During a full-blown Ménière's episode, the patient can basically do nothing, so the question does not even occur. But what about mild events in a patient with a Ménière's diagnosis?
I am asking about a situation where the patient feels some symptoms (some dizziness, a change in hearing loss) but can still do most activities. Should the patient rest during such a period, and if yes, how much rest is good?
I could imagine a few different scenarios:
- All activity during such an episode is damaging, or preventing healing of existing damage, and should be avoided even if it does not cause discomfort
- The body "knows" when the activity is damaging, and discomfort is a good way to judge how much to do
- There is no lasting damage or episode prolonging due to activity. The patient can decide how much discomfort he is willing to endure without fearing any side effects.
- There is no lasting damage through activity, and complete rest can be detrimental, e.g. by making the patient more sensitive/susceptible to future events.
Which scenario comes closest to the truth? How can a patient decide on his activity level? What signs are there that there is too much or too little activity?
Also, if activities should be reduced: is there a difference between types of activities? Is an activity which relies on listening or balance worse than an activity which does not rely on them (e.g. listening to a lecture vs. taking a walk vs. sitting in a chair and reading)? Also, is an activity which is known to be irritating to either hearing (e.g. being around persistent noise) or balance (e.g. being driven in a car on a mountain road with many turns) worse than other kinds of activity? Are physical and mental activities similarly good/bad during such episodes, or is there a difference?