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Vertigo and an ambulance ride

Winnie53

BANNED
Messages
2,374
Location
United States
Type of diabetes
Type 2
Treatment type
Diet only
Wednesday

Woke up to go to the bathroom and experienced what I thought was vertigo around 3:30 this morning.

Husband was in New York. I was on my own.

Back in bed again, decided to get up and grab the remote phone in our bedroom. After that began questioning if I should call 911 and if I could make it to the backdoor and unlock it.

After thinking more I decided that without knowing for certain what was going on, wasn't worth the risk of passing out so decided instead to have our son who lives a mile away to drive over to unlock the back door.

Then I started feeling cold, which gave me a good scare.

As soon as our son arrived, we decided together to call 911.

Paramedics checked my blood pressure laying down then sitting up. We decided to skip the standing blood pressure. One of the paramedics picked up on my diabetes. He likely noted the piles of books on diabetes and other conditions on and next to my bed, so they asked me to check my glucose level, which was a bit high but within the normal range.

Next came the assisted walk to the ambulance, a process of grabbing anything I could each step of the way to counter the spinning room. Made it as far as the grassy lawn. Went down on all fours and threw up. Then navigated the steps with a repeat of my previous performance a few feet from the gurney. Grateful for the early morning dark and no neighbors up and about yet.

On the way to the hospital, I was described to the hospital as "stable" which I found comforting and reassuring that I was going to be okay. The driver took the last few turns in the hospital parking lot at a normal speed but too fast for me. Head spinning resumed, threw up again.

Afterward, I was kicking myself for not having my son drive me to the hospital after I had the blood pressure check. But, after further reflection, my son and I agreed the cost of the ride was worth it. No check-in process. They wheeled me directly into an examination room and immediately hooked me up to a heart monitor “to make sure nothing scary was happening”. Vitals were all good, then they checked me for stroke. Passed that examination too. More important questions followed.

Was then diagnosed with vertigo and put on three medications: an antihistamine, anti-nausea medication, and valium. I initially declined the latter two medications and the saline solution by IV because I knew I was well hydrated – (and thank goodness I was hydrated because I did not want to use that awful bed pan). It was later explained to me that I was unusual. Most patients requiring emergency care are in a dehydrated state and need the IV.

More than an hour later, using the bathroom became my sole focus, so agreed to take the latter two medications in the hope I’d eventually be able to sit up and walk on my own. More time passed, but finally felt ready to give it a try with the nurse’s guidance. Threw up again afterward but it was so worth it. :)

They wheeled me to my son's car and he took me home then picked up my prescriptions and laid in bed with me for a couple of hours to insure I was okay. By noon I felt well enough to eat something, so decided to try standing again. Was able to do so for five minutes so fixed our son an omelet and sent him on his way home.

Those medications worked wonders. I don’t know how anyone with vertigo could function without them. Initially, I was convinced I’d need to place a rented toilet next to the bed. Feeling so much better now.

Thursday

Slept 13 hours. Have decided this morning to continue taking the antihistamine, Meclizine HCL, 12.5 mg, USP, for at least today. It’s used for nausea/vomiting, vertigo, and motion sickness. Wonderful drug. https://www.drugs.com/meclizine.html

Am going to stick to puttering around the house today. No driving. Husband flies back from New York tomorrow. Son is on call if needed. Will try to do lunch and grocery shopping with friends tomorrow, but overall am feeling reasonably good today.

I think I’m okay now. Just a little dizzy, but it might be the Meclizinem, don't know, which I will continue to take today, then stop tomorrow but keep with me for the next couple of weeks.

Next on my list is to start the exercises today.

A member of our diabetes group wrote me this morning to say, "I've lived with two people who have had really intense, crawl-to-the-bathroom kind of vertigo. Along with the medication, they were both told to drink Coca-Cola (for stomach upset) and to significantly reduce salt intake. [A local] Ear, Nose, and Throat physician also facilitated gentle head exercises, which the other doc seemed clueless about... I'm glad they've shared exercises with you."

CocaCola? Ooh, yuck! After doing additional reading on the internet, I learned that salt reduction is useful for those who have Meniere's disease.

I feel so fortunate to have received excellent care.

