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Monday, March 15, 2010

Meniere Disease

Dizzy spell hit me once again while I'm staring my lappy screen during work today. It kind of like a norm to me now till MissyM remind me it better for me to get a good check up on this.

What I was told by doc last time is that I'm suffering from "Meniere Disease", there no exact cure for this sickness, all I need to do is to sleep well, had enough sleep & remain sort of "stress-free". With the following factors above, it very unlikely my dizzy spell will hit me.

"Stress-free" environment, is easy to say than do, how can we ever stay "stress-free" in this busy city. All I can do is try to sleep at least 8hours a day.

Wikipedia answer to my doubt on what is Meniere Disease, actually this disease is not as simple as I imagine, sort of the answer I got "scare" me alittle.

This proven why dear always got so pissed talking to me & say I'm like getting deaf. This disease is a disorder of the inner ear that can affect hearing and balance to a varying degree.

It is characterized by episodes of dizziness and tinnitus and progressive hearing loss, usually in one ear. It is caused by lymphatic channel dilation, affecting the drainage of endolymph.

The condition affects people differently; it can range in intensity from being a mild annoyance to a chronic, lifelong disability.
The exact cause of Ménière's disease is not known, but it is believed to be related to endolymphatic hydrops or excess fluid in the inner ear.
It is thought that endolymphatic fluid bursts from its normal channels in the ear and flows into other areas causing damage. This is called "hydrops". The membranous labyrinth, a system of membranes in the ear, contains a fluid called endolymph.
The membranes can become dilated like a balloon when pressure increases and drainage is blocked. This may be related to swelling of the endolymphatic sac or other tissues in the vestibular system of the inner ear, which is responsible for the body's sense of balance.
In some cases, the endolymphatic duct may be obstructed by scar tissue, or may be narrow from birth. In some cases there may be too much fluid secreted by the stria vascularis. The symptoms may occur in the presence of a middle ear infection, head trauma or an upper respiratory tract infection, or by using aspirin, smoking cigarettes or drinking alcohol.
They may be further exacerbated by excessive consumption of salt in some patients. Some have pointed out that this "central hypothesis" of Ménière's is questionable, as many people without Ménière's have evidence of increased pressure in the inner ear too.


It has also been proposed that Ménière's symptoms in many patients are caused by the deleterious effects of a herpes virus. Herpesviridae are present in a majority of the population in a dormant state.
It is suggested that the virus is reactivated when the immune system is depressed due to a stressor such as trauma, infection or surgery (under general anesthesia). Symptoms then develop as the virus degrades the structure of the inner ear.
Initial treatment is aimed at both dealing with immediate symptoms and preventing recurrence of symptoms, and so will vary from patient to patient. Doctors may recommend vestibular training, methods for dealing with tinnitus, stress reduction, hearing aids to deal with hearing loss, and medication to alleviate nausea and symptoms of vertigo.
Several environmental and dietary changes are thought to reduce the frequency or severity of symptom outbreaks. Most patients are advised to adopt a low-sodium diet, typically one to two grams (1000–2000 mg) per day[6] at first, but diets as low as 400 mg are not uncommon.
Patients are advised to avoid caffeine, alcohol and tobacco, all of which can aggravate symptoms of Ménière's. Some recommend avoiding aspartame. Patients are often prescribed a mild diuretic. 

After reading that, I'm really feeling kind of speechless. Well, please tell me what should I do. I don't want anymore shocking news like years back, I don't want go through that again.

3 to 4 years back, doctor found out that there a bacteria in my stomach, a harmless bacteria (at the moment), but no one dare to promise that it won't not become stomache cancer if I never undergo medication at the point of time.

There a number of incidents that people who had the same bacteria as me, chose not to undergo the treatment to clear it, years later, be it 3years, 5years, or even 10years, the bacteria had convert into stomach cancer.

Why people chose not to undergo the treatment, due to the side effect I guess. Imagine you need to carry on your daily life yet bearing with the pain in your stomach, unable to eat & stuff. It a 50% chance if you don't get rid of it, but I chose to make it 0%, I went for the treatment.

After first course of medication, I did not recover, I had to undergo one more courses of medication, double the dozage. Not as simple as anyone of you out there can think of, it not an easy process for me to go through, the side effect of the pills is no joke.

After I know I'm totally cure, I can totally remember the feeling now, it like you are given a 2nd chance to live again. I told myself I gonna live my live to the fullest that very day itself.

Now, the feeling of typing this entry is like the feeling of 4years back when my GP advice me to go to see a specialist that time. I recall I did blog down this feeling 4years back too, but, I had deleted my old blog.

Well, but I'm still the same strong will powered me 4years back, I gonna fight my sickness away if any of the systoms come again. Be it if there any cure on this, but I will not allow myself to turn deaf now.

I gonna reduce my sodium, avoid caffeine, alcohol and tobacco, all of which can aggravate symptoms of Ménière's. I wanna stay healthy.

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