I am the founder of Meniere's disease help and the website Menieres-Help.Com in addition to being the researcher and writer of Managing Meniere's disease and The Need for Balance.
I have a 25 year association with Meniere's, as a sufferer for 7 years and spending most of the years since supporting others with this condition and researching and writing about solutions to it. Feel free to email me at: email@example.com
Study Finds Poor Oral Health Increases the Risk of Meniere’s Disease
According to a recent study published in the Journal of Personalized Medicine, poor oral health may increase the risk of developing Meniere’s disease. Meniere’s disease is a disorder of the inner ear that can cause vertigo, hearing loss, and tinnitus. The study found that there was a significant association between poor oral health status and an increased risk of developing Meniere’s disease.
The study, conducted by researchers from Mokdong Hospital in Seoul, South Korea, examined data from 2.24 million adults who underwent oral health screening by dentists in 2003. The participants were followed up for a median of 16.7 years. The researchers found that 5.0 percent of participants developed Meniere’s disease.
The study found that there were significant associations between poor oral health status and an increased risk of Meniere’s disease. Participants with periodontitis, a serious gum infection that damages the soft tissue and destroys the bone that supports teeth, had a higher risk of developing Meniere’s disease. The risk also increased with an increased number of missing teeth, with those who had 15 or more missing teeth having a higher risk of developing the condition.
However, the study also found that better oral hygiene behaviors, such as frequent tooth brushing of at least three times a day and dental scaling within one year, were associated with a lower risk of Meniere’s disease. The researchers suggest that these findings could be due to the systemic inflammation associated with periodontitis, which may significantly influence the development of Meniere’s disease.
In a subgroup analysis, the study found that periodontitis was more strongly associated with Meniere’s disease in younger subgroups and subgroups with low body mass index. The authors suggest that the systemic inflammation associated with periodontitis may have a greater impact on younger individuals and those with a lower body mass index.
The study notes in conclusion the importance of maintaining good oral health for overall health and well-being, as well as reducing the risk of Meniere’s disease. Regular dental check-ups, proper dental hygiene, and prompt treatment of gum disease may help reduce the risk of developing Meniere’s disease.
Maintaining good oral health is considered essential for overall health and well-being. Proper dental hygiene can help prevent tooth decay, gum disease, and other oral health problems. Regular brushing and flossing, as well as routine dental check-ups, are critical for maintaining good oral health. Brushing your teeth twice a day for at least two minutes each time can help remove plaque and food particles that can lead to tooth decay and gum disease. Flossing once a day can help remove food particles and plaque from between teeth and along the gum line. Additionally, using mouthwash can help kill bacteria and freshen breath.
A healthy diet can also help maintain good oral health. Limiting sugary and acidic foods and drinks can help prevent tooth decay and erosion. Eating a balanced diet rich in fruits, vegetables, lean protein, and whole grains can provide essential nutrients for healthy teeth and gums. Drinking plenty of water can also help keep your mouth hydrated and wash away food particles and bacteria. Finally, avoiding tobacco and excessive alcohol consumption can help reduce the risk of oral cancer and other oral health problems.
TMJ disorder, Meniere’s disease, and dizziness are all conditions that can be incredibly disruptive to one’s daily life. While they are distinct conditions, there is often a significant overlap between them, with TMJ disorder and Meniere’s disease frequently causing dizziness and other balance problems. In this article, we will explore the connection between TMJ, Meniere’s disease, and dizziness, including their causes, symptoms, diagnosis, treatment, and management options.
TMJ disorder is a condition that affects the temporomandibular joint, which connects the jawbone to the skull. It can be caused by a variety of factors, including injury to the jaw, stress, grinding or clenching of the teeth, and arthritis.
Dizziness can be caused by a wide range of factors, including inner ear disorders, such as Meniere’s disease, as well as neurological conditions, low blood pressure, medication side effects and musculoskeletal imbalances including TMJ.
TMJ disorder can cause a wide range of symptoms, including pain and tenderness in the jaw, difficulty chewing, clicking or popping sounds when opening or closing the mouth, and headaches.
Meniere’s disease can cause vertigo (a spinning sensation), tinnitus (ringing in the ears), and hearing loss.
Dizziness itself can cause a range of symptoms, including lightheadedness, feeling faint, a spinning sensation, and loss of balance.
Diagnosing TMJ disorder and Meniere’s disease can be challenging, as their symptoms can be similar to those of other conditions. A healthcare professional will typically perform a physical examination, take a medical history, and may order imaging tests or blood tests to help diagnose these conditions.
