Can permanently cure homeopathy seizures
Meniere's disease(Meniere's disease): Mostly unilateral disease of the inner ear with attack-like symptoms: triad of (twisting) vertigo with nausea, occasional hearing loss and chronic tinnitus.
The disease is considered "overdiagnosed" because the diagnosis is often wrongly made for other forms of vertigo.
- Seizure-like vertigo that lasts for hours with nausea and possibly vomiting
- Occasional hearing loss (also double hearing)
- Permanent tinnitus, but varying in intensity.
When to the doctor
In the next few days if
- The vertigo attacks described above occur together with unilateral hearing loss and / or tinnitus.
An increase in pressure in the inner ear, triggered by an overproduction and / or reduced removal of endolymph, is probably responsible for the symptoms. This creates unfavorable conditions for the sensory cells of the auditory and equilibrium organs, which cause hearing loss and ear noises.
A pressure-related crack in the Reissner membrane is also discussed as the cause of the vertigo attacks; this wafer-thin wall normally separates the endo- from the perilymph in the inner ear. A crack could cause the electrolytes of both lymph fluids to mix and cause dizziness.
The course of the disease varies greatly from person to person. The spectrum ranges from a few seizures with subsequent permanent freedom from symptoms to increasingly worsening seizures with increasing hearing loss or even deafness (burned-out Menière's disease).
The doctor makes the diagnosis primarily on the basis of the patient's descriptions. The tone audiogram typically shows hearing loss at low frequencies in the initial stage, later all frequencies are affected. In comparison, speech understanding is particularly severely impaired (speech audiogram).
Since the exact background of Menière's disease is unknown, there is no specific therapy.
In the case of acute complaints, the focus of treatment is bed rest and medication against nausea, vomiting and dizziness (dimenhydrinate, e.g. inVertigo-Vomex® or sulpiride, e.g. in Sulpirid AL).
Preventive. To prevent seizures, the medical societies recommend taking betahistine (e.g. Vasomotal® or Aequamen®forte) for several months to reduce endolymph pressure. In the first few weeks, patients sometimes complain of slight diarrhea or increased skin sensitivity to light. For severe and frequent attacks (monthly or more frequently), the doctor often prescribes a low-dose diuretic such as B. hydrochlorothiazide, triamterene or furosemide. Unfortunately, both drug treatment approaches are not always effective.
Another treatment method is numbing your sense of balance in one Labyrinth anesthesia. The doctor puts an anesthetic into the tympanic cavity through a small incision in the eardrum, which spreads from there towards the inner ear and numbs the sense of balance. The extensive elimination of the sense of balance reduces the attacks of dizziness for years or even prevents them completely; the procedure can be repeated if necessary.
Saccotomy. In severe cases, to stop the dizzy spells, an operation can alternatively be considered, which is only performed in specialized ENT clinics. In a saccotomy, the surgeon removes some bone from around the skin sac that contains the endolymph. This allows the skin sac to expand if necessary and the dreaded attacks of dizziness do not occur. The hearing ability also often improves as a result, or at least it does not deteriorate further. In recent years, however, the success of this intervention has been increasingly doubted.
Only in rare cases does the doctor take further steps such as deliberately destroying the balance nerve (vestibular nerve). This can be destroyed by ototoxic drugs such as gentamicin or during a special operation Vestibular neurectomy, be severed. As a recent study shows, patients benefit from taking betahistine after a unilateral vestibular neurectomy. This drug shortens the recovery time after the procedure by more than a month. Disadvantage of the treatment methods: They cannot stop the progression of the disease. With both procedures, there is a risk of further hearing impairment or even deafness due to the intervention.
Behavior therapy and relaxation training. Since the attacks of dizziness that set in like an attack cause intense feelings of fear in those affected, illness-aggravating conditioning processes occur: As a result, increasingly harmless situations trigger Menière dizziness attacks. Doctors speak of reactive psychogenic dizziness. These can develop into a manifest anxiety disorder or a depressive disorder that has persisted for months.
To break this vicious circle, two procedures have been established:
- Vestibular rehabilitation: With the help of this evidence-based therapy, those affected train the diseased organ of equilibrium under the guidance of a physiotherapist. Patients perform complex exercises that create dizziness in order to adequately challenge the balance system. The brain should learn the incorrect information of the equilibrium organ with the help of other sensory impressions - such as. B. vision - to compensate. The aim is also to get the organ of equilibrium used to dizziness, so that the symptoms of dizziness gradually decrease and the organ of equilibrium becomes more resilient again. Many regain self-confidence and security.
- If fearful or perfection-oriented personality traits exist at the same time, relaxation techniques such as autogenic training; Yoga or progressive muscle relaxation according to Jacobsen help to bring the reactive psychogenic vertigo under control.
The course of Menière's disease varies greatly and is therefore hardly predictable. Some people suffer only one or a few attacks, but in most cases there are more or less frequent repetitions. If the disease lasts 5 years, half of the patients have attacks on both sides. In severe cases, the hearing loss worsens to the point of deafness.
Your pharmacy recommends
If the doctor has prescribed an anti-dizziness medication such as dimenhydrinate (e.g. VomexA®) to combat acute attacks, always carry it with you so that you can react immediately in the event of an acute attack of dizziness.
Betahistine (e.g. Vasomotal® or Aequamen®forte) is often prescribed for long-term prophylaxis. To protect your stomach, it is best to take this medication after a meal.
Although the equilibrium system generally recovers after an acute Menière attack, this only applies to a limited extent after more frequent attacks or in advanced stages. Intensive physical training, e.g. B. with Feldenkrais exercises helps to improve possible failures in the equilibrium network.
Individual observations are available, according to which the frequency and intensity of the vertigo attacks could be alleviated by acupuncture.
An individually tailored constitutional therapy within homeopathy may alleviate the symptoms. Frequently used homeopathic remedies for Menière's disease are z. B. Acidum salicylicum, China, Sulfur or Tabacum.
In the symptom-free phases, autogenic training and other relaxation methods help to better cope with the emotional stress caused by the illness and the fear of another attack.
First and foremost is the elimination of all known risk factors for circulatory disorders. Therefore, anyone with high blood pressure and / or high cholesterol should follow drug and non-drug measures recommended by their doctor. Also refrain from smoking and excessive alcohol consumption and try to reduce stress. Regular moderate endurance sports such as jogging, cycling and Nordic walking are also recommended.
In some cases, for some unknown reason, a low-salt diet helps reduce the number of attacks of dizziness.
- H. Schaaf: Menière's disease: dizziness, hearing loss, tinnitus: a psychosomatically oriented presentation. Springer, 2017.
- K.-F. Hamann: Dizziness. 200 questions and answers. Zuckschwerdt, 2017. Shows which diseases can be hidden behind the "dizziness" complaint and how they are treated.
AuthorsProf. Dr. med. Gerhard Grevers; Dr. Ute Koch; Thilo Machotta; Dr. med. Arne Schäffler in: Gesundheit heute, edited by Dr. med. Arne Schäffler. Trias, Stuttgart, 3rd edition (2014). Revision and update of the section "Your pharmacy recommends" and "Further information": Dr. med. Sonja Kempinski | last changed on at 11:42
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