A 38-year-old male presented to the clinic with a six-month history of episodes of dizziness and a persistent ringing sound in his right ear. The vertigo episodes occurred sporadically, usually lasting for about an hour, and were often accompanied by nausea and difficulty maintaining balance. He also complained of a sense of fullness in the right ear, especially during episodes of vertigo. The patient mentioned that the dizziness was so severe at times that it prevented him from carrying out his daily activities. Over the last few weeks, he had noticed some mild hearing loss in the right ear, which he attributed to the ringing sound.

On examination, the patient appeared otherwise well, but there was evidence of mild sensorineural hearing loss in the right ear. The tuning fork tests (Rinne and Weber) confirmed this. A referral was made for an audiology assessment, which confirmed a pattern consistent with Meniere’s disease. The patient was advised to reduce salt intake and started on medications including diuretics and anti-vertigo agents. He was also educated on the importance of hydration and managing stress to help reduce the frequency of the episodes.