About a third of patients benefit from medications such as betahistine. Others benefit from a reduced salt diet and other dietary changes. When spells happen often and quality of life is reduced, intratympanic (within the middle ear) steroid injections may be used by the ear specialist (otologist). The objective of the injections is to prevent or reduce further attacks as each attack results in a further loss of hearing and balance. Read more about Ménière’s disease.