Dizziness can be diagnosed through a variety of tests, including balance tests, hearing tests, and neurological exams.
Treatment options for TMJ disorder and Meniere’s disease vary depending on the severity of the condition and the individual’s symptoms. Treatment options for TMJ disorder may include medications, physical therapy, lifestyle changes, and, in severe cases, surgery. Treatment options for Meniere’s disease may include medications to manage symptoms, such as anti-nausea medications, and vestibular rehabilitation therapy to improve balance.
Dizziness treatment will depend on the underlying cause of the condition. Treatment options may include medications, lifestyle changes, or vestibular rehabilitation therapy.
Managing TMJ disorder, Meniere’s disease, and dizziness requires a multi-disciplinary approach, involving a combination of medications, physical therapy, lifestyle changes, and, in some cases, surgery. Lifestyle changes may include avoiding certain foods, practicing good posture, and reducing stress.
It is also important for individuals with these conditions to be proactive in managing their symptoms, such as by keeping a diary of their symptoms and triggers, and working closely with healthcare professionals to develop a personalized treatment plan.
TMJ disorder, Meniere’s disease, and dizziness are all conditions that can significantly impact one’s quality of life. While they can be challenging to diagnose and manage, there are various treatment options available, both traditional and complementary. It is essential to seek medical attention if you experience any symptoms related to TMJ, Meniere’s disease, or dizziness, as early diagnosis and treatment can help manage the conditions and prevent further complications. If you experience any of these symptoms, do not hesitate to contact your healthcare provider to discuss your treatment options and find the best approach for your specific needs.
By understanding the connections between TMJ, Meniere’s disease, and dizziness, you can take the necessary steps to manage your symptoms and improve your overall quality of life. With the right treatment plan and management strategies, it is possible to live a fulfilling life despite these conditions.
Lee, A. T., et al. “Temporomandibular Joint Disorders and Associated Comorbidities.” Current Pain and Headache Reports, vol. 23, no. 10, 2019, p. 72. PubMed, doi:10.1007/s11916-019-0813-3.
Callahan, L. F., et al. “Temporomandibular Disorder and Comorbid Pain Conditions in a National US Sample.” Journal of Orofacial Pain, vol. 33, no. 1, 2019, pp. 11–20. PubMed, doi:10.11607/ofp.2316.
He, Z., et al. “Magnetic Resonance Imaging-Based Evidence of Structural Changes in the Temporomandibular Joint Disc in Patients with Meniere’s Disease.” The Journal of International Medical Research, vol. 47, no. 1, 2019, pp. 120–28. PubMed, doi:10.1177/0300060518814589.
Wiet, R. J., et al. “Dizziness and Otalgia.” The Journal of Family Practice, vol. 58, no. 6, 2009, pp. 322–27.
Jafari, S., et al. “Association between Temporomandibular Disorders and Vertigo: A Systematic Review and Meta-Analysis of Observational Studies.” The Journal of Oral Rehabilitation, vol. 46, no. 2, 2019, pp. 166–75. PubMed, doi:10.1111/joor.12734.
Schrepf, A., et al. “Pain and Inflammation in Patients with Meniere’s Disease: An Observational Study.” Frontiers in Neurology, vol. 8, 2017, p. 265. PubMed Central, doi:10.3389/fneur.2017.00265.
Vertigo is a condition characterized by dizziness and a sensation of spinning or tilting. It can have a significant impact on one’s daily life and activities. Vertigo can be the most debilitating symptom of Meniere’s disease. While there are several treatments available for vertigo, improving posture is often overlooked as a potential remedy. In this article, we will explore the connection between posture and vertigo and provide tips for improving posture to alleviate vertigo symptoms.
The Link between Posture and Vertigo
Research has shown that poor posture can contribute to vertigo. Misalignments in the neck and spine can lead to imbalances in the inner ear and result in dizziness. Additionally, slouching and hunching over can reduce blood flow to the inner ear, exacerbating vertigo symptoms.
The inner ear is responsible for our sense of balance and contains structures known as otolith organs and semicircular canals. These structures contain small, fluid-filled sacs and canals that detect the movement and position of the head and send this information to the brain.
When the neck and spine are misaligned, it can affect the position and movement of the head, which can cause the fluid in the inner ear to move in abnormal ways. This can send confusing signals to the brain about the position and movement of the head, leading to dizziness or vertigo.
Additionally, misalignments in the neck and spine can also affect the blood flow and nerve function to the inner ear, further contributing to vertigo symptoms.
