The currently leading theory about my hearing loss is endolymphatic hydrops. The most common form this takes is Ménière’s Disease, but in my case I can’t really consider it a full Ménière’s diagnosis, since I (very very fortunately) don’t have any vertigo or balance symptoms. What they are thinking I have is sometimes called Cochlear Ménière’s.
As I understand it, what happens in these conditions is the endolymphatic system in the inner ear can’t regulate itself properly, resulting in changes in the volume and/or concentration of fluid. This puts pressure on the cochlea, causing hearing issues, and the semi-circular canals, causing intense vertigo and dizziness. There are three main symptoms that characterize a full blown Ménière’s diagnosis: vertigo, fluctuating hearing loss, and tinnitus.
I don’t remember how much the left ear fluctuated, and I don’t know if I would have noticed if it did. The right ear, however, is definitely fluctuating. Two days ago I started the day with my right ear feeling completely normal, but by the evening I couldn’t hear well enough to have a conversation, even in a quiet room. The concern is that each episode does a little more damage, and eventually there’s no coming back from it.
Another variation is Secondary Endolymphatic Hydrops. That basically means that the fluid buildup that causes everything is itself a result of another issue, such as an infection or head trauma. I have no idea what that issue might be for me. In the meantime, I’m on a new sodium restricted diet to keep the fluid regulated, and waiting to figure out something more conclusive.
