EENT and Sleep Disorders Q 38 - Gyan Darpan : Learning Portal
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Tuesday 22 March 2022

EENT and Sleep Disorders Q 38

Monique is diagnosed with Ménière’s disease, which diet would be most appropriate to discuss with her?
     A. Low-fiber
     B. Low-potassium
     C. Low-sodium
     D. Low-protein

Correct Answer: C. Low-sodium

It is thought that Ménière’s disease is caused by edema of the semicircular canals. A low-sodium diet is often prescribed in conjunction with diuretic therapy. Studies of the temporal bone revealed endolymphatic accumulation in the cochlea and the vestibular organ in patients with Meniere disease. Current research links endolymphatic hydrops to a hearing loss of >40dB.

Option A: FIber has not been identified as instrumental in the development of Ménière’s disease. Different treatment options for Meniere disease exist with substantial variability between countries. None of the treatment options cure the disease.
Option B: Sodium, not potassium, restriction diet has low-level evidence suggesting that restricting the sodium intake may help to prevent Meniere’s attacks. The exact etiology of Meniere disease remains unclear. Different theories exist, but genetic and environmental factors play a role. The relation to common comorbidities remains elusive.
Option D: Protein intake should have no relation to Ménière’s disease, but hypoproteinemia may aggravate edema. As many treatments have a significant impact on the functioning of surrounding structures, one should start with non-invasive approaches with the fewest possible side effects and proceed to more invasive steps.

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