Ménière's disease (idiopathic endolymphatic hydrops) is a problem in which the fluid pressure increases within the inner ear. Certain lifestyle changes may help you manage Ménière's disease. They include avoiding certain substances. Special devices may also help make you more comfortable and improve your hearing.

Certain substances affect how your body regulates fluid and can make Ménière's disease worse. These include:

• Caffeine. Caffeine narrows your blood vessels. This reduces blood flow to your inner ear. Stay away from drinks and foods that are high in caffeine, such as coffee, cola, certain energy drinks, and chocolate.
• Alcohol. Alcohol can upset your sense of balance. Don't drink alcohol, or limit it to very small amounts.
• Tobacco smoke. Tobacco smoke narrows your blood vessels, makes your immune system weak, and harms your general health. By affecting your circulation, smoking may contribute to Ménière's symptoms. Quitting smoking is always a good idea.

• Get regular sleep.
• Eat a nutritious, low-salt diet. Limit the amount of salt (sodium) you eat to between 1,500 mg and 2,000 mg per day, or as advised by your health care provider.
• Get regular exercise, but don't get too tired. Be sure to rest during an attack or when the symptoms appear.
• Avoid activities that make your symptoms worse, such as watching television, sudden jerky movements, or watching moving objects.

If Ménière's disease has permanently affected your hearing, a hearing aid may help you hear better. Hearing aids come in many different models. You can find one that's best for your needs and lifestyle. Other devices can help cover up tinnitus (ringing in the ears). A fan or a radio tuned to music or static, or a white-noise device specifically designed to create background noise may help. A masking device that makes white noise all the time can be worn directly in the ear. Ask your health care provider if these devices are right for you.

People with Ménière's disease sometimes find that such things as bright lights, loud noises, or very low sounds bring on symptoms or make the symptoms worse. Pay attention to how you feel. If something makes you feel worse, talk with your health care provider. Also, talk with your provider if you have any questions.