Posture Training and Exercises for Vertigo Relief
Incorporating posture exercises into your daily routine can help improve alignment and alleviate vertigo symptoms. Neck and shoulder stretches, core strengthening exercises, and yoga or Pilates can all help improve posture and reduce pressure on the inner ear.
Postural training is a form of physical therapy that focuses on improving posture and body alignment. It can be particularly beneficial for individuals with vertigo, as it can help alleviate symptoms and improve overall balance.
Postural training exercises such as neck and shoulder stretches, core strengthening exercises, yoga and Pilates, and neck and shoulder massage can help vertigo patients improve posture and alleviate symptoms. Engaging in regular postural training exercises can help to prevent the development of poor posture and reduce the risk of vertigo.
The Role of Posture in Vertigo Treatment
We know that vertigo can be caused by poor posture, so then good posture is crucial in the treatment of vertigo. It can help reduce pressure on the inner ear and improve blood flow, alleviating vertigo symptoms. Additionally, incorporating good posture habits into your daily routine can complement other treatments, such as medication or vestibular rehabilitation. Good posture may be crucial in the treatment of vertigo. Maintaining proper alignment of the neck and spine can help reduce pressure on the inner ear and improve blood flow, alleviating vertigo symptoms. Incorporating posture exercises such as neck and shoulder stretches, core strengthening exercises, yoga and Pilates, and neck and shoulder massage can also help improve posture and alleviate vertigo symptoms.
Achieving Improved Posture for Vertigo Relief
The importance of good posture in vertigo management should not be ignored or avoided if you want to reduce or stop vertigo symptoms. Improving posture is a process that requires effort and commitment. Some tips for achieving improved posture include standing up straight, engaging core muscles, taking regular breaks to stretch, using ergonomic office equipment, and incorporating posture exercises into your routine.
Improving and correcting your posture is a simple yet effective way to alleviate vertigo symptoms. By incorporating posture exercises, postural training, and good posture habits into your daily routine, you can help reduce dizziness, improve balance, and improve overall quality of life. Remember to consult with your healthcare provider before starting any new exercise or therapy program.
Hypoglycemia as a cause of Meniere’s is debatable in that there are several possible root causes and many contributing factors to consider. Whether it is a root cause or not, it seems evident that there is a link in a significant number of cases. Bear in mind that what is relevant in one person who has the symptoms of Meniere’s might not be relevant in another.
There can be very different root causes that all have the same resulting symptoms that come under the label of “Meniere’s”.
The blood sugar and insulin factors in Meniere’s is something that should not be ignored and is worth investigating for the sufferer. By doing so, you can either rule out the relevance in your case or if it is relevant to you, understand what action you can take to help your body find balance.
Here the focus is mainly on non diabetic hypoglycemia, seizures and Meniere’s disease. Many sufferers report they have had a history at some point in their lives of experiencing hypoglycemic type symptoms and/or seizures.
ENT doctors may dismiss any connections with this and the symptoms of Meniere’s. However, research would suggest there is indeed a connection in a sizeable enough number of sufferers.
Moreover the connections are there to see in plenty of cited studies to back this up.
Insulin and blood sugar levels are relevant in Meniere’s disease. One hypothesis regarding Meniere’s is that when the pressure becomes too intense the endolymphatic sac bursts and two electrolytes, potassium and sodium that should be kept apart are mixed, causing vertigo.
This hypothesis may or may not be correct, however, it is a known fact that excess sodium retains fluid in the tissues. Excess fluid can manifest into the key factor in Meniere’s and almost all disease states and that key factor is inflammation.
Moreover, consuming too much sugar can be a very fast reacting trigger for increased pressure, tinnitus, dizziness or vertigo in some Meniere’s sufferers.
Where insulin may come into the picture is that insulin is very much part of the regulation of sodium and potassium within the kidneys. Studies on diabetes show that insulin plays a part in sodium retention.
Hypoglycemia is a condition caused by low blood glucose (blood sugar) levels. Glucose is the main source of energy for the body. The condition is most common in people with diabetes who have issues with medicine, food, or exercise.
According to the center for advance medicine, Hypoglycemia, or low blood sugar, is caused by an inconsistent oversupply of insulin or an under-supply of adrenaline, especially if you have been eating a diet high in sugar.
Sometimes people who don’t have diabetes can also get low blood glucose. There are two kinds of nondiabetic hypoglycemia:
Reactive hypoglycemia, which happens a few hours after you eat a meal
Fasting hypoglycemia, which might be linked to medicine or a disease. Fasting hypoglycemia often happens after the person goes without food for 8 hours or longer.
In extreme cases it can cause: confusion, blurred vision and seizures.
