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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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Does ALS cause pain?

Yes, not unusual: ALS can cause spasticity, spasms, muscular strains, etc due to the nature of the disease and often the pain does require aggressive analgesic intervention. ...Read more

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What to do about als?

All symptomatic : The sole drug on the market, riluzole, might delay placement of tracheostomy and slow disease somewhat, but other that feeding tubes, and breathing support, and meds to assist varioius complications, there is not a successful intervention available. Some support can be achieved through the ALS society, and believe mda still assists also. ...Read more

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What are ALS symptoms?

ALS symptoms vary: ALS symptoms may vary from person to person. For some people muscles throughout the body may be affected, in others, it may only be in the arms or legs. Shared symptoms include painless weakness, muscle wasting, weight loss, and spontaneous muscle contractures (fasciculations). Sensation is not affected. ...Read more

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Does ALS affect speech?

Yes it can: ALS causes tongue atrophy, which can lead to articulation challenges and "dysarthria". ...Read more

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What is the cause of als?

Not really known: We do know that 90% of all cases are sporadic, and that 10% are familial ALS, and have found rare mutations of the gene encoding copper/zinc superoxide dismutase. ...Read more

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Als what does it manifest?

Specifics: Amyotrophic lateral sclerosis is a disease of the motor nerve cell in brain and spinal cord, is progressive, irreversible, and causes muscle weakness, muscle flickering, and atrophy, in arms, legs, tongue, and leads to progressive disability, loss of ability to breathe and swallow. No cure, sole drug approved is Riluzole, which helps delay tracheostomy but not effect on weakness. ...Read more

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What are some signs of als?

What are some signs of als?

Muscle problems: Weakness, loss of muscle bulk, flickering of muscles, increased reflexes, problems swallowing and breathing seem to proceed over months to years. ...Read more

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Is ALS an expensive disease?

Is ALS an expensive disease?

It can be: Because the disease causes progressive disability, adaptive equipment is used to enable the patient to be as mobile as possible. There are also communication devices which may be needed as weakness of the tongue and jaw make speech difficult. Adaptive equipment can be very expensive. ...Read more

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Grandma had ALS will i get it?

Als: There is no known inheritance pattern in ALS so very unlikely. ...Read more

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What are the first signs of ALS?

Fasciculations: Initially, most would report finding flickering of hand muscles, followed by weakness in scattered areas of the body. Muscle atrophy follows. ...Read more

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