Meniere's disease and salt

Salt affects how the body handles fluid. Changes in fluid balance may influence inner-ear pressure in some people with Meniere's disease, so clinicians sometimes discuss keeping salt intake consistent rather than having very salty meals followed by very little salt.

Salt is found in more than the salt shaker. Packaged foods, sauces, pickles, processed meats and restaurant meals can contain substantial amounts. The aim is not to blame food for every attack: vertigo, hearing changes and ringing in the ears can have several causes and patterns.

Ask a GP Consultation clinician or dietitian what level is appropriate for you, especially if you have kidney disease, heart disease, high blood pressure or take medicines that affect fluid balance. Read labels, cook more often with fresh ingredients, and flavour meals with herbs, lemon or spices instead of adding salt.

Keep meals and drinks reasonably regular and track salt changes alongside dizziness, ear pressure and hearing symptoms. Avoid sudden, extreme dietary changes unless a clinician has specifically advised them.

Seek urgent help for sudden hearing loss, new neurological symptoms, fainting, severe headache, chest pain or inability to walk safely. Contact a clinician promptly if repeated attacks, persistent vomiting or dehydration are making it difficult to eat and drink.

Ask whether salt consistency is relevant to your symptoms, how to avoid unsafe restriction, whether your medicines alter fluid balance, and whether a Hearing Test should be arranged.