Meniere's disease

Clinic

• MD is a disease of the inner ear that is characterized by potentially severe and incapacitating episodes of vertigo, tinnitus, hearing loss, and a feeling of fullness in the ear.
• Typically, only one ear is affected initially, but over time, both ears may become involved.
• Episodes generally last from 20 minutes to a few hours. The time between episodes varies.
• The hearing loss and ringing in the ears can become constant over time.

• Causation is unclear, but likely to be constrictions in blood vessels, viral infections, and autoimmune reactions.
• No cure is known

Signs / Symptoms

• Recurrent episodes of vertigo
• Fluctuating hearing loss
• Tinnitus
• Episodes may be preceded by headache / Feeling of fullness in the ears.
• People may also experience additional symptoms related to irregular reactions of the autonomic nervous system.
  • These symptoms are not symptoms of Meniere's disease per se, but rather are side effects resulting from failure of the organ of hearing and balance, and include nausea, vomiting, and sweating, which are typically symptoms of vertigo, and not of Ménière's.
  • This includes a sensation of being pushed sharply to the floor from behind. Sudden falls without loss of consciousness (drop attacks) may be experienced by some people.

Mechanism

• The initial triggers of Ménière's disease are not fully understood, with a variety of potential inflammatory causes that lead to endolymphatic hydrops (EH), a distension of the endolymphatic spaces in the inner ear. EH, in turn, is strongly associated with developing MD, but not everyone with EH develops MD: "The relationship between endolymphatic hydrops and Meniere's disease is not a simple, ideal correlation."
• Additionally, in fully developed MD, the balance system (vestibular system) and the hearing system (cochlea) of the inner ear are affected, but some cases occur where EH affects only one of the two systems enough to cause symptoms. The corresponding subtypes of MD are called vestibular MD, showing symptoms of vertigo, and cochlear MD, showing symptoms of hearing loss and tinnitus.
• The mechanism of MD is not fully explained by EH, but fully developed EH may mechanically and chemically interfere with the sensory cells for balance and hearing, which can lead to temporary dysfunction and even to death of the sensory cells, which in turn can cause the typical symptoms of MD – vertigo, hearing loss, and tinnitus.

Remedies

Banerji protocols
First line	Tell C200 one dose every 3 Days Con C3 BD
Second line	Hyos C200 one dose every 3 Days Con C3 BD
Third line	Ther C200 BD in acute cases Repeat it in subacute cases one dose every 2 days till cure

Chinin-s

• Periodical episodes of tinnitus
• Sudden attack of vertigo followed by tinnitus
• He may lose balance and fall.
• Chinin-s is the most common homeopathic remedy of Meniere’s disease.

Phos

• Echoing sounds in their ears.
• Gradual hearing impairment along with vertigo immediately after rising from the bed
• When external stimuli, such as bright lights and sharp noises, trigger sudden attacks of vertigo

Chen-a

• Hears a buzzing noise in the ear.
• Sudden episodes of vertigo that may follow the buzzing noise in the ear and tinnitus attacks that are synchronous with heartbeats

Gels

• Dizziness
• Difficulty in walking with a loss of balance due to dizziness.
• Vision turning blurred and the heaviness of eyelids also indicate this remedy.

Ther

• Flare-up of vertigo increases with the closure of eyelids,
• He comes up with complaints of Nausea / Vomiting along with vertigo
• Sensitive to noises and may not be able to bear loud noises at most times.

Cocc

• Vertigo and dizziness with frequent nausea and vomiting.
• Sudden loss of balance
• Difficulty in hearing or feeling of ear blockage or dread of sudden noise

Nat-sal

• Excellent remedy for tinnitus accompanied by vertigo and deafness of the ears.
• He complain of a loss of hearing over a period indicating progressive deafness
  

• Con
• Tab
• Bell
• Caust
• Kalm
• Crotalus

Tissue Salt Remedies

• KP

Rubrics

Vertigo - MOTION, from : BRY. COCC. TAB.

Vertigo - TURNING, on - moving the head, or turning – quickly : CALC. CON

Vertigo - SHAKING, the head: acon._mp1 calc._mp1 Con._mp1 corn._mp1 genist._mp1 glon._mp1 hep._mp1 kali-c._mp1 Morph._mp1 nat-act._mp1 sep._mp1 spig

Hearing - NOISES, in ears - buzzing - vertigo, with: Arg-n, Ars, Bell, CHININ-S, Cic, Glon, Laur. Nat-s, Zinc.

Vertigo - MENIERE'S disease, noises in ear with vertigo: CHININ-S, PHOS

Vertigo - MENIERE'S disease, noises in ear with vertigo

alum. arg-met. Arg-n. arn. ars. bar-m. bell. benz-ac. bry. calc. Camph. carb-v. carbn-s. Caust. chen-a. chin. CHININ-S. Chinin-val. Cic. Cocc. colch. com. con. crot-h. crot-t. Dig. eucal. ferr-p. gels. Glon. gran. hell. kali-c. kali-i. kali-m. kali-p. kalm. laur. mag-c. myric. nat-act. nat-c. nat-m. nat-p. nat-s. nat-sal. nux-v. onos. op. petr. ph-ac. PHOS. pic-ac. pilo. psor. puls. rad-br. Sal-ac. Sang. seneg. sep. Sil. stann. tab. Ther. zinc.

Vertigo - MENIERE'S disease, noises in ear with vertigo - seasick, as if tab.