Doctor insights on:
Best Diet For Myasthenia Gravis
Wide range of people: Conditions that increase your risk for developing myasthenia include: autoimmune disease (thyroid disease, lupus, rheumatoid, type i diabetes), a tumor called a thymoma, and exposure to certain medications (most famously an immunosuppressant and chelating agent called penicillamine). ...Read more
refers to all the physical matter humans (like all living creatures) must take in on a recurring basis; only partially for energy. Like all life on planet humans are open systems which keep tearing down their structure & require intake of atoms/molecules from which to rebuild their structure. Intestinal lining cells replaced ~every 3 days. CaPO4 in bones ~every 6 years, ...Read more
Tricky to answer: I doubt many muscle disease specialists or neurologists are expert in yoga. The principal to be followed is to not overtax the muscles with rapid repetitive motions or those which involve sustained contractions against more than a nominal load. With that in mind, ask a yoga instructor. ...Read more
Not long ago diagnosed with myasthenia gravis and about to start mestinon (pyridostigmine). please help!?
No magic: Having myasthenia gravis is difficult enough without subscientific / non-evidence-based dietary recommendations. Eat sensibly -- enough protein, avoid very salty / greasy / sugary stuff. Almost all internet advice about particular foods to choose or avoid for particular illness is subscience at best, and primarily entertainment. ...Read more
Recently diagnosed with myasthenia gravis and about to start mestinon (pyridostigmine). Is it a powerful medicine?
Different uses: Acetylcholinesterase inhibitors are the first line of treatment due to their safety and ease of use. Pyridostigmine (Mestinon) is the usual choice. Neostigmine is available but not commonly used. Edrophonium is an acetylcholinesterase inhibitor but does not come in an oral form. It is mainly used as a diagnostic agent for MG. ...Read more
Yes: Several approaches to Myasthenia Gravis are used to control the immune problems at the Neuromuscular junction, and steroids have proven to be very helpful. Other approaches such as thymectomy or use of Mestinon (pyridostigmine) could be initial interventions. Complex disease that should be handled by skilled neurologist who focuses on neuromuscular areas. ...Read more
Not established: About 1/3 can see spontaneous remission, 1/3 stabilize on chronic medications, and 1/3 have progressive difficulties. Chronic and/or longterm medications may aid but can have significant adverse impact on life and/or health. In appropriate candidates, minimally invasive thoracic surgery to remove thymus (thymectomy) can possibly cure or stabilize disease or decrease amount and/or types of meds. ...Read moreSee 1 more doctor answer
Usually very serious: Myasthenia gravis is typically seen in the young and the elderly. In the latter group, they typically have ocular mg, that is there symptoms are confined to the eye muscles. In the young, symptoms include muscle weakness, breathing difficulties, swallowing difficulties, visual problems(double vision, droopy eye lids), problems chewing. Symptoms worsen during the day.If not treated, it can be fatal. ...Read moreSee 2 more doctor answers
IS COMPLEX: Myasthenia gravis affects the connection btwn nerve and muscle, and control is achieved by dealing with an autoimmune process. If surgery is to be done, oral meds will need to be held, and postop respiratory failure may occur especially if surgery requires a neuro-muscular blocking agent. Some anesthetics can worsen myasthenia, chemotherapy may be tough. A skilled neurologist needs to be nearby. ...Read more
My husband is taking mestinon, (pyridostigmine) methotrexate, and prednisone for myasthenia gravis. Are all 3 needed?
Quite possibly: About 1/3 can see spontaneous remission, 1/3 stabilize on chronic medications, and 1/3 have progressive difficulties. In appropriate candidates, minimally invasive thoracic surgery to remove thymus (thymectomy) can possibly cure or stabilize disease or decrease amount and/or types of meds. This link may help: http://goo.Gl/3xxmd. ...Read moreSee 1 more doctor answer
Is it myasthenia?: While you may well have a particularly difficult-to-treat case, it is important to confirm that you do indeed have myasthenia. If you have a positive antibody test, the diagnosis more assured. If not, a more extensive workup might be indicated. The most sensitive electrodiagnostic test for myasthenia is a single-fiber emg, which can be performed by a neuromuscular specialist. ...Read moreSee 1 more doctor answer
Please repost: Please be more specific: How much Ativan? How often? Is the case of myasthenia asymptomatic, mild, moderate or severe? What muscle groups are most affected? Benzodiazepines modulate GABA receptors. MG is a disease of acetylcholine receptors. There is no direct interference. Any effects would be indirect. ...Read more
Cellcept (mycophenolate mofetil) for patients with antibody-negative myasthenia gravis; is it worth a trial?
Yes: It is not clear exactly how the autoantibodies work. Antibody identification may not be 100 % and there may be other antibodies that have not been detected. Depending on what therapy has been tried CellCept (mycophenolate mofetil) may be appropriate. This is best discussed with your physician. ...Read more
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