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What Causes Difficulty In Sitting And Balance Issues With History Of Meniere’s Disease?

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Posted on Thu, 28 Apr 2016
Question: I'm 49 years old woman .I have been diagnosed with Meniere’s disease in 1999. Last September I had bad episode of dizziness which affected me so much that I was sleeping in seating position for over one month’s .When to the doctor and was prescribe Betahistin. I had MRI scan in December ,results was normal .Still feeling unbalance when watching TV ,cooking food(difficult to look at object so closed ,sitting or waking, headache and sharp pain on left side of my head at all time and build-up of pressure in my left ear. Sometimes pain in my scalp when touched by hand on left side of my head.


I'm still waiting for the response on my questions from one of your doctors.I thought that answers on my health question will be done in short wile .
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Answered by Dr. Dr. Yogesh D (3 hours later)
Brief Answer:
Medicines such as vertin (betahistine) will help relieve symptoms.

Detailed Answer:
Hello Ma'am,

Thank you for writing to us with your health concern.

I have read your question carefully and understand your concern.

Meniere's disease is a diagnosis of exclusion and that means all other causes that result in vertigo/balance problems have been ruled out by adequate investigations by neurologists and ENT surgeons.

The cause of Meniere's disease is unknown, allergies, and autoimmune responses are thought to play a role.

Medical management may be unsatisfactory because we do not really know what we are treating, the medical management aims at relieving the symptoms.

Betahistine is known to reduce the symptoms. Other medicines that work include sedatives such as diazepam, prochlorperazine can be tried.

Steroids also help by reducing the inflammation and production of endolymph (the fluid within the semicircular canals/vestibular apparatus).

Please discuss with your GP and request a referral to otolaryngiologist(ENT surgeon).

There are surgical options as well, but they are reserved for medically unmanageable patients.

Meniett device can be placed and if used on a daily basis, can be helpful, it is not clear how it works.

Other surgical options are destroying the inner ear or cutting the vestibular nerve, these are the last resorts, so do please discuss with an ENT surgeon for further information about the same.

The most important point in your history is, you experience symptoms while watching TV or doing something that needs you to look closely, that is indicative of a trigger.

In your case, a short course of steroids will most likely hasten recovery.

Since these activities act as triggers, it is prudent to avoid such triggers till you are recovered well.

Regarding the pain over the head, it could be related to the Miniere's disease itself because of the increased pressure inside the vestibule.

Steroids will help with that as well, you can continue taking Ibuprofen for the pain.

I hope this information will be helpful to you, I would be glad to answer any of your further questions.

Wishing you speedy recovery and good health

Warmest regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Dr. Yogesh D

General & Family Physician

Practicing since :2009

Answered : 1122 Questions

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What Causes Difficulty In Sitting And Balance Issues With History Of Meniere’s Disease?

Brief Answer: Medicines such as vertin (betahistine) will help relieve symptoms. Detailed Answer: Hello Ma'am, Thank you for writing to us with your health concern. I have read your question carefully and understand your concern. Meniere's disease is a diagnosis of exclusion and that means all other causes that result in vertigo/balance problems have been ruled out by adequate investigations by neurologists and ENT surgeons. The cause of Meniere's disease is unknown, allergies, and autoimmune responses are thought to play a role. Medical management may be unsatisfactory because we do not really know what we are treating, the medical management aims at relieving the symptoms. Betahistine is known to reduce the symptoms. Other medicines that work include sedatives such as diazepam, prochlorperazine can be tried. Steroids also help by reducing the inflammation and production of endolymph (the fluid within the semicircular canals/vestibular apparatus). Please discuss with your GP and request a referral to otolaryngiologist(ENT surgeon). There are surgical options as well, but they are reserved for medically unmanageable patients. Meniett device can be placed and if used on a daily basis, can be helpful, it is not clear how it works. Other surgical options are destroying the inner ear or cutting the vestibular nerve, these are the last resorts, so do please discuss with an ENT surgeon for further information about the same. The most important point in your history is, you experience symptoms while watching TV or doing something that needs you to look closely, that is indicative of a trigger. In your case, a short course of steroids will most likely hasten recovery. Since these activities act as triggers, it is prudent to avoid such triggers till you are recovered well. Regarding the pain over the head, it could be related to the Miniere's disease itself because of the increased pressure inside the vestibule. Steroids will help with that as well, you can continue taking Ibuprofen for the pain. I hope this information will be helpful to you, I would be glad to answer any of your further questions. Wishing you speedy recovery and good health Warmest regards.