Ménière disease's treatment targets relieving the symptoms. So for vertigo attacks, diazepam is given. Steroids, which treat inflammation (that could have a role in this condition) are also given. Anti-emetics (medication that reduce/relieve nausea) are useful as well. Lifestyle and dietary changes, including avoiding trigger substances (eg, salt, chocolate, caffeine) and smoking cessation are recommended. If medications are required, a 3-month trial of a diuretic (a medication that makes you urinate more frequently) and dietary management are prescribed. Surgery,which rremains a controversial option, is reserved for refractory (unresponsive) or severe cases. Two types of surgery exist: destructive (where they destroy one inner ear as long as the other ear remains functional) ; non destructive, in which they inject antibiotics or steroids in the inner ear, or dissect the vestibular nerve (the nerve that runs through the ear), or place a shunt (a tube) to drain inner ear fluid and thus decrease pressure.
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