Thank you for the detailed and comprehensive info.

Does the person experiencing this smoke tobacco? 

-----Original Message-----
From: claire shaw [mailto:cla...@jazznsamba.com] 
Sent: Friday, March 17, 2006 8:19 AM
To: silver-list@eskimo.com
Subject: CS>meniere's disease/vertigo

 Will you please give a brief description of, "benign meniere's disease"?
 TIA,
 Jim
 
Hi Jim,
In this case, mild vertigo.  My friend's symptoms are mild vertigo/nausea
(no tinnitus). When he had this years ago the vertigo was quite severe.
The following info is taken from this website: http://www.entnet
org/healthinfo/balance/meniere.cfm

 Ménière’s disease, also called idiopathicendolymphatic hydrops, is a
disorder of the inner ear. Although the cause is unknown, it probably
results from an abnormality in the fluids of the inner ear. Ménière’s
disease is one of the most common causes of dizziness originating in the
inner ear. In most cases only one ear is involved, but both ears may be
affected in about 15 percent of patients. Ménière’s disease typically starts
between the ages of 20 and 50 years. Men and women are affected in equal
numbers.
What Are The Symptoms? The symptoms of Ménière’s disease are episodic
rotational vertigo (attacks of a spinning sensation), hearing loss, tinnitus
(a roaring, buzzing, or ringing sound in the ear), and a sensation of
fullness in the affected ear. Tinnitus and fullness of the ear in Ménière’s
disease may come and go with changes in hearing, occur during or just before
attacks, or be constant. There may also be an intermittent hearing loss
early in the disease, especially in the low pitches, but a fixed hearing
loss involving tones of all pitches commonly develops in time. Loud sounds
may be uncomfortable and seem distorted in the affected ear. From all the
Ménière’s disease’s symptoms, vertigo is usually the most troublesome. It is
commonly produced by disorders of the inner ear, but may also occur in
central nervous system disorders. Vertigo may last for 20 minutes to two
hours or longer. During attacks, patients are usually unable to perform
activities normal to their work or home life. Sleepiness may follow for
several hours, and the off-balance sensation may last for days. The symptoms
of Ménière’s disease may be only a minor nuisance, or can become disabling,
especially if the attacks of vertigo are severe, frequent, and occur without
warning.
How Is A Diagnosis Made? 
The physician will take a history of the frequency, duration, severity, and
character of your attacks, the duration of hearing loss or whether it has
been changing, and whether you have had tinnitus or fullness in either or
both ears. You may be asked whether there is history of syphilis, mumps, or
other serious infections in the past, inflammations of the eye, an
autoimmune disorder or allergy, or ear surgery in the past. You may be asked
questions about your general health, such as whether you have diabetes, high
blood pressure, high blood cholesterol, thyroid, neurologic or emotional
disorders. Tests may be ordered to look for these problems in certain cases.
When the history has been completed, diagnostic tests will check your
hearing and balance functions. They may include: 

For Balance
An ENG (electronystagmograph) may be performed to evaluate balance function.
In a darkened room, recording electrodes are placed near the eyes. Warm and
cool water or air are gently introduced into each ear canal. Since the eyes
and ears work in a coordination through the nervous system, measurement of
eye movements can be used to test the balance system. In about 50 percent of
patients, the balance function is reduced in the affected ear. 
Rotational testing or balance platform, may also be performed to evaluate
the balance system.
Other Tests
Electrocochleography (ECoG) may indicate increased inner ear fluid pressure
in some cases of Ménière’s disease. 
The auditory brain stem response (ABR), a computerized test of the hearing
nerves and brain pathways, computed tomography (CT) or, magnetic resonance
imaging (MRI) may be needed to rule out a tumor occurring on the hearing and
balance nerve. Such tumors are rare, but they can cause symptoms similar to
Ménière’s disease.
Recommended Adult Lifestyle Changes To Reduce The Frequency Of Ménière’s
Disease Episodes
Avoid alcohol, caffeine, excessive fatigue, smoking, and streess 
Eat properly 
Get plenty of sleep 
Remain physically active
 Diagnosing And Treating Ménière’s Disease
A low salt diet and a diuretic (water pill) may reduce the frequency of
attacks of Ménière’s disease in some patients. In order to receive the full
benefit of the diuretic, it is important that you restrict your intake of
salt and take the medication regularly as directed. Anti-vertigo medications
 e.g., Antivert® (meclizine generic), or Valium® (diazepam generic), may
provide temporary relief. Anti-nausea medication is sometimes prescribed.
Anti-vertigo and anti-nausea medications may cause drowsiness. Avoid
caffeine, smoking, and alcohol. Get regular sleep and eat properly. Remain
physically active, but avoid excessive fatigue. Stress may aggravate the
vertigo and tinnitus of Ménière’s disease. Stress avoidance or counseling
may be advised. If you have vertigo without warning, you should not drive,
because failure to control the vehicle may be hazardous to yourself and
others. Safety may require you to forego ladders, scaffolds, and swimming.
 


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