What should be done about Ménière's syndrome?
Nov 27, 2025
Source: Cainiu Health
Dr. Lu Cheng
Introduction
Meniere's syndrome should be managed through symptomatic treatment during acute episodes, standardized medication, lifestyle adjustments, vestibular rehabilitation, and evaluation for surgical intervention. The key goals are controlling symptoms, reducing recurrence, and preserving hearing. If sudden vertigo, tinnitus, or hearing loss occurs, prompt medical evaluation is recommended to confirm diagnosis. During an attack, immediate bed rest is advised, with avoidance of strenuous activity.
Meniere's syndrome should be managed through symptomatic treatment during acute episodes, standardized medication, lifestyle adjustments, vestibular rehabilitation training, and evaluation for surgical intervention. The key goals are controlling symptoms, reducing recurrence, and preserving hearing. If sudden vertigo, tinnitus, and hearing loss occur, prompt medical consultation is recommended for accurate diagnosis.
1. Symptomatic management during acute phase: Immediately rest in bed during an attack, avoid strenuous activity and bright light stimulation, keep the head stable to reduce dizziness. Avoid rapid head movements or standing up quickly to prevent worsening symptoms, and take precautions against falls and injury.
2. Standardized pharmacological treatment: Follow medical advice to use vestibular suppressants to relieve vertigo, diuretics to reduce inner ear edema, and medications improving inner ear circulation to protect hearing. Medications must be taken strictly according to prescribed doses—do not adjust or discontinue them independently to avoid adverse drug reactions.
3. Lifestyle modifications: Strictly limit dietary sodium intake to reduce endolymph production; avoid fatigue, staying up late, and emotional stress, and maintain a regular sleep schedule. Quit smoking, limit alcohol consumption, and avoid caffeine and spicy, stimulating foods to reduce triggers of attacks.
4. Vestibular rehabilitation training: After the condition stabilizes, perform balance exercises and gaze stabilization training under professional guidance to enhance vestibular compensation, improve residual symptoms such as dizziness and imbalance, and increase quality of life.
5. Surgical treatment evaluation: For patients who do not respond to medication, experience frequent episodes, and suffer severe hearing loss, doctors should evaluate suitability for surgery, such as endolymphatic sac decompression or vestibular nerve section, to control disease progression.
In daily life, maintain emotional stability and avoid extreme mood swings; engage in mild physical activities like walking, but avoid intense exercise; regularly monitor hearing changes, follow up with physicians as scheduled, and adjust treatment plans based on disease progression to minimize the impact of the condition on daily living.
