Just to add though: I do relate to your anxiety about Menieres. I had it too.
But in the course of time I realised that despite probably having an inner ear problem, it was not Menieres. You can have inner ear trouble that is not degenerative. In fact I believe it mainly comes down to fluid imbalance, call it ‘swelling’ if you like, like a bruise, but not damage, which makes it easier to swallow. For me the clues included the ever decreasing hearing distortion I’d get on the tube here in London. Initially I’d get terrible vibrations in my ear when the train rumbled along. Over a long time these diminished and disappeared. That to me illustrated it may just be a simple pressure issue that was simply dropping in intensity over time.
Also, I find doctors are in a catch 22 situation: they either tell it to you straight (they suspect an inner ear problem), or they skirt around the issue so as not to trigger any health anxiety (which is a very real risk). On the one hand this concern is nice because they have your general quality of life at the forefront of their concerns, but at the same time I find it a bit patronising, especially when you’ve actually opened several journals and textbooks and have learnt a lot about the anatomy.
I always suspected my first neuro-oto was holding back. My fourth doctor gave it to me straight. By that time I’d done a lot more of my own research, had experienced my symptoms generally improve for over 2 years by then, noticing that I had not gone deaf, and I could deal with it.
This for me, in part, explains the probably excessive popularity of MAV as a diagnosis as the dizziness can easily be dismissed as ‘merely’ a migraine issue which is much more approachable and less threatening than details about a very delicate sense which is always less palatable, more sinister and some simply don’t want to think about it. Unfortunately it doesn’t begin to explain any of the ear issues properly and therein lies its flaw.
Long story short, I very much doubt you have Menieres.
Hope that helps.