Q What happens if Meniere's, which started in one ear, spreads to the other ear as well?
A Meniere's disease starts in one ear at first, but in 10-50% of cases it can progress to both ears. When it becomes bilateral, both balance function and hearing are more severely affected, so management that reduces attack frequency and suppresses progression early is especially important.
Detailed Answer
Meniere's disease usually starts in one ear, but progression to bilateral involvement of the other ear is reported in 10-50% of cases over several years to several decades. When it becomes bilateral, hearing loss and balance dysfunction on both sides appear simultaneously, causing greater interference with daily functioning. During this period, the risk of falling rises and serious limitations in occupational and social functioning can occur, so active management becomes even more important.
Korean Medicine Clinic Perspective
At Dongjedang, we see the spread of Meniere's from one ear to both as a sign that systemic phlegm-fluid and Kidney deficiency are worsening. Steadily continuing to drain water, resolve phlegm, and tonify the Kidney during the stable period before the other ear is involved is important for suppressing progression. Even when it has progressed to bilateral involvement, we make preserving the remaining inner ear function the top priority and continue management to reduce attack frequency and slow the rate of hearing decline. If balance dysfunction becomes severe, we also provide fall-prevention education.
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