Ménière's disease - Peripheral vertigo

Low urgency
Common-

Disorder of the inner ear that affects balance and hearing and causes an unreal sense of spinning of the body or objects around it.

The inner ear contains fluid-filled tubes or canals that form the labyrinth and help interpret the body's position and maintain balance. It is thought that increased pressure of the fluid in the canals of the inner ear may play an important role in the development of this condition.

There are three main associated symptoms:

1) Hearing loss (hypoacusis).

2) A ringing or buzzing in the ear known as tinnitus.

3) A feeling of dizziness or vertigo that worsens with changes in position.

The diagnosis is made clinically, by interview and physical examination. Imaging studies may be needed to rule out other causes of vertigo.

There is no definitive treatment for Ménière's disease, but lifestyle changes are recommended, along with medication for vertigo and diuretics to reduce ear pressure.

Bibliographic references
  1. Howard S Moskowitz. Meniere disease. UpToDate, Marzo 2016
  2. Coelho DH. Medical management of Ménière's disease. Laryngoscope 2008; 118:1099.
  3. Klockars T. Inheritance of Meniere's disease in the Finnish population. Arch Otolaryngol Head Neck Surg 2007; 133:73.
  4. Hoa M. Prognostic implications of and audiometric evidence for hearing fluctuation in Meniere's disease. Laryngoscope 2015; 125 Suppl 12:S1.
  5. Mark F. Walke. Mareo y vértigo. Harrison. Principios de Medicina Interna, 19e. Capítulo 28
Author
Dr. Patricia Sánchez
Copyright
© TeckelMedical 2026

Symptoms

    Spinning sensation


    Difficulty standing up due to unsteadiness


    Partial hearing loss


    Involuntary, repeated eye movement


    Vomiting

Symptoms to watch out for

Hearing loss
If it is accompanied by falls, blows to the head or fractures

Self-care

Maintain a balanced diet: increase fruit, vegetable, and white meat consumption and reduce the intake of fatty meals and fritters.
Sit down immediately whenever you feel dizzy.
Use good lighting in the home.
Reduce caffeine consumption.
Reduce tobacco consumption.
Reduce alcohol consumption.
Consume antiemetics if vomits are present.
Check with general practitioner about the prescription for anxiolytics.