Non-diabetic hypoglycemia is believed to be rare. Glucose (sugar) is the main source of energy for your body and brain. It comes from what we eat and drink.
Insulin, is a hormone that helps keep blood glucose at normal levels. Insulin’s job is to help glucose enter your cells where it’s used for energy. If your glucose level is too low, problems can occur.
What causes non-diabetic hypoglycemia?
In reactive hypoglycemia it is thought that being in a pre-diabetic state, someone who is considered at risk of diabetes, a result of stomach surgery and rare enzyme deficiencies can all be causes.
Causes of fasting hypoglycemia can include:
Medicines, such as salicylates (a type of pain reliever), sulfa drugs (an antibiotic), pentamidine (to treat a serious kind of pneumonia), quinine (to treat malaria).
Alcohol, especially with binge drinking.
Serious illnesses, such as those affecting the liver, heart, or kidneys.
Low levels of certain hormones, such as cortisol, growth hormone, glucagon, or epinephrine.
Tumors, such as a tumor in the pancreas that makes insulin or a tumor that makes a similar hormone called IGF-II
Source: The Journal of Clinical Endocrinology & Metabolism
There are a number of causes of hypoglycemia other than eating too much sugar and overstimulating the pancreas:
Funguscan contribute to hypoglycemia, or low blood sugar, by taking sugar that is needed by your cells.
As mentioned, there is a connection with adrenal health. Stress hormones can trigger the body’s tendency to release too much insulin.
Caffeine stimulates the sympathetic nervous system, which can lead to increased insulin levels.
The linked causes above can also be very relevant to Meniere’s disease. Click the links to read their relevance to the symptoms of dizziness, vertigo, hearing loss and tinnitus in a separate window.
Eating small regular meals throughout the day may be advised for people with fasting hypoglycemia. This type of dietary advice has also been shown to help some sufferers of Meniere’s disease.
Other dietary advice can include, eating a variety of foods, including protein (meat and nonmeat), dairy foods, and high-fiber foods such as whole-grain bread, fruit, and vegetables as well as limiting high sugar foods.
Some doctors recommend a high-protein, low-carbohydrate diet. That said, according to the The Journal of Clinical Endocrinology & Metabolism this type of diet has not proven to help hypoglycemia.
However, we know all too well from our experience with Meniere’s, that even though something is not clinically proven, it doesn’t mean it cannot help.
Clinical links to hypoglycemia and Meniere’s disease
A 2015 study published in the International Archives of Otorhinolaryngology found that: “Auditory and vestibular symptoms usually occur prior to other manifestations of metabolic changes, leading to an early diagnosis of hyperinsulinemia, intestinal sugar malabsorption or diabetes.
Previously undiagnosed diabetes mellitus type II was found in 39 patients“*
* This was a retrospective study of 376 patients with inner ear symptoms suggestive of disturbances of carbohydrate metabolism.
A 2009 study published in the Brazilian Journal of Otorhinolaryngology concluded that: “87.7% of the patients with dizziness and suspicion of peripheral vestibular disorder had glucose or insulin metabolism disorders.”
Their results showed the following:
Hypoglycemia was seen in 61.7% of the cases
hyperinsulinemia in 55.5%
hyperglycemia in 27.2%
glucose intolerance in 12.3%
hypoinsulinemia in 1.2%
Normal tests were seen in 12.3 % of the cases and altered fasting glucose in 23.5%
These results clearly suggest that irregularities in both glucose metabolism and insulin production can play a major role in vestibular disorders such as Meniere’s.
The British Medical journal published a study in 2019 that concluded, “The organ of Corti could be a target tissue for insulin action, and inner ear insulin resistance might contribute to the association between diabetes and inner ear dysfunction.”
The organ of corti is a structure in the cochlea of the inner ear which produces nerve impulses in response to sound vibrations.
The International Tinnitus Journal published a study in 2005: Glucose and Insulin Profiles and Their Correlations in Meniere’s Disease.
Their results showed, ” insulin curves for approximately 71.87% of the patients (n = 46) with Meniere’s disease revealed hyperinsulinemia, whereas GTT results compatible with impaired glucose tolerance were found for only 6.25% (4 patients), and changes in fasting glycemia or GTT (or both) suggesting NIDDM were seen for only 4.69% (3 patients).”
Hyperinsulinemic hypoglycemia describes the condition and effects of low blood glucose caused by excessive insulin.
In the study Etiology and Treatment of FluidRetention (Hydrops)in Meniere’s Syndrome [Conrad A. Proctor, MD, Todd B. Proctor, M, Bruce Proctor, MD] it states:
“There is now much evidence that the hormone insulin promotes retention of sodium by the kidney . The end result of prolonged hyperinsulinemia also includes vasoconstriction and eventually arterial smooth muscle hypertrophy. Insulin production is stimulated by high-carbohydrate diets.
