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What is Ménière’s Disease?

  • Ménière's disease (MD) is a disorder of the inner ear that is characterized by episodes of feeling like the world is spinning (vertigo), ringing in the ears (tinnitus) hearing loss, and a feeling of fullness in the ear.
  • Typically, only one ear is affected initially; however, over time both ears may become involved.
  • Episodes generally last from 20 minutes to a few hours. The time between episodes varies.
  • The hearing loss and ringing in the ears can become constant over time.

How Ménière’s Disease is Diagnosed?

Definitive criteria for Ménière’s disease:

  • Two or more spontaneous episodes of vertigo, each lasting 20 minutes to 12 hours
  • HEARING ASSESSMENT: Audiometrically documented low- to medium-frequency sensorineural hearing loss in the affected ear on at least on one occasion before, during, or after one of the episodes of vertigo.
  • BALANCE ASSESSMENT: Fluctuating aural symptoms (hearing, tinnitus, or fullness) in the affected ear.

Treatment Options for Ménière’s Disease?

The doctor will prescribe you medication to reduce nausea, anxiety, for allergies, vertigo, balance problems.

Patients with Ménière’s disease are advised to intake a low salt diet.

Physical therapy helps in retraining balancing system.

The psychological distress caused by the vertigo and hearing loss may worsen the condition in some people. Counseling may be useful to manage the distress.


  • Gentamicin is a medication intended to purposefully damage the inner ear to stop dizziness or vertigo in Ménière’s disease.
  • Intratympanic Gentamicin injection is the preferred therapeutic option for patients in whom conservative management including lifestyle modifications and oral medications failed to treat Ménière’s disease.
  • This is also known as Transtympanic Gentamicin injection.


  • Gentamicin is injected through the eardrum using a narrow needle.
  • The drug is left in the middle ear for 30 minutes, and then allowed to drain out through the Eustachian tube into the throat.
  • The procedure is simple and can be performed in the outpatient basis under local anesthesia with manageable recovery time.

What to Expect after Intratympanic Gentamicin Injection?

  • The patient may experience a disequilibrium sensation beginning approximately 3-5 days after injection, which reaches to peaks in 10-14 days after injection and fades over the course of several more weeks.
  • The presence of this reaction is an indicator of treatment response.
  • Intratympanic Gentamicin injection achieves control of vertigo in 80%-90% of patients.

Happy Patients


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  • Dr. Neetu really cares for her patients & this clearly shows. My experience with her has been very good. She is very patient, clearly explains the treatment & answers any queries regarding it. Thank you for the services.

    S. Kiran

  • Dr Neetu Modgil was excellent. Thorough, kind and patient, she did an excellent job. I will be requesting her services for my next appointment.

    Chandu Reddy

  • She is a blessing to this profession . So humble and approachable. she operated my ear , when every doctor i visited said no to me saying the risk of surgery is more . But she not only took risk...

    Ipshita Purohit

  • In my life i have met number of great doctor , but the way she talks , listens and convince the patient that is very rare and incredible , Very much experience ,humble doctor , highly recommended for any ENT...

    Rahul Yadav

  • It was good experience with doctor Neethu the way she treated me, felt like she treated me like her kid, Listens to our problems patiently,Her analysis and diagnosis was good.Clinic's ambience was quite good as well. I'd recommend her.

    Vijay Panwar

  • Visited for Ear wax. Explained well to me. removed my ear wax very well. Dr. is Very friendly with me.

    Aman Singh Mehta

  • She listen to my problem very attentively and prescribed medicine to take care of my problem. Besides being a good doctor she’s a wonderful human being too.

    Neha Nagar

  • I went for throat infection and clicking sound. She was very patient to hear my issue. Then did her examination and explained me the issue. She don't writes unnecessary tests and give minimum and required medication. I wish to have...

    Vinit Pandey

  • she is a friendly doctor and explained the disease very well. She had helped me out in my difficult times. Am very thankful yo her. Would like to recommend her to others.

    Ms. Atreyee Pal

  • I am obliged for everything doctor has done for me from day one. I am absolutely fine three months post surgery. I had many doubts before surgery but now as I m going well , I am happy and content.


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