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Doctor insights on: How Does Als Typically Progress

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How does ALS typically progress?

How does ALS typically progress?

Linearly: Als is a relentlessly progressive neuromuscular disorder. The progression is steady and is not usually associated with remissions. The median survival is 3 - 5 years from diagnosis, although rare cases of survival 10 even 20 years are reported. Patients usually die of respiratory failure due to loss of diaphragm function. ...Read more

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I thought ALS typically occurs in people in their 50s and 60s? Put Pete Frates(ice bucket challenge) was in his 20s and Lou Gehrig was in his 30s

Couple comments: Although ALS is indeed a disease of older patients, there are other causes of early onset motor neuron disease, such as hereditary Kugelberg-Whelander, and the true cause of Lou Gehrig's demise remains puzzling as no autopsy was ever done. Some suggest ALS was erroneous diagnosis, and Chronic Post-traumatic Encephalopathy may have been a more correct diagnosis. ...Read more

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Is creatine Kinase typically elevated in ALS patients?

Below: Serum creatine kinase (CK) levels were recorded in 100 patients with amyotrophic lateral sclerosis (ALS). CK concentrations were elevated in 43% of the patients, with a mean level of 240 U/liter and a range of 59-1,327 U/liter (male normal less than 95 U/liter, female normal less than 59 U/liter). All patients with elevated CK had muscle weakness. Seven patients were initially misdiagnosed as hav ...Read more

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Had an emg on one side.is that enough to know I don't have als?

Had an emg on one side.is that enough to know I don't have als?

If done properly: Likely suffices, but historically, we used to check all 4 extremities. Sounds like, if you have spinal cord compression, the answer to your problems has been achieved. Discuss fully with the doctor who did the EMG ...Read more

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I've only had one injection and have been using the pull out method. I had a regular cycle for 2 months but didn't get one for this month. Ive als?

I've only had one injection and have been using the pull out method. I had a regular cycle for 2 months but didn't get one  for this month. Ive als?

Depo?: Usually the depo shot is reliable against pregnancy soon after receiving it. Often you don't have cycles on the medication. Do a pregnancy test to make sure and get your depo shot every 12 weeks. All the best. Remember it does not protect you against a STI. ...Read more

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What is als

What is als

Neurologic disease: Amylotrophic lateral sclerosis- a neurologic disease affects motor function, leads to muscle weakness and significant disability. Also known as lou gehrigs disease. If you or family are diagnosed with this or if you want to learn more, visit www.Alsa.Org. ...Read more

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What is als?

Nervous condition: Als is amyotrophic lateral sclerosis. Also known as lou gehrig's disease. It is a degenerative disease of the nervous system. ...Read more

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Is ALS painful?

Is ALS painful?

Usually not: Pain is not usually a prominent presenting symptom in ALS, but can occur due to spasticity, muscle spasms, and even co-morbities. About 50% of cases experience some pain. One caveat, pelvic pain may herald infection, especially urinary, and chest pain, possibly pneumonia. ...Read more

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Is ALS hereditary?

Can be: Fals - familial is rare, less than 10%. 90% are sporadic sals with unknown cause. There are some generic tests available. ...Read more

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What is bulbar als?

What is bulbar als?

Very worrisome: When ALS begins to destroy nerve cells in the base of the brain, the patient develops loss of ability to swallow and eventually even breathe. This is indeed ominous when it occurs and often leads to early demise. ...Read more

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