 Classic
symptoms
Classic symptoms of Ménière’s disease are:
These symptoms may not occur all at once. As Ménière’s
disease progresses, the mix, severity and duration of symptoms tends to
change (see 'Stages of Ménière’s
Disease').
Especially in the earlier stages, you can’t predict how often attacks
of symptoms will occur, how severe they will be or how long they will
last. Attacks tend to occur in clusters with periods of remission. Symptoms
can lessen or disappear for weeks, even years, but will generally return.
Vertigo
Typical characteristics of vertigo:
- Vertigo creates a sensation of spinning - for example the whole room
seems to be spinning around you.
- Vertigo attacks can last from 10 minutes to several hours.
- The spinning/dizziness worsens with head movements.
- Feelings of nausea occur (like sea sickness!). You may also experience
sweating.
- The dizziness can make you stagger or fall. You may suffer a sudden
loss of balance and fall to the ground without warning.
- Vomiting and/or loss of bowel control may occur when vertigo is severe.
- Dizziness occasionally occurs unexpectedly and is not provoked by
any particular head movement.
- Often there are warning signs that you are about to experience an
attack of vertigo. For example:
- unsteadiness when moving rapidly
- changes to any tinnitus (ringing noise in the ear) you may have
- a full feeling inside the ear
- a distortion in hearing
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Hearing
loss or muffled hearing
Ménière’s can affect hearing in the following ways:
- You may not be able to hear lower sound frequencies clearly. This
symptom is useful in diagnosing Ménière’s as it
differs from the high frequency loss associated with both noise induced
hearing loss and hearing loss due to ageing.
- You may experience hypersensitivity to loud sound, which can occasionally
be painful in noisy surroundings.
- You may experience tone deafness.
- The pitch of sound in the affected ear can move by 1/3 to 1/2 a note.
Excess fluid in the ear alters the way sound waves enter the inner ear.
- Hearing changes are measurable.
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Tinnitus
Tinnitus refers to noises in the ear or head, which are not associated
with any external sound. Tinnitus is a symptom of a malfunction in the
auditory (hearing) system. Common features of tinnitus related to Ménière’s:
- Sufferers describe the noise as roaring, ringing, buzzing, hissing,
whistling, cicada like noises – or a combination of these sounds. Tinnitus
can be continuous, unremitting, and distressing for people with Ménière’s.
- Tinnitus levels often increase and take on a roaring quality before
an attack of vertigo.
- The character of the tinnitus can change during an attack of vertigo.
Fullness in the ear
You may experience a feeling of fullness, pressure or blockage in the
affected ear. This results from a build up of fluid in the inner ear.
The feeling often increases before and during an attack of vertigo.
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Last reviewed Dec 2006
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