The emergency room physician did everything right. The other two medications were diazepam (Valium) 5 mg, to help “calm everything down” – (but not taking that again unless needed because it definitely affected my ability to think and function) - and a medication specific for nausea/vomiting, Ondansetron HCL, 4 mg https://www.drugs.com/ondansetron.html Not sure what the dosage was in the hospital but it’s available in regular tablet form, which is what I was prescribed, and a disintegrating tablet form, Zofran ODT, which I was instructed to dissolve under my tongue while in the emergency room.

Once home, I only took the Meclizine HCL, 12.5 mg, USP.

I think the biggest challenge was figuring out what to eat yesterday. Most of the suggestions were high carb: crackers, chicken noodle soup, bananas. As I was making an omelet for my son, I remembered that I had some Amy’s Thai Coconut soup. That worked well. Not sure where the bananas are that I had my son buy. Need to find them so I can give them to friends tomorrow. I just realized, one of the advantages of eating low carb is no more fruit flies [giggle].

Thankfully, the nausea didn't return yesterday, so a few hours later I made an omelet. It was delicious and I've resumed eating my usual low carb foods with no difficulty. :)

This brief 11 page online article provides an excellent overview of what happened to me, also the many causes of vertigo, some serious which require immediate emergency care... http://www.emedicinehealth.com/vertigo/article_em.htm

After reading it, I now understand the reasoning for all the questions the physician asked me. He was insuring that I didn't have a more serious condition that would require additional evaluation and a different treatment approach. Lucky for me, it appears that I had nothing more than moderate vertigo. Yay! :)

These are the Brandt-Daroff exercises for vertigo that I was instructed to use at home - (had to find them again because somehow we left the two page illustrated instruction sheet at the hospital. I don't think I could have done them in the emergency room due to the effects of the three medications, but will begin them today)... http://www.bing.com/videos/search?q...E15FB5ECFD782DD8ABE7E15FB&fsscr=0&FORM=VDMCNL

Posting this here so if this ever happens to again, I'll have a good record of what worked well for me following a proper evaluation and diagnosis. :)
 
Wednesday

Woke up to go to the bathroom and experienced what I thought was vertigo around 3:30 this morning.

Husband was in New York. I was on my own.

Back in bed again, decided to get up and grab the remote phone in our bedroom. After that began questioning if I should call 911 and if I could make it to the backdoor and unlock it.

After thinking more I decided that without knowing for certain what was going on, wasn't worth the risk of passing out so decided instead to have our son who lives a mile away to drive over to unlock the back door.

Then I started feeling cold, which gave me a good scare.

As soon as our son arrived, we decided together to call 911.

Paramedics checked my blood pressure laying down then sitting up. We decided to skip the standing blood pressure. One of the paramedics picked up on my diabetes. He likely noted the piles of books on diabetes and other conditions on and next to my bed, so they asked me to check my glucose level, which was a bit high but within the normal range.

Next came the assisted walk to the ambulance, a process of grabbing anything I could each step of the way to counter the spinning room. Made it as far as the grassy lawn. Went down on all fours and threw up. Then navigated the steps with a repeat of my previous performance a few feet from the gurney. Grateful for the early morning dark and no neighbors up and about yet.

On the way to the hospital, I was described to the hospital as "stable" which I found comforting and reassuring that I was going to be okay. The driver took the last few turns in the hospital parking lot at a normal speed but too fast for me. Head spinning resumed, threw up again.

Afterward, I was kicking myself for not having my son drive me to the hospital after I had the blood pressure check. But, after further reflection, my son and I agreed the cost of the ride was worth it. No check-in process. They wheeled me directly into an examination room and immediately hooked me up to a heart monitor “to make sure nothing scary was happening”. Vitals were all good, then they checked me for stroke. Passed that examination too. More important questions followed.

Was then diagnosed with vertigo and put on three medications: an antihistamine, anti-nausea medication, and valium. I initially declined the latter two medications and the saline solution by IV because I knew I was well hydrated – (and thank goodness I was hydrated because I did not want to use that awful bed pan). It was later explained to me that I was unusual. Most patients requiring emergency care are in a dehydrated state and need the IV.

More than an hour later, using the bathroom became my sole focus, so agreed to take the latter two medications in the hope I’d eventually be able to sit up and walk on my own. More time passed, but finally felt ready to give it a try with the nurse’s guidance. Threw up again afterward but it was so worth it. :)

They wheeled me to my son's car and he took me home then picked up my prescriptions and laid in bed with me for a couple of hours to insure I was okay. By noon I felt well enough to eat something, so decided to try standing again. Was able to do so for five minutes so fixed our son an omelet and sent him on his way home.

