Suggest Treatment For Meniere's Disease And Acidity
2. Now I am also suffering with acidity now. Doctor has given Pentocid DSR (daily 2) and VSL-3 (daily one.) Are they sufficent for the acidity problem. Will VSL-3 will work for acidity effectively I am afraid to use VSL-3.
3. I am a diabetic for the last 25 years. Amaril 1 mg and Glycomet 500 mg I am using It is under control. Now it is fluctuating since this Miniers disease started.
4 I am mentally disturbed very much with this miniers disease.. I have no BP. For free motion night before bed I am taking Dhuphalac Lactulose 15ml. It is working well.
5. Can you tell me Sir, which doctor I can approach for Miniers disease or shall I continue the same medicines for some more time prescribed by my family dcotor. He is an MD & specialised in cardiology . . I am in XXXXXXX Can you suggest any other doctor whom I should consult for my disease if necessary. Can you suggest the name of the doctor and phone No. if you feel it is necessary for me to approach . Thanks for your suggestions in anticipation. XXXXXXX 0000
I would advice you Consult ENT Specialist.
Detailed Answer:
Hi,
Thanks for the query.
I have read your query , reviewed your medications and understand your concern.
If I were your treating doctor, I would advice you Consult ENT Specialist & do necessary Investigation like audiometry & CT Temporal bone to confirm diagnosis.
I would advice you avoid excess salt ,coffee , tea .
Use cap Triamterene 50mg ( Diuretic ) for 3 month , Tab Prochlorperazine maleate 5mg MD in morning for vertigo , Tinnitus .
Continue Doloneuron 100 mg , Pentocid DSR & Stop Vertin ,VSL-3 .
Your disease can be control than cured .
Keep diabetes under control . Don't continue Dhuphalac for long duration it is addictive .
Consult Dr XXXXXXX Maa ENT Hospital , XXXXXXX . Hospital address & phone no you will get at NET .
Hope this information helpful to you .If you have any further questions I will be happy to help.
Regards.
.
Consult Dr XXXXXXX Maa ENT Hospital , XXXXXXX
Detailed Answer:
Thanks for the follow up query.
System not showing me any follow query of yesterday . Sorry for that.
I have advised you to Consult Dr XXXXXXX Maa ENT Hospital , XXXXXXX . Hospital address & phone no you will get at NET .
Hope this information helpful to you .If you have any further questions I will be happy to help.
Regards.
LEFT MASTOID AIRCELLS SHOWS OPACIFICATION SUGGESTING MASTOIDITIS.
BILARERAL CP ANGLE REGIONS INTERNAL AUDUTORY CANALS COCHIEA AND SEMICIRCULAR CANALS APPEAR NORMAL
SMALL T27 flair hyperintensity in the bilateral deep white matter and centrum semiovale suggesting small vessel ischaemia.
Now I do not know how send this attachment. hence i HAVE GIVEN ABOVE.
PLEASE ADVISE WHOM I SHOULD NOW APPROACH WITH THAT MRI REPORT. ANYTHING CAN BE DONE.. tHANKS A LOT FOR YOUR PATIENT HEARING . XXXXXXX 0000
Need more information.
Detailed Answer:
Thanks for the follow up query.
I would to know your hearing level for surgical procedure. Kindly send me latest Pure tone audiometry (PTA) . Any HR CT scan Temporal region done ?
If I were your treating doctor, I would advice you better to control on medical treatment . If you have no hearing left then go for surgical procedure .
Surgical Procedure can be done like
1) Intra tympanic Gentamycin injection- to destroy sensory cell of of vestibular organ. This is OPD procedure . This can be done in XXXXXXX but hearing also decrease.
2) Endolymphatic sac decompression - to decrease pressure in sac . This is extensive surgery . Can be done in XXXXXXX & XXXXXXX
3) If you have poor hearing with tinnitus then labyrinthectomy can be done. It will decrease hearing fully.Can be done in XXXXXXX & XXXXXXX
Hope this information helpful to you .If you have any further questions I will be happy to help.
Regards.
I am attaching latest MRI report, , recent Audiometry report and Old report confirming Miniers disease by the audiologist for your information. Please go through my MRI and other reports and advise me whom should I consult with MRI if there is any serious probelem and if you feel necessary. Now vertigo has little come down bit hitting sound in the ear is causing me a lot. Can you suggest best tablet to control the hitting sound. I will also meet Dr XXXXXXX shortly as suggedted by you and come back to you if necessary. When I came to XXXXXXX definitely I will try to meet you Sir.B -Stil 16 is working for me for vertigo. Shall I continue instead of going for new medicine. Please advise me what should I do now and to whome I should consult. Sorry I troubled you a lot with my health problem
With regards,
XXXXXXX 0000
Tab Prochlorperazine & Cinnarizine 25mg .
Detailed Answer:
Thanks for the follow up query.
I have read your query, seen all your reports and understand your concern.
If I were your treating doctor, I would advice you to avoid smoking if any, excess salt, coffee, tea .
Use cap Triamterene 50mg ( Diuretic ) for 3 month to control Meniers disease,
Tab Prochlorperazine maleate 5mg (Stemitil MD) in morning & Cinnarizine 25mg at night for Tinnitus & continue B -Stil 16 once/day. Some of these are prescription medicines and may require written prescription.
Hitting sound in ear require 1-2 month to subsides.
You can consult Dr XXXXXXX .
I am happy to help you.
Wish you good health.
Regards.