Meniere's disease

Clinical Features:

• Feel dizziness with a spinning sensation (vertigo)
• Feel unsteady on your feet.
• Feel sick (nausea) or be sick (vomit)
• Hear ringing, roaring or buzzing inside your ear.
• Have a sudden drop in hearing.

Investigation:

• 1)Audiometry 
• 2)otoscopy
• 3)CT or MRI 
• For metabolic/hormonal cause
• 4)T3,T4 & TSH 
• 5)RBS 
• 6)ANA 
• 7)CBC with CRP 
• 8)Urine RME

Rx: 

• Complete salt restriction
• Fluid restriction

1. Tab.Mecliz plus(meclizine+Pyridoxine)(25/50mg)

• 1+0+1...........15 days

2. Tab.Menaril (Betahistine Dihydrochloride)(8 mg)

• 1+0+1........15 days
  

3. Tab.Dezide(Hydrochlorothiazide+Triamterene)(25/50mg)

• 1+0+0..........10 days 

4. Tab.Zolium (0.25mg)(Alprazolam)

• 0+0+1............15 days 

5. Cap.Seclo(omeprazole) (20mg)

• 1+0+1.....10 days 

Surgery: Referred pt for surgery (ENT)

Advice: 

•  Avoid Chocolate 
• Stop smoking