Meniere's Disease Treatment in Dhaka – Dr. Sajib Saha
Meniere’s disease is a chronic inner ear disorder that causes sudden vertigo attacks, fluctuating hearing loss, tinnitus (ringing in the ear) and a feeling of fullness in the ear. There is no single cure, but with the right diagnosis and a long-term plan, most patients can reduce attacks and protect their quality of life. Dr. Sajib Saha, a vertigo and balance specialist in Dhaka, provides complete Meniere’s disease evaluation and management.
What Is Meniere's Disease?
It is believed to be linked to abnormal fluid (endolymph) pressure in the inner ear, although the exact cause is not fully known. It usually affects one ear, most often in adults, but can sometimes involve both.
Symptoms and Causes of Meniere’s Disease
- Vertigo attacks: sudden spinning that can last from about 20 minutes to several hours
- Hearing loss: often low-pitched and fluctuating at first, may become permanent over time
- Tinnitus: ringing, buzzing or roaring in the ear
- Aural fullness: pressure in the affected ear
- Nausea, vomiting and sweating during attacks
- Post-attack exhaustion and unsteadiness
Proven Treatment Options for Meniere’s Disease
1. Medications for Symptom Relief
Medications are often the first step in managing Meniere’s disease symptoms:
Diuretics: Help reduce inner ear fluid retention.
Antihistamines & Anticholinergics: Help control vertigo.
Anti-nausea medications: Reduce nausea during attacks.
Corticosteroids: Lower inflammation and stabilize symptoms.
2. Dietary and Lifestyle Changes
Reducing salt intake is crucial to prevent fluid buildup. We also recommend limiting:
Caffeine
Alcohol
Foods that trigger dizziness
Such changes can significantly reduce the frequency and severity of vertigo episodes.
3. Vestibular Rehabilitation Therapy (VRT)
VRT is a specialized form of physical therapy that helps your brain adjust to balance changes caused by Meniere’s disease. A trained therapist guides you through balance-enhancing exercises to improve stability and reduce dizziness.
4. Hearing Aids for Hearing Loss
Many patients experience progressive hearing loss. Hearing aids can help improve communication and overall quality of life. We provide professional consultations to choose the right device for your needs.
5. Intratympanic Steroid Injections
For patients who don’t respond to oral medication, steroid injections into the middle ear (intratympanic) can reduce inflammation and control vertigo episodes effectively.
6. Surgical Treatment Options
Surgery may be considered if other treatments fail:
Endolymphatic Sac Surgery: Helps reduce inner ear fluid pressure.
Vestibular Nerve Sectioning: Cuts the balance nerve to stop vertigo.
Labyrinthectomy: Removes part of the inner ear in severe cases where hearing is already lost.
7. Mental Health and Emotional Support
Living with Meniere’s disease can affect your mental well-being. We provide psychological support, counseling, and stress-management techniques to help cope with anxiety, depression, and uncertainty.
Possible Triggers
Triggers differ from person to person. Commonly reported ones include high salt intake, caffeine, alcohol, stress, lack of sleep, and illness. Keeping a symptom diary helps identify your own triggers
How Meniere's Disease Is Diagnosed
There is no single test, so diagnosis combines:
- Detailed history of attacks, hearing and tinnitus
- Audiometry to document hearing loss patterns
- Vestibular tests such as VNG
- MRI when needed to rule out other causes like tumors or neurological conditions
Conditions like BPPV, vestibular migraine and vestibular neuritis can look similar, so correct diagnosis is important. Read more about vertigo tests.
Why Choose Sajib Saha Clinic?
At Sajib Saha Clinic, we offer comprehensive care tailored to each patient. Our team combines medical expertise with compassionate support to develop the most effective Meniere’s disease treatment plan for you.
Customized treatment based on your symptoms
Access to hearing and balance experts
Support for both physical and emotional well-being
Meniere's Disease Treatment Options
- Medication: Medicines may be prescribed during attacks to reduce vertigo and nausea, and as long-term treatment to reduce attack frequency. Your doctor selects these based on your case.
- Low-salt diet and lifestyle changes: Reducing salt, limiting caffeine and alcohol, staying hydrated, managing stress and sleeping regularly can reduce attacks.
- Vestibular Rehabilitation Therapy (VRT): Helps the brain adapt and improves balance between attacks. See vertigo rehabilitation treatment.
- Hearing support: Hearing assessment and, if needed, guidance on hearing aids for progressive hearing loss.
- Intratympanic injections: For attacks not controlled by oral treatment, medicine can be placed in the middle ear, as decided by the doctor.
- Surgical options (rare): Considered only when other treatments fail, such as endolymphatic sac surgery, vestibular nerve section or labyrinthectomy.
- Emotional support: Unpredictable attacks can cause anxiety. Counselling and stress-management advice are part of long-term care.