The Overview
Through the process of elimination, my doctor, in conjunction with an Ear Nose and Throat specialist (otolaryngologist), an audiologist, and an MRI, has diagnosed me with Ménière's disease. Ménière's disease is a condition of the inner which affects hearing, balance and essentially makes you seasick while motionless.
Ménière's disease is usually diagnosed by the elimination of several other conditions that could cause the symptoms that plague me. Periodic episodes of rotary vertigo or dizziness, progressive and unilateral (in one ear) hearing loss, and unilateral tinnitus can be caused by things as simple as noise damage to the inner ear or by something more complex like cysts on the cochlea. But if the symptoms occur in conjunction with one another, a probable diagnosis is Ménière's.
There really is no treatment aside from the radical removal of the inner ear. But that procedure is normally reserved for severe sufferers who also are plagued by ‘drop attacks’, a sudden, severe attack of dizziness or vertigo that causes the sufferer, if not seated, to fall. Thankfully I have not progressed anywhere near a level of that severity.
Most patients are advised to adopt a low-sodium diet, typically one to two grams (1000-2000mg) at first, but diets as low as 400mg are not uncommon. I have been aiming in the 1000 through 1500 milligram range since I was advised that this could be beneficial. Since this treatment is really aimed at prevention it is difficult to say with any certainty that it is being effective, but in the long run it can’t be anything other than beneficial.
The Challenge
Some of the challenges involved in transitioning to a low-sodium diet are obvious to all. Fast food, pre-packaged foods, and most snack foods are all richly laden with not only calories and fats, but with sodium as well. That Whopper® with Cheese at Burger King? A whopping 1450 milligrams of sodium, we can call that my daily requirement but I’ll have to forego the large fries, they are an additional 990 milligrams.
How about a nice piece of pizza? Let’s use the ubiquitous Pizza Hut as an example. A serving of their 14-inch pepperoni pan pizza is 850 milligrams. That’s almost reasonable, right? Wrong. A serving is 1 slice of pie. Who the hell can eat only one slice of pepperoni pizza? Even an offering as wooden as Pizza Hut demands at least two slices, and that alone puts me over the top at 1700 milligrams. I can’t even consider having breakfast or lunch if I want pizza for dinner.
Of course, sometimes you have little choice in where and what you eat. Trying to get a nutritious, low-sodium meal in an airport if very difficult. Grabbing a quick meal on a road trip is fraught with danger at almost every turn. But, keeping that in mind I can plan on ordering the least dangerous menu offering and try to make it up to my poor ears the next day. Using the previously mentioned Burger King menu I can order a WHOPPER JR.® Sandwich (no cheese) and a small order of fries with no salt and come away with only a 940 milligram intake. That still leaves almost 600 milligrams of my daily allotment. More that a do-able scenario if I plan on having the dinner meal at home.
The Solutions
My day to day solutions for a low-sodium diet include menu planning, weekly shopping excursions to the local fruit and vegetable market as well as the grocery store, and portion control. These three things have allowed me to get a grip on my sodium intake and manage it on a day to day and meal to meal basis. Since the process of sodium management as a ‘cure’ is preventative in nature it is hard to tell if I’m having an effect when you consider that I only had 1-2 incidents a year. I guess I’ll have to be vertigo free for 18 months before I’ll consider this to be the ‘cure’ for me.
As I progress through the next year or so I will try to document some of the high points and the low points of sodium management. I will praise the things, people and institutions deserving of accolades and I will condemn those who merit it. I will also point out resources as I discover them and print menus of some of the more notable meals.
Thanks for stopping by and I hope to see you in the future.