What are the clinical features of Meniere's disease?

Vertigo can feel like spinning or movement when you are still and may make standing difficult. Hearing may become muffled or reduced, often with a blocked sensation in one ear. Ringing or roaring sounds can accompany an episode. Nausea and vomiting may occur during severe vertigo. Symptoms can come in attacks with calmer periods between them, and the pattern may change over time. A Hearing Test helps document hearing rather than relying on memory alone.

Use a symptom diary to record the start and end of each episode, spinning, hearing change, ear noise, fullness, nausea, and what you were doing beforehand. Arrange a GP Consultation for recurrent or unexplained symptoms. Sit or lie down during an attack, keep your surroundings clear, and avoid driving until your balance has recovered. Take medicines only as directed and mention all supplements or medicines at review.

Seek urgent help for sudden hearing loss, new weakness, facial drooping, speech difficulty, fainting, severe headache, or inability to walk safely. Get prompt care for an unusually intense episode, persistent vomiting, or symptoms after an injury. These features may signal another condition and need direct assessment.

Which features fit Meniere's disease, and which do not? Do I need a Hearing Test? How can I stay safe during vertigo? What change in hearing or balance should prompt an earlier appointment?