Meniere's Disease: Treatment Duration and Symptoms Explained - Otolaryngology

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Meniere's disease


Hello Dr.
Cheng: Recently, I experienced tinnitus and a feeling of fullness in my ears, and after visiting the hospital for examination, I was diagnosed with low-frequency hearing loss but no dizziness.
It was suggested that it could be either an ear stroke or Meniere's disease.
Initially, I was prescribed corticosteroids for two weeks, but there was no improvement upon follow-up, so it was later determined to be Meniere's disease, and I was prescribed diuretics.
I have been taking them for a week now, but there has been no significant improvement.
Dr.
Cheng, could it be possible that it is not Meniere's disease since there has been no improvement after a week? Generally, how long does it take for the medication to improve tinnitus and hearing loss?

Xiao Chen, 30~39 year old female. Ask Date: 2024/01/22

Dr. Zheng Jueyi reply Otolaryngology


Hello, not improving after a week of diuretics does not rule out Meniere's disease.
It is recommended to further restrict salt intake and continue regular follow-up in the outpatient clinic for treatment.
There is no specific duration for how long the medication should be used.

Reply Date: 2024/01/22

More Info


Meniere's disease is a chronic inner ear disorder that can lead to episodes of vertigo, tinnitus (ear ringing), hearing loss, and a sensation of fullness or pressure in the ear. The exact cause of Meniere's disease is not fully understood, but it is believed to be related to an abnormal accumulation of fluid in the inner ear, which can affect balance and hearing.

In your case, the initial treatment with corticosteroids was likely aimed at reducing inflammation and fluid retention in the inner ear. However, since there was no improvement, your doctor switched to diuretics, which are commonly prescribed to help reduce fluid buildup. It is important to note that the response to treatment can vary significantly among individuals with Meniere's disease. Some patients may experience relief from symptoms within a few weeks, while others may take longer to notice any improvement.

Regarding your concern about the lack of improvement after one week of diuretic treatment, it is essential to understand that Meniere's disease can be complex and may not respond immediately to medications. While some patients may begin to feel better within a week, others might require several weeks or even months of consistent treatment before experiencing significant changes in their symptoms. The duration of treatment can also depend on the severity of the condition and how well the individual responds to the medication.

If you are not noticing any improvement after one week, it does not necessarily mean that you do not have Meniere's disease. It is possible that your body may need more time to adjust to the medication, or that the dosage may need to be adjusted. It is also worth considering that other factors, such as stress, dietary habits (like salt intake), and overall health, can influence the effectiveness of treatment.

In terms of monitoring your symptoms, it is crucial to keep track of any changes in your tinnitus, hearing loss, or episodes of vertigo. If you experience worsening symptoms, such as severe dizziness, balance issues, or significant changes in hearing, it is essential to contact your healthcare provider. They may recommend further evaluation or adjustments to your treatment plan.

In summary, Meniere's disease treatment can take time, and a week may not be sufficient to see improvements. It is essential to maintain open communication with your healthcare provider, follow their recommendations, and be patient as your treatment progresses. If you have concerns about your diagnosis or treatment plan, do not hesitate to seek a second opinion or further evaluation. Your health and well-being are paramount, and understanding your condition is a key part of managing it effectively.

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