Those medications worked wonders. I don’t know how anyone with vertigo could function without them. Initially, I was convinced I’d need to place a rented toilet next to the bed. Feeling so much better now.

Thursday

Slept 13 hours. Have decided this morning to continue taking the antihistamine, Meclizine HCL, 12.5 mg, USP, for at least today. It’s used for nausea/vomiting, vertigo, and motion sickness. Wonderful drug. https://www.drugs.com/meclizine.html

Am going to stick to puttering around the house today. No driving. Husband flies back from New York tomorrow. Son is on call if needed. Will try to do lunch and grocery shopping with friends tomorrow, but overall am feeling reasonably good today.

I think I’m okay now. Just a little dizzy, but it might be the Meclizinem, don't know, which I will continue to take today, then stop tomorrow but keep with me for the next couple of weeks.

Next on my list is to start the exercises today.

A member of our diabetes group wrote me this morning to say, "I've lived with two people who have had really intense, crawl-to-the-bathroom kind of vertigo. Along with the medication, they were both told to drink Coca-Cola (for stomach upset) and to significantly reduce salt intake. [A local] Ear, Nose, and Throat physician also facilitated gentle head exercises, which the other doc seemed clueless about... I'm glad they've shared exercises with you."

CocaCola? Ooh, yuck! After doing additional reading on the internet, I learned that salt reduction is useful for those who have Meniere's disease.

I feel so fortunate to have received excellent care.

The emergency room physician did everything right. The other two medications were diazepam (Valium) 5 mg, to help “calm everything down” – (but not taking that again unless needed because it definitely affected my ability to think and function) - and a medication specific for nausea/vomiting, Ondansetron HCL, 4 mg https://www.drugs.com/ondansetron.html Not sure what the dosage was in the hospital but it’s available in regular tablet form, which is what I was prescribed, and a disintegrating tablet form, Zofran ODT, which I was instructed to dissolve under my tongue while in the emergency room.

Once home, I only took the Meclizine HCL, 12.5 mg, USP.

I think the biggest challenge was figuring out what to eat yesterday. Most of the suggestions were high carb: crackers, chicken noodle soup, bananas. As I was making an omelet for my son, I remembered that I had some Amy’s Thai Coconut soup. That worked well. Not sure where the bananas are that I had my son buy. Need to find them so I can give them to friends tomorrow. I just realized, one of the advantages of eating low carb is no more fruit flies [giggle].

Thankfully, the nausea didn't return yesterday, so a few hours later I made an omelet. It was delicious and I've resumed eating my usual low carb foods with no difficulty. :)

This brief 11 page online article provides an excellent overview of what happened to me, also the many causes of vertigo, some serious which require immediate emergency care... http://www.emedicinehealth.com/vertigo/article_em.htm

After reading it, I now understand the reasoning for all the questions the physician asked me. He was insuring that I didn't have a more serious condition that would require additional evaluation and a different treatment approach. Lucky for me, it appears that I had nothing more than moderate vertigo. Yay! :)

These are the Brandt-Daroff exercises for vertigo that I was instructed to use at home - (had to find them again because somehow we left the two page illustrated instruction sheet at the hospital. I don't think I could have done them in the emergency room due to the effects of the three medications, but will begin them today)... http://www.bing.com/videos/search?q...E15FB5ECFD782DD8ABE7E15FB&fsscr=0&FORM=VDMCNL

Posting this here so if this ever happens to again, I'll have a good record of what worked well for me following a proper evaluation and diagnosis. :)
Yes I suffer from Ménière's disease and thankfully not had an episode for 2years, when I do all I can do is lay in bed and not move my head at all for hours and certainly couldn't stand
 
Thanks @Snapsy Hoping this was just a fluke and it never ever happens again. I'm grateful that I recovered so quickly.

@Rosiegough_ sorry to hear about your Meniere's and intermittent vertigo. I agree. Standing is ridiculously difficult, even sitting up. I love your avatar by the way. :)

Years ago, I had some contact with a local Meniere's support group. Some of the members felt diet helps, others felt the condition was too intermittent to know one way or the other. The good news is that the low carb diet that so many of us use to manage our diet is anti-inflammatory. While the cause of Meniere's is unknown, it's likely an autoimmune condition. Anything we can do to reduce inflammation certainly can't hurt.

