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Day 13: Bilateral Meniere’s Disease - spinning, ringing, and hearing loss #littlemissdiagnosed #31for31lmd #bilateralmenieres #menieresdisease | Dr Erin Nance
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Ménière’s disease causes episodes of vertigo, hearing loss, tinnitus, and ear fullness due to excess fluid in the inner ear (endolymphatic hydrops). Diagnosis is clinical—based on ≥2 spontaneous vertigo episodes lasting 20 min–12 hrs, documented hearing loss, and fluctuating auditory symptoms. Treatment focuses on reducing inner ear fluid pressure and managing symptoms: • Low-sodium diet and limiting caffeine/alcohol • Diuretics (e.g., thiazides) to reduce inner ear pressure • Vestibular suppres
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