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28.12.2014

Tinnitus meniere's disease, ringing in ears caused by stress - For You

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At the Center for Cooperative Medicine, we are studying the effects of laser light at low intensity in ear disorders, including tinnitus, hearing loss and Meniere’s disease. Almost anyone with hearing loss, tinnitus, vertigo or other disorders related to the ear according to Dr. Tinnitus, the perception of sound without an external cause, is an emergency signal by cells in the inner ear according to Dr. Tinnitus is another frequent consequence of trauma to the ear in which nerves are stimulated to send impulses to the brain perceived as sound but without an external cause.
1 Wilden, Lutz Report on more than eight years of low level laser therapy of chronic inner ear diseases. Besides a stoppage of drainage pathways, abnormally enlarged fluid pathways into the ear such as the vestibular aqueduct or cochlear aqueduct may also be associated with Meniere's like symptoms. Thus, the bottom line is that in most patients with Meniere's disease in 2014, the underlying cause of Meniere's disease is unknown.
Figure 3a: Audiogram (hearing test) typical of early Meniere's disease on the right side (x=left, o=right). A longer discussion of the information to be gained in testing of persons with Meniere's disease is found here. What the author recommends in his practice in Chicago for medical prevention of Meniere's. In persons with severe progressive bilateral disease, the author will generally recommend a trial of high dose steroids.
There are an immense number of placebo and probable or nearly placebo treatments for Meniere's disease.


There is a separate page on this topic, but briefly, for intractable unilateral Menieres disease cases, we often presently advise a low dose gentamicin protocol.
Persons who have intractable bilateral Meniere's disease are offered a trial of steroids with a safer immunosuppressant should this be effective, a modified gentamicin protocol, and very occasionally systemic aminoglycosides to deaden both ears. Gu X, Fang ZM, Liu Y, Huang ZW, Zhang R, Chen X.Diagnostic advantages of intratympanically gadolinium contrast-enhanced magnetic resonance imaging in patients with bilateral Meniere's disease. I would also like to subscribe to the Meniere's Balance newsletter and future notices of special offers.
Wilden believes that tinnitus, hearing loss, vertigo, and altered sensation within the ear are often the result of “biological exhaustion of the inner ear”, and this may be due to acute or chronic exposure to sound, antibiotics, other drugs and many other stressors. In our clinical practice, where we care for large numbers of Meniere's patients, the most common age of presentation is in the 6th decade.
While in the past, it was felt that plumbing problems (hydrops) in the ear were responsible for the disease, the most current opinion is that hydrops are are just a marker for the Meniere's disease, rather than necessarily being responsible for the symptoms. We ourselves hold this opinion, based in part on a study in which patients with Meniere's disease had a very high prevalence (about 25%) of autoimmune thyroid disease (Brenner et al, 2004).
Psychological characteristics of patients with Meniere's disease compared with patients with vertigo, tinnitus or hearing loss.
Just as placing pressure on the eyes with a finger causes one to see stars, so tinnitus may be the result of stress to the cells responsible for our sense of hearing in the inner ear.
We think Meniere's disease should more properly be called Meniere's syndrome, but we will use the two terms as if they were the same.
This probably reflects the age distribution of Meniere's in Chicago Illinois, which of course is also a function of the age of the population in Chicago.


On the other hand, Ruckenstein and others recently obtained a large number of autoimmune blood tests in a group of 40 patients with unilateral Meniere's disease including CBC, ANA, Anti-Sjoegren, RF, Complement, antiphospholipid antibody, western blot for heat shock protein, MHA (syphilis test), and Lyme.
Rather, it seems that Meniere's disease damages both hair cells and nerve fibers in humans. Van Deelen and Huizing studied the use of diuretics in Meniere's disease in a double-blind, placebo controlled trial, and reported that it reduces vestibular complaints, but has no significant effect on hearing (1986).
Because Menieres and Migraine are very often combined, this medication's main role may be to treat the migraine associated vertigo that can be confused with or accompany Menieres disease.
The longer someone has been experiencing tinnitus, hearing loss or ear-related vertigo, the greater the time and laser energy likely to be necessary.
Studies of humans are handicapped by the possibility that Meniere's is the final common pathway of a variety of illnesses of the ear. Potential reasons are an exitatory nystagmus, Bechterew's phenomenon (recovery nystagmus), Meniere's involving the opposite ear, and stronger vestibular responses on the side with hydrops due to hydrodynamic factors associated with hydrops.
They concluded that it is unlikely that autoimmune etiologies play a significant role in their population of unilateral Meniere's (Ruckenstein, 2002). Another interpretation of their data is that they may simply not have had an appropriate marker for autoimmune involvement, as well as unilateral Meniere's may have less autoimmune cause than bilateral.




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