I've had tinnitus off and on for the last five years, but, I only get it when I resume drinking coffee for a few months. The tinnitus and pain in my thumb joints consistently returns within two to four months of drinking coffee again. I suspect chocolate does the same, so have given up both coffee and chocolate completely with the hope that I'll at least be able to eat chocolate again in a few years.

What was your first vertigo episode like? How long did it take for you to be properly evaluated and diagnosed with Meniere's?
 
Thanks @Snapsy Hoping this was just a fluke and it never ever happens again. I'm grateful that I recovered so quickly.

@Rosiegough_ sorry to hear about your Meniere's and intermittent vertigo. I agree. Standing is ridiculously difficult, even sitting up. I love your avatar by the way. :)

Years ago, I had some contact with a local Meniere's support group. Some of the members felt diet helps, others felt the condition was too intermittent to know one way or the other. The good news is that the low carb diet that so many of us use to manage our diet is anti-inflammatory. While the cause of Meniere's is unknown, it's likely an autoimmune condition. Anything we can do to reduce inflammation certainly can't hurt.

I've had tinnitus off and on for the last five years, but, I only get it when I resume drinking coffee for a few months. The tinnitus and pain in my thumb joints consistently returns within two to four months of drinking coffee again. I suspect chocolate does the same, so have given up both coffee and chocolate completely with the hope that I'll at least be able to eat chocolate again in a few years.

What was your first vertigo episode like? How long did it take for you to be properly evaluated and diagnosed with Meniere's?
The first time was terrifying and my hubby called the doctor out at 12 midnight, I got the jab etc and continued to see my dr when I have further episodes. I am still scared when I have them which thankfully isn't too often. I would get sweaty/clammy and if I move my head or attempted to get up I'd be sick. I'm on tablets 3 times a day to hopefully help xx ps always had tinnitus and partial deafness and so did my darling dad xx
 
Meclizine HCL, . . . . . . It’s used for nausea/vomiting, vertigo, and motion sickness. Wonderful drug.

My wife takes it and says exactly the same. She tells me that unless you experience Vertigo you have no idea. . . . . . . . I agree.

I'm please your diagnosis was so rapid, my wife had to go through the GP although she had blacked out and collapsed in a lift at work in London. Being a lady of a certain type, she refused all assistance because "she was going to pop in to her doctors".

Pleased you're feeling better, all the very best. Keep taking the tablets.
 
Poor you, it must have been terrible, especially being on your own.

My mum had Menieres Disease. She lived with us after dad died and I witnessed all her episodes from that time. They were very intermittent and towards the end of her long life they stopped for some reason. The attacks were sudden, which was the worrying part as they could happen anywhere, though fortunately mostly at home. There didn't seem to be a pattern. She would either faint or just crumble to the floor, and was then totally disorientated. She had no idea whereabouts in the room she was, nor where the door was, nor which direction to go. Bed was the only place she could be, nursing the migraine that came with it. I can't remember the name of her medication, but it was some sort of travel sickness pill. In between episodes she was perfectly normal and active. She also had tinnitus.

So I do know how dreadful this is, and @Winnie53 and @Rosiegough_ you have all my sympathy.
 
Thank you for sharing your experiences. I agree, it's awful. Am thankful my son was able to stay with me until I recovered, also that my episode lasted hours, not days or weeks. He brought the paperwork over last night that stated my diagnosis: Benign positional vertigo (BPV).

I've been looking around the internet today and found an excellent website created by a group of ENT - (ear, nose, throat) - physician in the eastern US. Learning lots there... http://www.fauquierent.net/dizzy.htm

This group of ENT physicians also have a number of videos on YouTube... https://www.youtube.com/playlist?list=PL8372C6E5B9B16082 Scroll down to videos 16 - 21

Here's the first video in the series, number 16...

Video 21 is on Meniere's Disease...

These videos were done by Dr. Christopher Chan, M.D. and are excellent. I now understand why doing the exercisies are so important.

I was surprised to learn that the most commonly prescribed medication for dizziness or vertigo, Meclizine, helps some vertigo conditions but prolongs or worsens other vertigo conditions. This brief article, "Meclizine (Antivert) to Treat To Treat Dizziness - Bad Idea?", explains what all patients experiencing vertigo should know...

http://fauquierent.blogspot.com/2015/10/meclizine-antivert-to-treat-dizziness.html

The website has additional information on tinnitus, balance evaluations, BPPV, Meniere's Disease, and dizziness... http://www.fauquierent.net/education.htm#ear

I'm feeling a bit overloaded with information now so going stop and have another go at it tomorrow.

