Doctor insights on:
Dental Pain With Multiple Sclerosis
Is it common to have chronic pain with multiple sclerosis? What are some ways besides narcotics to treat it?
Neuro help needed: I'm 18 male and have optic neuritis. What are my chances of having multiple sclerosis?
Statistical risk: According to data from optic neuritis treatment trial, risk of clinically definite ms, if MRI lacks any lesions is 25% by 15 yrs, but, if only one white matter lesion, the risk escalates to 72%. Therefore, get followup MRI studies, and find neurologist who focuses in ms to work with. Please do not worry, newer meds are far more successful these days. Do supplement vitamin d-3. ...Read more
My wife is 37 and has multiple sclerosis. She wants to get pregnant but I'm afraid that stopping her medication will do her harm. Is it safe?
Multiple sclerosis: It is a concern. Removing certain medications can increase the relapse rate immediately after stopping the medication (immune reconstitution syndrome). This is not seen with the older "platform" therapies. Copaxone (glatiramer) is category b for pregnancy. Nevertheless, all my patients have opted to stay off medication during their pregnancies. Good thing is relapse rate is reduced during 2-3rd trimester. ...Read more
What is my risk for multiple sclerosis? . I'm 16 year old male non smoker. No family history. I moved from singapore to the UK when I was 14. High ris
Actually very low: Your risk is best considered to be at the level of the average resident of Singapore, and therefore very low, and indeed, lower than if you lived in UK your entire lifespan. ...Read more
My head is moving (nodding) involuntary since along time but it's increased nowadays. My aunt has multiple sclerosis and I'm afraid that I have it too?
Nonspecific: You describe a head tremor which could be due to many causes, including heredofamilial essential tremor, hyperthyroidism, issues with cerebellar brain stem connections, Wilson's disease, and medication reactions. This alone would not confirm MS, and your aunt's illness, is NOT a predictor of increased risk in you. Have a neurologist check this out. ...Read more
Dr. What if on last MRI the lesions of multiple sclerosis disappear? Is that means that I'm healed? Yeah I'm the patient
I have all the symptoms of multiple sclerosis, but it didn't show up on the mri, could I still have ms? What else could it be? I'm negative for lupus
Lots of things: Ruling MS in or out is much easier than it used to be, but it still requires training, skill & expertise that you'll never get from "Doctor Google." It isn't just laypeople who lack the knowledge & experience to distinguish MS from conditions that superficially resemble MS but aren't; the average US nonneurologist physician isn't confident of his/her ability to do so either. ...Read more
Need to know more: Will really need to know more about what your symptoms are. Initially, you should discuss your concerns with your primary care physician. Then an appropriate a referral to a neurologist will allow a more definitive diagnosis for you.Multiple sclerosis is treatable at the present time with multiple medications and ensure an excellany quality of life. ...Read more
Many successful ways: Although not curable yet, ms in many cases is both treatable and controllable. The most potent medicine on the market is tysabri, (natalizumab) followed by gilenya, and then a group of injectables, including interferons (such as betaseron) and copaxone. Several exciting drugs are finishing research and may be available in the next few years. Many physicians recommend vitamin d, b complexes, aerobic exercise. ...Read more
Some patterns: Initially, a relapsing remitting course, but without treatment at 10 yrs, 50% become progressive, and 90% @20 yrs. Disability can involve need for walking assistance even wheelchair, but memory loss and fatigue can get progressive. Issue is to stop this progress by using potent agents, such as Gilenya or Tysabri (natalizumab). ...Read more
Many conditions: Initially the ms patient goes through many diagnostic considerations. Stroke, drug effects, malingering, viruses, toxic reactions, lupus, pinched nerves, are just some of the common initial concerns. It may take hundreds of tests and repeated bouts before a definite diagnosis can be made. ...Read more
Can be tricky: Multiple sclerosis is a very difficult disease to diagnose, because the symptoms can be so variable from person to person. Classically, it presents as discrete attacks of symptoms (vision loss, weakness, numbness, etc) that each wane over a few weeks. Definitive diagnosis can be made by a neurologist, usually with a combination of physical exam, lumbar puncture, and mri. ...Read more
Several potentials: Cadasil, lupus, arteritis, clippers, pernicious anemia, cervical spondylosis, lyme disease, CNS lymphoma, sjogren's, melas. If you get the point, ms may be hard to diagnose, and often need to exclude other explanations. Patterns may or may not be different, and sometimes it is important to get testing and even several opinions. ...Read more
Tough to predict: The course of ms is variable, and no two patients are ever alike. One might hope, in the end, that the outcome is mild or benign, but it is almost impossible to sort out early in the disease. Many specialists would treat, and modify interventions as time progresses. ...Read more
In part: Hereditary risk is one factor, but the interplay between genetic background and environment is likely in this disease. Identical twins studies show about a 30% risk for MS if one twin has the disease (certainly not 100%). Population studies show certain ancestry may increase or decrease risk (e.g. Northern european ancestry high, whereas asian, african, aboriginal very low). ...Read more
May be issue: Roughly 65% of all MS patients will have problems with cognitive function, and this may commence by the point of diagnosis. However, only 10-15% will be severe like an Alzheimer's pt. So, protect yourself or significant others by using a potent MS drug such as Tysabri (natalizumab) or Gilenya. ...Read more
Multiple sclerosis increases the chances of:: Fecal incontinence in adults, Gastroparesis, Narcolepsy, Ringing in ears, Trigeminal neuralgia, Urinary incontinence, Fecal incontinence, Underactive thyroid, Overactive Bladder, Urge incontinence, Stress bladder Incontinence, Transverse myelitis, Ataxia. ...Read more
Confirm diagnosis: You do not list your symptoms or whether you have seen a doctor, but if there is a question of ms, please see a neurologist and get this diagnosis either confirmed or discarded, as many disorders seem clinically similar to ms. If indeed the diagnosis is correct, start one of the newer more potent medications. Ms is usually a quite treatable and controllable disorder. ...Read more
Complex: Why do you believe you might have ms? Best to have your symptoms evaluated by an expert neurologist, who can guide you to a variety of tests which can confirm your underlying problem. ...Read more
DMT's: If you possess relapsing-remitting MS, you vitally need a "disease modifying agent", such as an interferon, Copaxone, Tysabri (natalizumab), (natalizumab) Gilenya, Aubrigio, or Tecfidera. But best usually to use a potent medication, such as Gilenya or Tysabri (natalizumab). A neurologist should be able to address your needs readily. ...Read more
Might be difficult: In a friend who is being treated and controlled with potent meds, you might think they look completely normal. If undiagnosed, they might display inordinate fatigue, get confused with poor memory, have bad balance, trouble with visual loss, weakness in legs, etc. This is a complex area for most physicians, and an ms specialty focused neurologist is critical. ...Read more
See neurologist: Do not know your symptoms or prior test results, so cannot guide your pursuit of a diagnostic explanation. Rather, get appt with local neurologist and track down whether you do indeed possess a neurological disorder, such as MS ...Read more
Maybe significant: Several common presentations can include unilateral loss of vision, progressive weakness of legs, loss of coordination or balance, a band of tightness around the waist, double vision. More insidious issues include, bladder problems, cognitive challenges, fatigue, peculiar sensation losses. ...Read more