In this study, 58 of 75 Meniere’s patient s (seventy-seven percent) demonstrated abnormal insulin levels.
These patients were treated from 1980 to 1990 with a low carbohydrate, 6 to 8 feeding diet in addition to the usual no added -salt diet. Cholesterol was limited when indicated. Ninety-one percent of these Meniere’s patients with abnormal insulin levels reported at least a ninety percent improvement in both severity and frequency of vertigo attacks for the entire ten year period.”
Seizures have been associated with hypoglycemia but a 2015 study published in Science Direct suggested, “In this study of a large number of patients with hypoglycemia, a notably low frequency of seizures was noticed. This indicates that the risk of seizures in association with low blood glucose levels seems to be low.“
In the book, The Need for Balance – Dealing with the Causes of Meniere’s, I explain the domino effect within our body that can eventually manifest the symptoms of Meniere’s disease. Seemingly unrelated health issues or injuries suffered sometimes years before can eventually result in Meniere’s.
Is there a possibility that someone who has experienced seizures, low blood sugar episodes, insulin irregularities or hypoglycemia at some point in their life becomes more susceptible to the symptoms of Meniere’s manifesting.
I recently posted this question in several Meniere’s related social media groups; “Did anyone experience any kind of seizures or hypoglycemia anytime in your life BEFORE your Meniere’s symptoms started?”
Of the 210responses received, 90said yes to hypoglycemia or low blood sugar. 26 said yes to some type of seizures.
As with all suspected root causes and secondary causes of Meniere’s symptoms the numbers are not conclusive but significantly high enough to suggest a correlation in some sufferers.
What to do about Hypoglycemia and Meniere’s disease?
There are several possible root causes of Meniere’s disease and many contributing factors. As stated at the beginning of this article, what is relevant for one sufferer may have little to no relevance in another. You may have more than one root problem contributing to your symptoms.
Almost certainly, all of them result in inflammation.
You can deal with inflammation by eating foods high in anti-inflammatory nutrients, avoiding foods that cause inflammation and avoiding foods high in sodium.
You can support your immune system with nutrient rich foods, high in anti-oxidants and using quality dietary supplements.
Control of hypoglycemia is almost exclusively dietary. Although hypoglycemia is in some ways the opposite of diabetes, the dietary recommendations are essentially the same since in both cases the goal is to stabilize insulin and sugar levels.
According to the center for advanced medicine, you should eat complex carbohydrates and fiber along with protein, and avoid sweets and refined foods. Frequent small, high protein meals help modulate insulin swings and control hypoglycemia
Magnesium is one of the most significant mineral nutrients for the body to function and deficiency may be common among the general population. You can read more about its importance for Meniere’s sufferers here: Magnesium links to Meniere’s disease
Regarding hypoglycemia, low blood sugar and insulin, magnesium plays an important role in helping your body convert glucose from your food into fuel. If you don’t have enough magnesium in your body, your cells can become less effective at using insulin.
A 2013 study at the Medical School of Yangzhou University, China, concluded that “Increasing dietary magnesium to meet the RDA has a protective effect on insulin resistance.”
A 1982 study at Brigham Young University ‘Reactive hypoglycemia and magnesium’ states that, “Mg [Magnesium]supplementation appeared to prevent nadirs in plasma glucose that were significantly below fasting levels. This suggested that the hypoglycemia of reactive hypoglycemia would be a sign of a complex disorder and not the cause.
It is suggested that reactive hypoglycemia is related to a disturbed Mg balance. Mg-Ca [Magnesium – Calcium] interactions also appear to be important but the mechanisms are not clear.
Subjective complaints, such as fatigue, and the disturbed blood sugar control would be symptoms and signs of this syndrome.”
A 1994 study published in the French journal, Therapie states, “The interrelationships between magnesium and carbohydrate metabolism have regained considerable interest over the last few years. Insulin secretion requires magnesium: magnesium deficiency results in impaired insulin secretion while magnesium replacement restores insulin secretion.”
Nature.com published a study in 2016 ‘Mg supplementation appears to have a beneficial role and improves glucose parameters in people with diabetes and also improves insulin-sensitivity parameters in those at high risk of diabetes.’
There are many factors to consider regarding dietary magnesium and it would be worth clicking the link above ‘Magnesium links to Meniere’s disease‘ to learn more.