Before I go, I just want to add that I'm finding some information that's leading me to believe that this could be an autoimmune condition that would respond to removing triggering foods from the diet - (this is done with an elimination diet). I found this mother's story interesting. She developed Meniere's disease while in college, later had three children, and eventually identified which foods she's sensitive to... http://www.cookingupclean.com/story/#.WOgMTTgzW70
 
Thank you for all the information.

Your experience sounds awful! Did you have any symptoms that (looking back) may have been warning signs?
If so, write them down, and memorise them.
It might help if you have a recurrence.

Have you been given any advice on driving, or operating machinery?

Am very glad you are feeling better. Are you back to 100% or still feeling the after effects?
 
@Brunneria there were no warning signs. Fortunately, the vertigo stopped within 6 to 8 hours, so I've been able to resume all normal activities. Thursday night I went for an extended walk with my son. Tonight I drove, had dinner, and shopped with friends.

BPV (benign positional vertigo) happens when a calcium crystal breaks free. It's the free floating crystal in the canal that causes the vertigo. By moving and holding the head in specific ways, in a specific, timed sequence, it's possible to move the calcium crystal out of the canal and stop the vertigo.

My vertigo stopped before I had a chance to do the exercise, but it happens again, I'll know what to do by following the instructions in the videos.

What happened to me could happen to anyone at any time. The good news is that for most of us, it will only happen once. :)

Meniere's Disease is a progressive disease that's actually quite rare. I heard one presenter today state that only 0.15% (which is less than 1%) of the population have Meniere's. The reason I've been learning everything I can is because I do have a history of intermittent tinnitus that develops within 2 to 4 months of resuming coffee consumption, and I believe I've also had some hearing loss, though I've not had that confirmed with testing. (I no longer drink coffee or eat chocolate). I also have a grandfather who experienced significant hearing loss in his later years, but I don't know if he also had tinnitus and vertigo. Need to ask my mother.

While vertigo is treatable, tinnitus and Meniere's symptoms are managed only. From what I read today, there are likely multiple causes of Meniere's, each requiring their own unique treatment strategy.

What I'm trying to figure out right now is if it's sometimes an autoimmune condition. If it is, I know how to tackle that problem. That said, hopefully, my vertigo episode won't recur, and because it's so rare, I'll never go on to develop Meniere's. :)

@Contralto my lab results weren't available while I was still at the hospital. I too am curious about my electrolytes. Hoping I can pick up the lab report tomorrow. All I know is that I eat three very healthy meals a day and I alternate between drinking tea and water throughout the day so electrolytes likely were fine.

Thanks for the interesting historical information on Coca-Cola. :)

Did they return to using sugar in recent years or are they still using corn syrup? I haven't drank soda pop in ages, but I sure loved it during my teen years.

Will continue to add more information here as I find it. Diabetes can cause tinnitus, but thankfully, I don't think it causes Meniere's.
 
Meniere's Disease - (a condition that causes tinnitus, vertigo, and hearing loss)

Okay, for the geeks, here's an excellent 15 minute overview of what's known about Meniere's Disease with an outline of the key points - (I don't understand all of it, but I understood enough to benefit)...


Toward the end of his lecture, he makes an interesting point, if a patient's symptoms improve with steroids, that suggests an autoimmune role in the condition. As stated earlier, there are multiple causes of Meniere's.

Vertigo - Two Home Exercises To Treat Vertigo

And this is for everyone, found by my wonderful husband. :)

Below is a brief excerpt from the article and a link to the article that includes a video and illustrated instruction sheet that can be printed out...

"More than seven million people in the U.S. can expect to have benign paroxysmal positional vertigo, a common vertigo disorder, especially as they age. The disorder causes more than a quarter of the vertigo experienced worldwide and has a lifetime prevalence of 2.4 percent. This type of vertigo is unusual because it is a purely mechanical disorder in which particles used to sense gravity accidentally enter the spinning-motion sensors of the ear. The symptoms can be relieved by maneuvers that relocate these particles. After treatment there is a tendency for this accidental particle entry to recur, and treatment is needed each time this happens.

