hello Mr Krishna Welcome to HCM Sir it is important for you to know the natural history of the disease. i will give you a brief overview. Menieres diase is a disease of inner ear. Inner ear contains the organ for hearing and the organ for maintaining balance. So, Menieres diase is associated with sensorineural hearing loss, vertigo (spinning of head), tinnitus (ringing in the ears). The symptoms come and go periodically. Hearing loss has a fluctuating nature but slowly it becomes permanent. In majority of cases the cause is unkown. In others head trauma, middle ear infection, upper respiratory tract infection are the predisposing factors. Management has to be holistic in tehse cases. It consists of medications and surgery in cases nor responding to medical treatment. besides medical and surgical treatment other aspects are also very important ie. understanding the disease process, alleviating depression by activities like yoga, aromatherapy, physiotherapy and dietary modifications like avoiding excessive tea. coffee, alcohol and other foods containing high salts. You should be in contact with an ENT specialist for the management. Thanks and take care Dr Shailja P Wahal