Treatment

It is important before you go down a line of treatment to work through what are the most likely root causes of your Menieres disease.

To find your root cause you need to take a more holistic approach to finding it focusing on reducing inflammation within the ear as described on our diagnosis page. It is worth working through the testing diagnosis protocol as outlined on our diagnosis page <click here>

If the analysis of your symptoms and history leads you to suspect the following which all have been proven to cause Meniere’s symptoms then there are already well established treatment protocols available :

If however your analysis points to the following list which are all also recognised potential causes of Menieres then these issues are more complex to diagnose and treat :

We would suggest to help you with the above more complex issues you would consult with a registered Functional Practitioner who can help you find the root cause of your inflammation. You can find a local Functional Practitioner from the website of the Institute for Functional Medicine find a practitioner search facility

Current Available Treatment Protocols provided by your GP and ENT Consultant

If you are regularly having vertigo attacks it’s worth trying as an initial straightforward first step to get your Doctor or ENT Consultant to prescribe you SERC (Betahistine Dihydrochloride) which is generally the defacto first treatment for those in the UK. This may bring your symptoms quickly under control. See full details here

Current treatment options for Meniere’s patients remain controversial, what appears to work for one does not always work for another. This is probably due to Meniere’s having a number of underlying different causes

(Merchant et al 2005, dizziness and balance.com)
Non Permanent Permanent Experimental
Low salt diet- a low salt diet has been reported to help some people as salt encourages fluid retention which can directly affect the inner ear Gentamicin- an antibiotic which is toxic to the inner ear is aimed at destroying the inner ear hair cells. Anti virals – reduce viral load and inhibit cells from replicating, and in theory preventing attacks
Diuretic – same mechanisms as a low salt diet Vestibular Nerve Section- The nerve is completely cut away from the brain so that the brain can no longer receive signals from the inner ear. Supplementation
Anti-dizziness medications – these medications can help to supress symptoms Labyrinthectomy – a permanent and last resort involving surgical destruction of the inner ear. Chiropractic care
Betahistine Dihydrochloride AKA Serc- helps to improve blood flow and lessens the pressure in the ear therefore reducing symptoms Allergy Treatment
Grommets – a small hole is made in the eardrum with a tiny tube placed inside allowing inner ear air pressure to remain stable. This would normally be achieved by the Eustachian tubes which often malfunction in Meniere’s patients Immunology
Endolymphatic sac decompression/shunt – places a tiny tube in the endolymphatic sac draining off any excess fluid
Steroid injections – injected into the inner ear supressing the immune cells reducing dizziness