Do you have to have all 3 symptoms, tinnuitis, hearing loose, and vertigo to have meniers diease?

Not necessarily : Classic symptoms of ménière's disease are episodes of ear fullness, fluctuating hearing loss, loud tinnitus, and severe vertigo. When the episode clears, symptoms normalize again. It usually affects one ear initially, but may eventually affect the other ear. You can have a variant, cochlear ménière's which has all the symptoms except no vertigo . You need a good ENT evaluation.