, Causes, Treatments,

Meniere’s Disease: Symptoms, Causes, Treatments,



Definition of Meniere’s Disease

  • Meniere Disease is an inner ear disorder that causes episodes of vertigo due to dilation of the endolymphatic system or increased volume of endolymph.
  • Meniere’s Disease includes the – vertigo
    • Deafness
    • Tinnitus.
  • Meniere’s Disease usually occurs in adulthood.


Causes of Meniere’s Disease

  • Unknown cause
  • Allergic reaction
  • Autoimmune response
  • Hemorrhage
  • Viral infection
  • Metabolic disorder
  • Emotional factor
  • Anatomical abnormalities
  • Circulatory disorder
  • Genetic predisposition.


Clinical manifestation of Meniere’s Disease

  • Vertigo
  • Sensorial hearing loss
  • Tinnitus ( ringing sensation )
  • Dizziness
  • Irritability
  • Anxiety
  • Loss of balance
  • Disorientation
  • Sweating
  • Nausea and vomiting
  • Rapid pulse rate.


Diagnostic examination of Meniere’s Disease

  • History collection and physical examination.
  • Audiometry – to determine hearing disorder.
  • Electronystagmogram ( ENG ) – evaluate the balance.
  • Electrocochleography – measure fluid pressure in the inner ear.
  • CT scan and MRI.


Medical management of Meniere’s Disease

  • Diuretics drug – to decrease fluid volume.
  • Steroids drug – to treat inflammation and edema.
  • Mild analgesic – to treat pain.
  • Antihistamine – cetirizine
  • Antiemetics – to treat vomiting.
  • Provide hearing aids.
  • Mild sedative drugs – alprazolam.


Surgical management of Meniere’s Disease

  • Endolymphatic sac shunt surgery – Reduce the pressure of endolymphatic space.
  • Vestibular nerve section – the surgical procedure of removing the vestibular nerve of the intracranial.
  • Labyrinthectomy – a surgery procedure that destroys the part of the ear that controls balance.
  • Cochleo Sacculotomy – used to drain fluid.


Nursing management of Meniere’s Disease

  • Nurses monitor patient hearing balance and other physical findings.
  • Assess the severity and frequency of attack any associated ear symptoms.
  • Conduct vital sign assessment.
  • Provide instruction to restrict the sudden movement of the head.
  • Provide all general care to patients and maintain patient hygiene status.
  • Nurses follow universal precautions to control infection.
  • The Administrator prescribed treatment and IV fluids.
  • Provide a low sodium diet to patients.
  • Instruct about avoiding intake of alcohol and smoking.
  • Provide awareness about disease and procedure.
  • The nurse maintains documents and finds them.
  • Provide physiological support.
  • Nurses educate about the benefits of follow-up care.


Key Points of Meniere’s Disease

  1. Meniere Disease is a disorder of – Inner ear
  2. Meniere Disease tried symptoms – VertigoDeafness, and Tinnitus
  3. Which body part plays a key role in balance – Labyrinth
  4. Meniere Disease is a – Fluid balance disorder of the inner ear
  5. What is vertigo – A kind of dizziness

Meniere Disease is a disorder of – Inner ear

VertigoDeafness, and Tinnitus


Fluid balance disorder of the inner ear

A kind of dizziness

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