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    Meniere’s Disease, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Meniere’s Disease, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Meniere’s Disease, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook75 pages42 minutes

    Meniere’s Disease, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    This book describes Meniere’s Disease, Diagnosis and Treatment and Related Diseases

    Meniere's Disease is a disease of the inner ear which is characterized by the triad of episodic vertigo (giddiness), tinnitus (buzzing sound in ear) and progressive hearing loss.

    It is more common in adults between 30-60years of age and in men more than women.

    It usually occurs in one ear.

    No one knows the exact cause of Meniere's Disease.

    It is believed to be due to distension of the membranous labyrinth with increased pressure and fluid in the endolymph of the inner ear.

    The possible triggers of this condition may be:

    1. Middle ear infection,

    2. Head injury

    3. Upper respiratory tract infection

    4. The effect of aspirin,

    5. Smoking

    6. Alcohol

    7. Caffeine

    8. Salt

    Symptoms:

    The classical triad of symptoms is:

    1. Recurrent bouts of vertigo of varying degrees which may last from hours to days.

    Recurrences may be as often as 1 week to several years.

    2. Slow progressive loss of hearing in one ear or rarely in both ears starting at low pitch sounds first.

    3. Unilateral tinnitus (buzzing sound in one ear), sometimes in both ears

    Diagnosis is by:

    Audiometry shows impairment of hearing

    MRI scan of the head - to exclude a tumor of the eighth cranial nerve (vestibulocochlear nerve)

    Initial treatment:

    1.Acute attacks are treated symptomatically with injections of stemetil, maxolon, dimenhydrinate

    Other treatments:

    1. Oral stemetil, maxolon, dimenhydrinate

    2. Mild diuretic

    3. Vitamin B6

    4. Antihistamines,

    5. Anticholinergics,

    6. Corticosteroids orally or injection of steroid medication behind the eardrum

    7. Bed rest

    8. Stress reduction.

    9. Low-sodium diet.

    10. Avoid caffeine, alcohol and cigarettes

    Surgery:

    Surgery is only required if the above treatment does not control the vertigo

    1. Decompression of the endolymphatic sac may help to relieve symptoms.

    2. Permanent surgical destruction of the balance part of one ear may be done where the disease is severe and affects one ear.

    a. Chemical labyrinthectomy: a drug (such as gentamicin) that can cause destruction of the balance portion of the inner ear is injected into the middle ear.

    b. Vestibular neurectomy where section of the nerve to the balance portion of the inner ear is done surgically

    c. Surgical removal of the inner ear (labyrinthectomy).

    TABLE OF CONTENT
    Introduction

    Chapter 1 Meniere’s Disease

    Chapter 2 Causes

    Chapter 3 Symptoms

    Chapter 4 Diagnosis

    Chapter 5 Treatment

    Chapter 6 Prognosis

    Chapter 7 Vertigo

    Chapter 8 Tinnitus
    Epilogue

    LanguageEnglish
    PublisherKenneth Kee
    Release dateJun 9, 2018
    ISBN9780463953181
    Meniere’s Disease, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Meniere’s Disease, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Meniere’s Disease,

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2015 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes Meniere’s Disease, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

      (What The patient Need to Treat Meniere’s Disease)

      This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

      This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Conditions into a new Wordpress Blog A Family Doctor’s Tale on http://ken-med.com.

      From which many free articles from the blog was taken and put together into 600 eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical conditions.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring you the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily. I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Meniere’s Disease

      When I was working in the EarNose and Throat Department of the Singapore General Hospital, every night I was able to see at 1 case of Meniere’s disease coming in from the Emergency Department with complaints of severe dizziness.

      The main complaint was always dizziness or vertigo but seldom the associated tinnitus or deafness.

      It was only when you asked them then they would

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