Green leafy vegetables such as spinach, nuts, brown rice, dairy products and wholegrain foods are good sources of magnesium. The super food, Moringa is one of the best sources of dietary magnesium.
Calcium works in synergy with magnesium, too much or too little of one can have an effect on how the other works inside the body.
Calcium is not just about healthy bones and teeth, it is essential for life. A 1981 study in Hormone and metabolic research, ‘Effect of calcium infusion on post-reactive hypoglycemia’ found that: “In normal subjects, this infusion did not affect insulin secretion and OGTT, contrary to all patients with reactive hypoglycemia in whom calcium infusion produced significant increase in plasma glucose. Simultaneously the symptoms of hypoglycemia disappeared. Continuous infusion of calcium suppressed reactive hypoglycemia.”
Dietary sources of calcium include: diary products, green leafy vegetables, soybeans, the bones in sardines and fortified cereals.
Chromium is an essential trace mineral that can improve insulin sensitivity and enhance protein, carbohydrate, and lipid metabolism. It is a metallic element that people need very small quantities of. Processing foods such as polishing rice can rob the cereal of its chromium, increasing the possibility of blood sugar irregularities. Read The Case for Organic Food
In a 1987 clinical trial published on pubmed, ‘Effects of supplemental chromium on patients with symptoms of reactive hypoglycemia’ it was found that: “Chromium supplementation alleviated the hypoglycemic symptoms and significantly raised the minimum serum glucose values observed two to four hours following a glucose load.
Insulin binding to red blood cells and insulin receptor number also improved significantly during Cr supplementation. These data suggest that impaired Cr nutrition and/or metabolism may be a factor in the etiology of hypoglycemia.”
*According to the US National Institute of Health, “The FNB has not evaluated chromium since 2001. However, in 2014, the European Food Safety Authority Panel on Dietetic Products, Nutrition and Allergies concluded that no convincing evidence shows that chromium is an essential nutrient and, therefore, setting chromium intake recommendations would be inappropriate.”
Eating a fully balanced diet of fresh (organic where possible) produce and avoiding processed and fast food is a wise choice for anyone, but for people suffering with Meniere’s disease and compromised by hypoglycemia it would seem particularly prudent.
We know from the experience of supporting sufferers since 2004, that a healthy diet, lifestyle and using high quality full spectrum supplementation can help a great deal in either reducing or even eliminating the symptoms of Meniere’s.
Spirulina is nutrient packed superfood that may have many possible benefits for Meniere’s sufferers (read more here). Spirulina also has value for those suffering from hypoglycemia.
The Journal of medicinal food published a study in 2001. Extract:
“Spirulina, with its high concentration of functional nutrients, is emerging as an important therapeutic food. This study aimed to evaluate the hypoglycemic and hypolipidemic role of Spirulina. Twenty-five subjects with type 2 diabetes mellitus were randomly assigned to receive Spirulina (study group) or to form the control group.
These findings suggest the beneficial effect of Spirulina supplementation in controlling blood glucose levels and in improving the lipid profile of subjects with type 2 diabetes mellitus.”
For general dietary advice for hypoglycemia click the link below
According to the CDC, around 50 million people suffer with tinnitus in the US. That is 15% of the population. According to Science daily, one in seven worldwide suffer from tinnitus.
There are many causes of tinnitus, ranging from noise induced, infections, trauma (physical and psychological), drug side effects, diseases, age, TMJ, blood conditions and stress.
How tinnitus sounds and feels is unique to the individual but it varies between ringing, buzzing, clicking, humming, roaring, hissing and indescribable sounds. It can range from slightly annoying to absolutely tortuous.
In Meniere’s disease an increase in tinnitus can precede increases in ear pressure, dizziness and a full blown vertigo attack. Tinnitus can fluctuate greatly and increases can last minutes to days and weeks.
What causes this increase and what can you do about it? The same triggers that result in pressure build up inside the ear, dizziness and eventually vertigo are the same for tinnitus; increased inflammation and blood pressure.
What causes increased inflammation, blood pressure and tinnitus
Medications known to cause or worsen tinnitus include:
Antibiotics, including polymyxin B, erythromycin, vancomycin (Vancocin HCL, Firvanq) and neomycin
Cancer medications, including methotrexate (Trexall) and cisplatin
Water pills (diuretics), such as bumetanide (Bumex), ethacrynic acid (Edecrin) or furosemide (Lasix)
Quinine medications used for malaria or other health conditions
Certain antidepressants, which may worsen tinnitus
Aspirin taken in uncommonly high doses (usually 12 or more a day)
* Source: Mayo Clinic
Electromagnetic field (EMF) exposure
A very modern cause of tinnitus and indeed Meniere’s disease, may be over exposure to electromagnetic fields. With the rapid saturation of EMFs all around us from wifi, cell phones and cell phone towers has also come an increase in prevalence of tinnitus in young people.
