Meniere's disease

All patients should be educated on dietary changes and lifestyle modification. Patients with meniere's disease (MD) should be advised to restrict salt intake to 1500 to 2300 mg/day. Limiting caffeine intake, reducing alcohol consumption, ceasing smoking, and managing stress are also advisable, as these may trigger an attack. However, there is no evidence from randomised controlled trials to support or refute the restriction of salt, caffeine, or alcohol intake in patients with MD.[51]Hussain K, Murdin L, Schilder AG. Restriction of salt, caffeine and alcohol intake for the treatment of Ménière's disease or syndrome. Cochrane Database Syst Rev. 2018 Dec 31;(12):CD012173. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD012173.pub2/full http://www.ncbi.nlm.nih.gov/pubmed/30596397?tool=bestpractice.com