Can an ENT diagnose Meniere's disease?

Ménière's disease is most often diagnosed and treated by an otolaryngologist (commonly called an ear, nose, and throat doctor, or ENT). However, there is no definitive test or single symptom that a doctor can use to make the diagnosis.

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Can an ENT see Meniere's disease?

An ENT specialist can conduct an examination to diagnose Meniere's disease, which assesses the level of hearing loss, function of the inner ear, and balance. A diagnosis of the disease requires: Two episodes of vertigo that each last 20 minutes or longer but do not exceed 12 hours. Tinnitus/fullness in the ears.

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What test confirms Meniere's disease?

Vestibular evoked myogenic potentials (VEMP) testing.

This test uses sound to make parts of the inner ear active. It records how well muscles react to that sound. It may show common changes in the affected ears of people with Meniere's disease.

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What specialist manages Meniere's disease?

More commonly known as ear, nose and throat physicians (ENTs), Northwestern Medicine otolaryngologists specialize in the diagnosis, treatment and rehabilitation of diseases and disorders of the head and neck, including Ménière's Disease.

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What are the three main symptoms of Meniere's disease?

The main symptoms of Ménière's disease are:
  • vertigo – the sensation that you, or the environment around you, is moving or spinning.
  • tinnitus – hearing sounds from inside your body, rather than from an outside source.
  • hearing loss, with a particular difficulty hearing deep or low sounds.

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Understanding Ménière’s Disease

25 related questions found

How do you feel when you have Meniere's disease?

Ménière disease is a disorder caused by build of fluid in the chambers in the inner ear. It causes symptoms such as vertigo, nausea, vomiting, loss of hearing, ringing in the ears, headache, loss of balance, and sweating.

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What other diseases can mimic Meniere's disease?

Other conditions that may share symptoms of Meniere's disease include the following:
  • Migraine and migraine variant without headache mimic many symptoms of Meniere's disease.
  • Benign paroxsymal postural vertigo (BPPV).
  • Rarely, tumors of the internal audiotory canal (vestibular schwannoma, also called acoustic neuroma).

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Is it hard to prove Meniere's disease?

Unfortunately, Ménière's disease can be difficult to diagnose because the symptoms are different from patient to patient. Additionally, there are other inner ear disorders that have similar symptoms. Therefore, no standard test that can definitely prove that you have the disorder.

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What are the four main symptoms of Meniere's disease?

Ménière's disease
  • feeling like the room is spinning around you (vertigo)
  • a ringing noise inside the ear (tinnitus)
  • pressure felt deep inside the ear.
  • hearing loss.

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What aggravates Meniere's disease?

Avoid caffeine and alcohol, which may make symptoms worse. If you smoke, quit. Quitting may help reduce symptoms. Some people find that managing allergy symptoms and avoiding allergy triggers helps decrease Meniere disease symptoms.

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How does an ENT check for inner ear problems?

In this examination, the doctor looks into the ear using an instrument called an otoscope. The otoscope consists of a handle and a cone-shaped attachment called an ear speculum, which contains a tiny lamp and is inserted into the ear canal.

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How quickly does Ménière's disease progress?

How Fast Can Meniere's Disease Attack Progress? The collection of attacks caused by Meniere's disease can last anywhere from 20 minutes to 24 hours. Also, it is possible for these series of attacks to happen repeatedly over a few weeks, months, or even a few years. This condition is just so unpredictable.

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Does Meniere disease show up on MRI?

Magnetic resonance imaging (MRI) scan

The MRI scan will not confirm a diagnosis of Ménière's disease, nor will it show which ear is affected or how severe the condition is. During initial investigation it is important to exclude many serious conditions which can cause vertigo or unilateral hearing loss and tinnitus.

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How does an ENT check for vertigo?

An otolaryngologist performs a physical exam to look for signs and symptoms of the cause of vertigo. He or she uses delicate instruments to magnify and examine the ear canal and eardrum. Your doctor may also examine your eye movements or ask you to track an object from one point in space to another.

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Which is worse vertigo or Meniere's?

Though vertigo is a symptom of Meniere's disease, the chronic condition can have multiple other side effects and tends to get progressively worse. On the other hand, vertigo does not necessarily link with a more severe condition, such as Meniere's disease.

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What happens if you don't treat Meniere's disease?

Left untreated, Ménière's disease symptoms get worse over time and may cause permanent hearing loss and ongoing balance issues. Ménière's disease is typically treated with medication to reduce symptoms.

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What is the difference between Meniere's disease and Meniere's syndrome?

Meniere disease is generally defined as the idiopathic syndrome of endolymphatic hydrops, whereas the term Meniere syndrome is generally used for patients with the same clinical features but who have an identified cause.

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What age group is the most likely to develop Meniere's disease?

The disease is much more common in adults, with an average age of onset in the fourth decade, the symptoms beginning usually between ages 20 and 60 years. Meniere's disease is (grossly) equally common in each sex, and right and left ears are affected with fairly equal frequency.

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Can stress and anxiety cause Meniere's disease?

Certain stresses and emotional disturbances can trigger episodes of Ménière's symptoms, including working for too long, underlying health conditions, and tiredness. Salt in the diet is another trigger.

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Can you have Meniere's symptoms everyday?

They may occur daily or as rarely as once a year. The severity of each attack can vary. Some attacks may be severe and interfere with daily living activities.

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Can I drive with Meniere's disease?

There is no cure but treatment can help to ease and prevent symptoms. If you are a driver, you must stop driving if Ménière's disease is diagnosed.

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How do you rule out Meniere's disease?

A test called an electronystagmogram (ENG), which measures your eye movements. This can help the doctor find where the problem is that's causing vertigo. Imaging tests such as an MRI or CT scan of the head. These tests can find out if the symptoms are caused by a brain problem.

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What triggers Meniere's episodes?

Some people with Ménière's disease find that certain events and situations, sometimes called triggers, can set off attacks. These triggers include stress, overwork, fatigue, emotional distress, additional illnesses, pressure changes, certain foods, and too much salt in the diet.

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How often are you dizzy with Meniere's disease?

Seventy-five percent of patients who had MD for more than 20 years considered their vertigo attacks severe and 36% still had attacks 1 to 4 times per week. Nausea associated with vertigo was most common among those with a long disease history.

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Can an ENT doctor help with dizziness?

If you experience vertigo, an otolaryngologist — also known as an ear, nose, and throat (ENT) doctor — can diagnose and treat your condition to improve your quality of life.

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