In Meniere disease, which dietary modification helps prevent fluid buildup and vertigo episodes?

• A. Salt-restricted diet to prevent fluid buildup
• B. High fat diet
• C. Gluten-free diet
• D. No diet modification

Answer: (A)

The main idea is that controlling fluid balance in the inner ear is key to reducing Meniere-related vertigo. In this condition, excess endolymphatic fluid (endolymphatic hydrops) contributes to vertigo and fluctuating hearing. Limiting sodium intake lowers overall extracellular fluid and reduces the amount of fluid the body retains, which in turn decreases endolymph pressure and the likelihood of vertigo attacks. A salt-restricted diet directly targets the mechanism behind fluid buildup, making it the most effective dietary approach for preventing these episodes. The other options don’t address inner-ear fluid balance, so they don’t help prevent the fluid buildup or the vertigo as effectively.