Other changes that may help with the symptoms and keep you safe include:
Avoid sudden movements, which may worsen symptoms. You may need help walking when you lose balance during attacks.
Avoid bright lights, TV, and reading during attacks, because they may make symptoms worse. Rest during severe episodes, and slowly increase your activity.
Avoid activities such as driving, operating heavy machinery, and climbing until 1 week after your symptoms disappear. A sudden dizzy spell during these activities can be dangerous.
Gradually resume your activity after episodes.
Keep still and rest when you have symptoms.
Symptoms of Meniere's disease can cause stress. Make healthy lifestyle choices to help you cope:
Eat a well-balanced, healthy diet. Don't overeat.
Exercise regularly, if possible.
Get enough sleep.
Learn and practice relaxation techniques, such as guided imagery, progressive muscle relaxation, yoga, tai chi, or meditation.
Limit caffeine and alcohol.
Your health care provider may prescribe medicines for nausea and vomiting. Symptoms such as dizziness and vertigo may respond to sedative/hypnotics and benzodiazepines such as diazepam (Valium).
You may need ear surgery if your symptoms are severe and do not respond to other treatments.
Cutting the vestibular nerve with a surgical procedure helps control vertigo. It does not damage hearing.
Placing an antibiotic called gentamicin directly into the middle ear can help control vertigo.
Removing part of the inner ear with a procedure called labyrinthectomy helps with vertigo, but it causes complete hearing loss.
Hearing aids may be needed for severe hearing loss.
The outcome varies. Meniere's disease can often be controlled with treatment.
The condition may get better on its own. However, Meniere's may be chronic or disabling.
Inability to walk or function due to uncontrollable vertigo
Hearing loss on the affected side
Calling your health care provider
Call for an appointment with your health care provider if symptoms of Meniere's disease, such as hearing loss, ringing in the ears, or dizziness, occur or worsen.
There is no known prevention for Meniere's disease, but prompt treatment of ear infection and other related disorders may be helpful.
Crane BT, Schessel DA, Nedzelski J, Minor LB. Peripheral vestibular disorders. In: Cummings CW, Flint PW, Haughey BH, et al, eds. Otolaryngology: Head & Neck Surgery. 5th ed. Philadelphia, Pa: Mosby Elsevier;2010:chap 165.
Post RE, Dickerson LM. Dizziness: a diagnostic approach. Am Fam Physician. 2010;82:361-369.
Seth Schwartz, MD, MPH, Otolaryngologist, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.