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Wednesday, November 27, 2013

Meniere's disease avoid MSG etc


Menieres Disease, Symptoms: What causes Meniere's disease?
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Menieres Disease Avoid foods that contain MSG
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What is the treatment for Meniere's disease?

The mainstay of treatment is directed towards attempts to decrease the fluid pressure in the inner ear. This is done by aggressive salt-restriction, sometimes in combination with a diuretic ("water pill"). A diuretic alone will not overcome the inner ear's ability to retain salt, so this medication should be reserved for patients in whom salt-restriction alone is insufficient. It is important not to decrease salt intake too much, as sodium is an essential mineral for the body to function. However, in practice this is not too much of a concern since most people find any sodium restriction to be a greater challenge than over-restriction. The goal is to reduce your daily sodium intake to 1500-2000 milligrams. This involves more than not sprinkling salt on your food. It requires diligence in precisely measuring your sodium intake from all sources by inspecting package labels and kitchen habits. Restaurant eating must usually be limited since it is difficult to accurately quantify sodium intake in that setting, and the foods are typically highly salted.

Some guidelines for maintaining a low-salt diet are as follows:

Do not add salt to food or cooking. If this is too difficult at first, try halving the amount of salt you add to recipes and at the table. If you slowly work your way down it will be much easier. Also, potassium containing salt substitutes are okay, and may be used if desired.

Restrict salt (sodium) intake to between 1500 milligrams (mg) to 2000 mg daily
Avoid high-salt (sodium) foods
Drink 6-8 glasses of fresh (unsoftened) water per day

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Menieres Disease, Symptoms: What causes Meniere's disease?
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Surgery for Meniere's disease

When medical therapy fails to control the vertigo associated with Meniere's disease, surgical intervention should be considered. Surgical options should be divided into those that preserve residual hearing in the affected ear, and those that destroy it. The latter are typically more reliable in their ability to control vertigo, but should only be undertaken if the residual hearing is minimal or not useful, and if the other ear has useful hearing and is not expected to become more severely affected.

There are many other considerations that go into choosing what type of procedure is best for each person. Some of the more commonly performed procedures are: chemical perfusion of the inner ear ("Gentamicin injection;" this can be performed in the office and is easily repeated if need be), endolymphatic sac surgery, vestibular nerve section and transmastoid labyrinthectomy. The pros and cons of each of these procedures should be discussed in detail with the physician, who will perform the treatment so as to choose the option that is best for each individual.
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Menieres Disease, Symptoms: What causes Meniere's disease?
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Positional Vertigo
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Animated depiction of Brandt-Daroff exercises online

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