Are there triggers for attacks associated with Ménière’s disease?
People with Ménière’s disease can be more vulnerable to dietary and environmental factors that can impact hearing and balance. Some affected people find that certain events and situations (triggers) can set off attacks. While triggers differ among affected people, possible triggers often mentioned may include high salt intake, caffeine, alcohol, nicotine, stress, allergies, overwork, tiredness (fatigue), emotional distress, additional illnesses, pressure changes, and/or certain foods. People with identified triggers may be able to avoid or alleviate some attacks or symptoms by avoiding their trigger(s).
Last updated: 9/8/2015
Is physical activity a common trigger for attacks associated with Ménière's disease?
While some people with Ménière's disease have identified factors that may trigger an attack, triggers often differ among affected people. Additionally, some people have triggers that have not been reported in others. While exercise and physical activity are not typically listed as a common triggers in affected people, the authors of a 2012 article stated that some of their affected participants reported physiological factors as triggers of attacks. While exercise was not specifically referred to, factors that were mentioned included physical factors such as tiredness and physical exertion or tension; as well as postural factors such as head position (e.g. bending), getting up too quickly, and quick head movements.
In an article from 2010, the author wrote that perspiring and subsequent fluid replacement is a potential source of inner ear stress that could trigger Ménière's attacks. It was noted that in their clinic, they stress that when affected people perspire, it is important that they actively replace their fluid loss with a sports drink or other electrolyte solution. They are also advised to sip the replacement solution frequently as they perspire, rather than dehydrating for an hour and then replacing with a single large amount of fluid.
Last updated: 9/8/2015
We hope this information is helpful. We strongly recommend you discuss this information with your doctor. If you still have questions, please