Doctor insights on:
Does Multiple Sclerosis Affect Your Heart
Not usually: Ms originates in the brain and affects skeletal muscles, causing the person to loose voluntary control of them. It can also affect vision, causing optic neuritis and sometimes blindness, double vision or other visual problems. It can also cause cognitive problems and dementia. However, it doesn't typically affect the heart directly. ...Read more
Is it possible for a person with no heart disease have an attack that leads to a heart attack if they have multiple sclerosis?
Echocardiogram (new heart murmur and ankle edema). 1) concentric remodeling of the LV geometry, increased relative wall thickness (0.47), normal LV mass index (64 g/m2), and 2) evidence of evidence of aortic cusp sclerosis. How common in 42 y/o F?
Do all avms in the temporal lobe need to be treated if a symptomatic but have history of arteriale sclorosis in heart?
Speak to your MD: That can best be answered by the neurosurgeon that you are hopefully seeing. ...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 had a neck X-ray today to look for lesions of multiple sclerosis. I wasn't aware they could be seen on an x-ray? Can they?
I am having symptoms, and I looked them up on Web MD Multiple Sclerosis is a possibility. What is the chance that I have it considering I am related t?
Odds: About 3-4% if your Mom has it, about 2-3% if it is Dad ...Read more
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
Variable.: If you have identical twin with MS, about 30%, but if no relative and you live north of latitudes 39-42, could be as high as 1 in 545 in the general population. About 450, 000 cases thought to be in USA, in a population over 300, 000, 000. ...Read more
I recently diagnosed by multiple sclerosis, and I don't know what to do I'm afraid to take medication.
Multiple sclerosis: First, I wish you will get better and get over this disease, and that can't be achieved without specialists supervision, neurologists and other physicians, and taking medications prescribed according to your stage / severity of the disease, if questioning the diagnosis, get a second opnion. If really anxious / depressed seek psychiatric help, but don't just stay put, good luck ...Read more
Need chronically: Some advice, there are pills available, but where you live, might be tough to get. Nonetheless, do not miss your injections, and add Vitamin D-3 about 5000-10000 units per day. We do not have a clear idea when to stop the MS meds, and in those older patients who I have stopped, a few have had relapses. Stay tuned, drugs to be used differently are on the horizon. (even Lemtrada) ...Read more
How do I know my occasional mild prickly/itchy patches of skin isn't related to Multiple Sclerosis? What else could it be?
Unlikely: There is no way to know for sure, but this would be a very unusual symptom for MS ...Read more
All test Negative. No multiple Sclerosis! Who or where can I go to find out why I'm having problems bending my leg. NO PAIN!!! ?
Painless leg problem: I'm a bit confused. You state "No multiple Sclerosis! " but in your Clinical Findings: Conditions, you list "Multiple sclerosis". You also didn't describe where you're having painless difficulty bending your leg: hip? Knee? Ankle? My suggestion is to have your Family Doc refer you to Sports Med specialist, Rheumatologist, Orthopedic surgeon & even Neurologist esp if MS. Have u had EMG/NCV? Biopsy? ...Read more
I have multiple sclerosis & the symptoms of diabetes are so similar how do I know if I'm a diabetic? My dr. Refers everything to multiple sclerosis.
Easy: The test for diabetes is simple - it is just a blood test. It is important not to attribute everything you experience to ms. However, it is possible your doctor has already done some additional testing and has ruled-out diabetes. Many patients are not aware of all the tests that are run when they go to the lab and have blood drawn. Just ask your doctor. ...Read more
Why do high temperatures make multiple sclerosis symptoms worse? I live in a hot climate and really love being outside, but I can’t much anymore because my MS symptoms get really bad. Why does that happen and is there anything I can take or do so I can en
Complex: If the insulation (myelin) is damaged in nerve fibers, the heat promotes intracellular potassium to leach out, worsening nerve fnctn. A drug such as Ampyra may help stabilize, and since fatigue is an issue, might try Ritalin or nuvigil. Best approach, more potent drug such as gilenya, tysabri, (natalizumab) or even the forthcoming bg-12, and take vit d. ...Read more
Do you need it?: I will do lumbar puncture in pts who are not convincingly diagnosed using MRI images, and who may have alternative diagnoses. If your MRI is diagnostic, you do not need an lp. But you should be starting a disease modifying agent asap. See a neurologist and get a plan in place. Supplement vitamin d-3. ...Read more
Sorry about hands: Although this is very tough, I commend your search for an attractive way to occupy your time. Perhaps consider charity work, or take classes at local schools to learn about items you may never have had time for. Perhaps watch older movies or read books using newer electronic devices. Travel and museums may be of interest, and perhaps you can become part of a group thru ms society. ...Read more
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
I was diagnosed with pmr & temporal arterits 10 days ago, steroids aren't working? Could it possibly something else, like multiple sclerosis?
Confidence?: How do you know that your steroids are not working? This can take several weeks for full beneficial outcome. Why are you questioning your doctor's diagnoses? Why consider a disorder like MS which has absolutely nothing in common with your disorders mentioned? Have you taken the time to sit down with your doctor and discuss your concerns and doubts? ...Read more
I have multiple sclerosis and am taking elavil 50 mg. I don't notice a difference in my numbness is this a high enough dose? I also take cymbslta 60
Yes/no: Individuals can be on hundreds of milligrams of amitriptyline per day; however, side effects are more likely. I have some patients that can tolerate more than 10mg per day while some take 200mg per day without any problems. ...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
Varies, but often: The disease can present with loss of vision in one eye, electrical tingling on bending the neck, unexplained imbalance or falling, leg weakness and/or spasticity, bladder incontinence, fatigue, double vision, and problems with intellectual function. This can be isolated or grouped, and in 85% if pts symptoms come on rapidly and slowly remit, i.e., relapsing-remitting ms. Start rx asap. ...Read more
Initially brain and / or spinal cord. But many other systems are attached to nervous system such as;
muscle causing weakness and stiffness
urinary bladder causing dysfunction
behavior causing mood disturbance
peripheral nerves causing numbness
eyes causing blindness, pain and loss of color vision
balance and falls. ...Read more
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