Carol Foster, MD, associate professor in the department of Otolaryngology at the University of Colorado School of Medicine, devised a new exercise, the Half Somersault Maneuver. It can be used as an alternative to the more common Epley maneuver."

Click on this link for the article and video - (once there, you'll be able to click on the button for the printable, 2-page, illustrated instruction sheet with additional instructions)... http://www.cuanschutztoday.org/two-home-exercises-treat-vertigo/

My plan is to print the instructions and make a vertigo kit for placement in my bedroom and in my desk at work.

To do this exercise while experiencing vertigo, I think it would really help to have someone available to talk you through it and help you to position your head properly. It's likely a process of trial and error to get it right. By resting for 15 minutes between each attempt, you'll be able to re-read the instructions each time.

For me, the spinning sensation was so intense, I estimate I'd only have up to 2 minutes at most before the nausea would overtake me - (that said, not everyone has the severe nausea that I had). The good news is that the spinning for me would stop laying still on my back with my head slightly elevated on a pillow, but based on what I've read, laying on one side or the other probably would work best because only one ear is affected.

If after five tries this maneuver doesn't work, the other maneuvers can be tried while waiting to see an ear, nose, and throat doctor or physical therapist who regularly use the maneuvers with patients. The other maneuvers are described by Dr. Christopher Chang, M.D. on YouTube here...
https://www.youtube.com/playlist?list=PL8372C6E5B9B16082

Scroll down to videos 16 - 21 - (note: if more videos are added, it's possible the numbering will change so you'll have to figure out which videos demonstrate the maneuvers. :( )

It's titled...

► Play all
Ear/Balance/Hearing
 
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@Winnie53

There is also a link between hyperinsulinemia and tinnitus.
It is discussed in the Kraft interview with Ivor Cummins on You Tube.
Not sure if it is relevant to you at the mo though... :)
 
Agreed Brunneria. Kraft's work has been such a gift to us.

Our son, who is in his late 20's, had a triglyceride level of 400 mg/dl last summer - (optimal is <150 mg/dl). Like a lot of young professionals, he can cook a few things, but not a lot.

I'm in the process now of explaining to him that hyperinsulinemia precedes hyperglycemia perhaps by a decade or more, that by the time your fasting glucose level rises, the toll on the body is already happening.

Bought him a glucose meter kit and test strips. He declined to take it home the other day.

My husband and I are going to start preparing meals with him at his house once a week so we can teach him how we eat today (as opposed to how we ate when he was growing up, my bad. :( )

Will probably bring the glucose meter kit with me each time so we can test him pre-, 1-hour post-, and 2-hour post each meal. Hopefully, in time he'll become curious and accept the kit so he can see how his normal way of eating affects his glucose levels. :)
 
Thanks to all who shared here. I realized today that I hadn't responded to all of the posts. Apologies... It's helpful to know I'm not the only person who's had this experience.

Interestingly, I learned after reading something else that ENT specialist Dr. Carol Foster, M.D., who developed the Half Somersault Maneuver in 2012, has Meniere's disease herself in one ear, though she eventually had the surgery. Here's her story... http://www.cuanschutztoday.org/do-it-yourself-vertigo-treatment/

Thankfully, vertigo has a lifetime prevalence of only 2.4%.

Most of the information on how to stop a vertigo episode are included in posts #8 and #12 in this topic. Hopefully, if any of you or a loved one has an episode, you'll be able to find your way back here to figure out how to do the maneuvers. :)
 
Unfortunately does not seem to work for Meniere’s Disease, My old gran had it for about twenty years no treatment then spent several years either lying down or sat in a chair.

I've had tinnitus and hearing loss since I was in the RAF but mine is due to direct damage to the auditory nerves from working around jet engines without adequate protection.
 
John, I can't imagine what is was like for your gran to cope with those symptoms. Thankfully, there have been many advances in treatment for Meniere's disease. This article, written in 2002, provides a good overview... http://www.audiologyonline.com/articles/meniere-s-disease-diagnosis-natural-1161 There are now surgeries that can provide significant relief from symptoms.

I talked with my mom yesterday, and she doesn't know if her father experienced tinnitus and vertigo along with his progressive hearing loss and eventual deafness. That was good news. :)
 
@Winnie53 To be honest with you it made her life hellish at times she was unable to stand without support for well over ten years at least, if she attempted to do so she would end up on the floor and she also became profoundly deaf.
 
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