Stress at home, work place or school can set off or worsen Meniere's symptoms. Biofeedback training is very effective in helping control the effects of stress on the body. This questions is difficult to answer satisfactorily because individual cases are extremely variable. Some patients will have only one attack, never to be bothered again. Another group of patients will have their initial episode which is followed by a symptom-free period which may last many years.
Symptoms then return and can be quite sporadic.
The more typical history of Meniere's Disease is one of repeated bouts of vertigo, tinnitus, and hearing loss. These attacks can vary in frequency from once to several times per year. There can be considerable variation in the symptom-free intervals. In addition, the symptoms can vary in their intensity and duration from one attack to another. At the same time, hearing will have a tendency to recover less and less after each attack until, unfortunately, many patients become deaf in the affected ear.