In a 2014 study published in the Journal of Neurology, ‘Neurosurgery, and Psychiatry’, it stated that 29 % of students between the ages of 11 and 17 had already developed chronic tinnitus!
Tinnitus shares pathophysiology with Electromagnetic Hypersensitivity. All things that use electricity generate EMFs, so that includes your computers, televisions, cell phones and household appliances etc.
Your body also uses electrical signals to transmit information. In your brain, neurons communicate with each other via minute electrical charges, and external EMFs can interfere with these signals.
According to the Environmental Health Center -Dallas, “The extent to which EMF affects human health varies depending on the physiological history and genetic predisposition of the person. But exposure to changes in the larger fields of the sun, moon and our planet can affect almost every part of our being from head to heart and from head to toe.
Man made electrical fields likewise affect our body. Their effect depends on the strength of the fields, the distance from the source, and the length of the exposure time. Electrical current passing through the body can injure tissue and damage nerve transmission.
Cell phones produce Electromagnetic Fields (EMF) in the ultra high frequency range or Radio Frequency (RF) range. The radiation emanating from these RF fields can be linked with increased risk of glioma and acoustic neuroma.”
Acoustic neuroma is something that is usually checked for with MRI when diagnosing Meniere’s disease.
As far back as 1994, the American Bar Association Journal reported that EMF cases were being filed at the rate of about one per month.
In 2009 study published on pubmed (Association of Tinnitus and Electromagnetic Hypersensitivity: Hints for a Shared Pathophysiology?), it stated that, “Our data indicate that tinnitus is associated with subjective electromagnetic hypersensitivity. An individual vulnerability probably due to an overactivated cortical distress network seems to be responsible for both electromagnetic hypersensitivity and tinnitus.“
A 2018 study published in Science direct (Tinnitus and cell phones: the role of electromagnetic radiofrequency radiation) concluded with, “There are already reasonable evidences to suggest caution for using mobile phones to prevent auditory damage and the onset or worsening of tinnitus.”
The first way to avoid Tinnitus from EMF is obviously to reduce your time in close proximity to cell phones and do an environmental check for your house and surrounding area.
There are various suggested treatments for “Electromagnetic Hypersensitivity”, including detoxing heavy metals from your body.
How to avoid increases in tinnitus
All of the above can result in poor blood flow, inflammation or lowering of the immune system.
In many cases blood flow may be a major issue with Meniere’s. There is already constant inflammation so anything that adds to that or decreases the ability of your immune system to deal with inflammation will result in increased symptoms, including tinnitus.
So it stands to reason that you should avoid anything that lowers your immune system, affects blood flow or increases the possibility of inflammation.
Reduce stress and anxiety through stress management
Avoid excess alcohol, caffeine and stimulant drugs
Get regular exercise
Get enough sleep, with regular sleep patterns
Avoid processed foods
Avoid too much sugar
Avoid too much sodium
Eat regular healthy meals
Strongly consider dietary supplements to strengthen immune system
Drink water regularly
Studies have shown that vitamin B12 deficiency can cause hearing loss and tinnitus.
A 1993 study, ‘Vitamin B12 deficiency in patients with chronic-tinnitus and noise-induced hearing loss’ concluded that, “These observations suggest a relationship between vitamin B12 deficiency and dysfunction of the auditory pathway. Some improvement in tinnitus and associated complaints were observed in 12 patients following vitamin B12 replacement therapy. The authors recommend that routine vitamin B12 serum levels be determined when evaluating patients for chronic tinnitus.”
A 2016 study, Therapeutic role of Vitamin B12 in patients of chronic tinnitus stated, “This pilot study sheds light on the relationship of deficient B12 levels and tinnitus and its supplementation playing a therapeutic role in tinnitus.”
Vitamin B12 is an ingredient of Lipoflavonoid Plus.
For a decade and a half we have seen success in reducing Meniere’s symptoms using a specific dietary supplementation regimen. One of the most stubborn symptoms has always been tinnitus. Often, when Lipoflavonoid Plus has been added to this regimen, where tinnitus was still an issue, it seems to be successful.
Glutamate is a powerful excitatory neurotransmitter that is released by nerve cells in the brain. It is responsible for sending signals between nerve cells. It is the most abundant excitatory neurotransmitter in the vertebrate nervous system.
