Meniere's disease is not the same as benign paroxysmal positional vertigo (BPPV); they are two different types of disorders. Meniere's disease is primarily caused by fluid accumulation in the labyrinth, leading to episodic vertigo that typically lasts from 20 minutes to half a day. Most patients may also experience tinnitus and hearing loss, and in severe cases, nausea and vomiting. Overall, it is a common disease that tends to recur. Most patients can control and alleviate their symptoms through medication, but a small proportion may not respond well to medication and might need to consider surgical treatment. (Please use medications under the guidance of a doctor.)