<prompt> Menieres disease is characterized byConductive hearing loss and tinnitusVeigo ear discharge, tinnitus and headacheVeigo tinnitus hearing loss headacheVeigo tinnitus and hearing loss  <response>: Veigo, tinnitus and hearing loss Ref: Dhingra, 5th edition,Page 51,111 Menieres disease Endolymphatic hydrops Characterized by tetrad of symptoms Episodic veigo 2.Flactuating sensorineural hearing loss more severe in lower frequencies A sensation of aural fullness Tinnitus low- pitched and roaring Hennebes sign and Tulios phenomenon is present Diagnosis Normal intact tympanic membrance with negative fistula test Recruitment is frequently present Impedence auidiometry is normal and there is no tone decay Sensory neural hearing loss , Rinne test is positive ,ABC is reduced in affected ear and Webers is Lateralized to the better ear Radiography of the mastoid will be normal as views of the internal audiotry meati BERA - reduced latency of wave V Most sensitive and diagnostic is Electrochochleography Treatment Medicaltreatment Surgicaltreatment . Reassurance,bedrest,salt restriction,a lowcaffinediet avoidanceof nicotine. . Diuretics,labyrinthinesedative . Vasodilators . Streptomycintherapyisgivenin bilateralcasesto inducethe labyrinthinedamage Indicationsevereincapacitatingveigooinnitusoo preventfuher deteriorationofhearing iDecompressionofendolymphaticsacandinseionofa shuntbetween themembranouslabyrinthandsubarachnoidspace iiVestibularneurectomy iiiTotaltransmastoidlabyrinthectomy-whichrelievesveigoinover90 ofpatients ivSacculotomyFicksoperation Medicaltreatment Surgicaltreatment . Reassurance,bedrest,salt restriction,a lowcaffinediet avoidanceof nicotine. . Diuretics,labyrinthinesedative . Vasodilators . Streptomycintherapyisgivenin bilateralcasesto inducethe labyrinthinedamage Indicationsevereincapacitatingveigooinnitusoo preventfuher 