What are the symptoms of Ménière’s disease?
Ménière’s disease symptoms start in episodes that may last as little as 20 minutes, up to 24 hours. You may have frequent episodes back-to-back. Or, you may have long periods of remission (no symptoms) in between episodes.
The main symptoms of a Ménière’s disease episode are:
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- Vertigo: You may feel as if the world is spinning around you even when you’re standing still. Some people have “drop attacks,” where the vertigo is so severe they topple over and fall.
- Trouble hearing and hearing loss. You may have trouble hearing during an attack (usually only in one ear). In the beginning, many people have difficulty hearing lower pitches in particular. Without treatment, the condition can lead to hearing loss.
- Tinnitus. It may feel as if one of your ears is ringing. People with Ménière’s disease sometimes describe the sound as similar to machines whirring or the whooshing sound you hear when holding a seashell up to your ear.
- Pressure. You may feel pressure or fullness in the affected ear.
Other symptoms may include nausea and vomiting.
What causes Ménière’s disease?
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Experts don’t know what causes Ménière’s disease. But many believe that a buildup of endolymph, a fluid in your inner ear, plays a role. Too much endolymph can disrupt hearing and balance signals going to your brain and cause symptoms.
Experts haven’t identified a single condition that causes too much endolymph to build up, but possibilities include:
- Allergies.
- An infection.
- A head injury.
- Migraine headaches.
A blockage in your inner ear that prevents endolymph drainage.
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More research is needed to understand the potential relationships among these conditions, endolymph buildup and Ménière’s disease.
Risk factors of Ménière’s disease
Risk factors include:
- Age: Ménière’s disease typically affects people ages 40 to 60.
- Sex: Some studies show that people assigned female at birth (AFAB) are slightly more likely to develop this condition.
- Genetics: About 7% to 10% of people with Ménière’s disease have a family history of the disorder. This means you may inherit the condition.
- Autoimmune diseases: Some studies show that you may be more likely to develop Ménière’s disease if you have an autoimmune condition, like rheumatoid arthritis, lupus and ankylosing spondylitis.
What are the complications of this condition?
Ménière’s disease isn’t a life-threatening illness, but it can affect your overall quality of life and pose health risks. It can lead to:
- Serious falls: Unexpected, severe vertigo attacks can put you at risk of falls. It can make everyday activities (like climbing a ladder or driving a car) too risky to attempt.
- Hearing loss: Untreated Ménière’s disease can lead to permanent hearing loss over time (usually after eight to 10 years).
- Mental health conditions: Ménière’s disease can take a toll on your mental health, too. Some people with Ménière’s disease develop anxiety, worrying about when and how future vertigo attacks will affect them. Some people develop depression due to the symptoms that affect hearing and balance.
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