Friday, November 18, 2011

Tinnitus & Meniere's Disease

Tinnitus, or ringing in the ear, has many causes.  While some causes, such as wax build-up and loud noises, involve external sources, other reasons for the disorder are associated with the the Cranial nerve, the inner ear or the central processing centers of the brain.  One such cause is Meniere's Disease.

According to the Mayo Clinic, Meniere's Disease is a disorder of the inner ear which appears to be the result of the abnormal volume or composition of fluid.   The membrane of the inner ear contains a fluid (endolymph) and is lined with hair-like sensors that respond to movement of the fluid.  In order for all of the sensors in the inner ear to function properly, the fluid needs to retain a certain volume, pressure and chemical composition.   Meniere's Disease results when these properties of inner ear fluid are altered in some way. It is believed that these changes are caused by the following:
  • Head trauma
  • Viral infection
  • Improper fluid drainage, perhaps because of a blockage or anatomic abnormality
  • Allergies
  • Unusual immune response
In most cases, Meniere's disease affects only one ear but the symptoms, nevertheless, can be debillitating.  A typical episode starts with a feeling of fullness in your ear, increasing tinnitus and decreasing hearing followed by severe vertigo which is often accompanied by severe nausea and vomiting. Such an episode might last two to three hours or more.


There is no cure for Meniere's Disease.  The symptoms may be managed, however, with varying degrees of success.  Motion sickness and anti-nausea medications are used to lessen the severity of vertigo.  A diuretic may reduce the amount of fluid the body retains which in turn may help regulate the fluid volume and pressure in your inner ear.

Dietary changes have been found to be helpful in limiting the frequency of episodes. 
  • Eating and drinking throughout the day in approximately the same amounts helps regulate body fluids. 
  • Avoiding foods and beverages that are high in salt will limit fluid retention.  1,500 milligrams (mg) or less of sodium each day is recommended.
  • Limiting monosodium glutamate (MSG) which is found in some prepackaged food products and prepared restaurant foods.  MSG contributes to fluid retention.  
Lifestyle changes are also encouraged.  Avoiding stimulants such as caffeine and nicotine can ease symptoms.  Caffeine may make ringing in the ear (tinnitus) louder.  Managing stress and anxiety is also believed to help limit the frequency of episodes.

Meniere's Disease sufferers may have intermittent bouts with the disorder but they regularly experience tinnitus.   While Meniere's Disease can not be cured, ringing in the ear may be treated by a natural remedy.

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