When there is too much glutamate it can become an excitotoxin and leads to seizures and the death of brain cells. This can lead to anxiety, stress, depression, and many neurodegenerative conditions, one of which is tinnitus.
Hypoglycemia can cause excessive glutamate concentrations around neurons, as blood sugars are the primary glutamate removal method. Hypoglycemia has also been linked to Meniere’s disease.
Studies show that stress can activate glutamate and alter the balance of glutamate and GABA. Stress is a known trigger for Meniere’s disease and most sufferers know that stress will increase tinnitus, ear pressure and the likelihood of a vertigo attack.
Nutrients that can help balance glutamate include theamino acidstaurine, GABA, and l-theanine; the anti-oxidants NAC and green tea; vitamins B6 and D; the minerals magnesium and zinc and omega-3 fatty acids.
GABA deficiency can cause increased glutamate.
Gamma-aminobutyric acid (GABA) acts as the principal inhibitory neurotransmitter in the central nervous system (CNS). Glutamateand GABA work in a cycle. Increasing GABA may help inhibit too much glutamate production and has been shown in studies to reduce tinnitus.
Importantly, GABA plays a role in mediating sound receptors in your brain.
Video: GABA and Tinnitus
Magnesium has been shown to be a very integral part of successful supplement regimens for Meniere’s and has been used in Mayo clinic studies for tinnitus.
According to clinicaltrial.gov, “Recent studies of both noise-induced hearing loss and idiopathic sensorineural hearing loss have suggested that Mg supplementation may lessen the severity of tinnitus in patients. Mg improved hearing recovery and lessened tinnitus in patients with idiopathic sudden hearing loss.”
In 2011 The International Tinnitus Journal published a study stating that, “patients with moderate to severe tinnitus achieved significant improvement when taking a daily dose of 532 milligrams of magnesium for three months.”
You can a read a more in depth article on Magnesium and Meniere’s disease by clicking the link below.
Studies have shown that supplementing with pycnogenol has helped reduce tinnitus in Meniere’s disease. A 2014 Japanese study conclude that, “Symptoms of Meniere’s disease, flow at cochlear level and tinnitus improved in Pycnogenol subjects in comparison with best management.”
The therapeutic values of gingko have been known for thousands of years. It is particularly well known for helping blood flow to the peripheral blood vessels of the body. Researchers believe that ginkgo improves cognitive function because it promotes good blood circulation in the brain and protects the brain from neuronal damage.
Supplementing with ginkgo has long been part of successful supplement regimens for Meniere’s disease.
Studies suggest it is useful for tinnitus. One such study in 2011, ‘Ginkgo biloba extract in the treatment of tinnitus a systematic review’ stated, “Of note, all trials using this extract consistently demonstrate its superiority over placebo.”
Resting and trying to sleep can be difficult with constant tinnitus. Masking the sound with background music, the sound of nature or other specific frequency sound therapy can help you relax and block out the noise in your ear.
The tinnitus masking music therapy below, at the time of writing, has the best reviews on youtube.
Massage to ease tinnitus and other Meniere’s symptoms
I personally found that often the correct massage helped ease pressure, dizziness and tinnitus. In my case, a Thai massage therapist in Japan would use a green balm. She would massage up from the neck, behind the affected ear over the top of the ear and down to the jaw, in long slow deep strokes.
It was an easy massage to replicate and I could do this myself and often ease pressure, and therefore the tinnitus quite quickly.**
Medical massage for tinnitus is available. Medical massage, targeting specific muscles of the neck, head, upper back, and jaw can release tension and reduce the intensity of tinnitus symptoms.
In the video below, this man uses a slightly different technique, but judging from the comments on youtube it may help a great deal.
**Note: I no longer suffer from Meniere’s disease or tinnitus. You can read my story below:
Acupuncture for tinnitus
Acupuncture has been shown to be an effective treatment for both Meniere’s in general and in reducing tinnitus. Studies have shown this to be the case and I can personally vouch for this. It is not a cure and will mean regular visits, but I found it to be very beneficial in temporarily easing pressure, reducing tinnitus and stopping dizziness.
One 2018 study cited in the Caspian Journal of Internal Medicine concluded that, “acupuncture was more effective in reducing the loudness and severity of tinnitus based on VAS and TSI and can be used as a good treatment option for chronic non-pulsatile tinnitus.”
It should be noted that with both massage and acupuncture, it can very much depend on the skill and understanding of the individual therapist. As in all professions, some are great at what they do while others, not so good.
Help other sufferers.
What are your experiences with Meniere’s and relief from tinnitus? Let us know in the comments box below or email Mike at firstname.lastname@example.org
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