Because Menieres has so many different manifestations -- variations in symptoms -- it takes persistence to do the following:
- Get a solid diagnosis
- Figure out the right treatment
- Isolate your individual "trigger" or "triggers"
In my case, I had a pretty daunting 60 days after the onset of the full-blown disease. Those 60 days caused me to retire from my job. I visited a number of doctors until I got a second diagnosis confirming the one from years before, but didn't have much luck with standard treatments (including steroid shots, diazepam, etc.). I eliminated salt and caffeine from my diet. I did learn that meclizine helped to control the vertigo.
The worst part of that first major episode tapered off, but many symptoms remained. Almost by chance, I isolated something that was definitely a trigger for me: aspartame, the artificial sweetener. That may be the only practical thing I can pass along: give it a try to cut that out of your diet. Other people might have other triggers, but it would seem logical to simplify your diet, go with natural or organic foods, eliminate a given item for at least a week to give it a chance to leave your system, and experiment. Salt and caffeine? Maybe, for some folks. But don't stop there.
I gradually got better, that is, episodes stretched out further apart. I went back to work in another job, and had at least two very memorable "attacks" while traveling in Europe for work. Both were triggered, I believe, by meals in restaurants, which I strong suspect included aspartame in sauces or deserts (aspartame in Europe is labeled "E 951" but isn't always listed on menus for specific meals).
One of these incidents seems almost comical now. I was absolutely wracked by vertigo on travel-home day. I don't know how I drove the rental car to the airport; it must have looked like a drunken driver following the white stripe down the side of the road to the airport early in the morning. I turned in the car, and literally had to pull myself along the railing a few steps at a time to get to the main terminal and the check-in counter. I could not focus to see, and I could barely stand up, and I felt -- well, if you are reading this, you know how I felt. At the counter, I was very fortunate to find very understanding airline personnel (United Airlines) who re-scheduled my flight (at no charge) and got the airport Hilfe fur Behinderte to get a wheel chair and wheel me into a room at the airport hotel where I could get in bed for 24 hours until I recovered enough to fly home.
I still have some mild effects of Meniere's from time to time, mostly a little light-headedness, but am pretty darn functional (it's been seven years since the major onset). But I'll bet if I had to perform a "field sobriety test" given to drivers who are suspected of driving impaired (I don't drink at all) that I could not stand on one foot or put one foot in front of the other without appearing a bit wobbly. Because I have lost some of that finer balancing ability.
Bottom line: persistence; willingness to try different approaches; and patience with the fact this is not a simple disease to overcome, with one simple solution for everyone who has it.