Doctor insights on:
How Does Multiple Sclerosis Affect The Hypothalamus
It shouldn't: Since the hypothalamus is not really a white matter structure, it should not effect thje hypothalamus directly but it could effect neurons that go into and leave the hypothalamus. Since thie hypothalamus controls temperature, feeding behavior, sexual behavior and heart rate and blood pressure, if a brain region needs input from the hypothalamus it may not get it. ...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
What are the dangers, if any, of taking cycles or "gear" for bodybuilding if that person had multiple sclerosis? I'm just curious.
Not simple: Bodily temperature elevation, from vigorous exercise, may result in a pseudo exacerbation, with amplification of prior symptoms which can reverse with cooling. But exercise is of value for ms patients, just needs to be paced. Also, depending upon the patients debility, exercise should be designed to prevent harm secondary to weakness, or imbalance/incoordination. ...Read more
Why are "family doctors" answering multiple sclerosis questions?! I have spotted inaccurate info being given. Only a neuro answer? 's
Part of a team: Your family doctor is usually the doc who makes the referrals and is often the one who helps treat complications, such as urinary tract infections, fatigue, associated injuries, medication reactions, and he/she keeps open the communication lines between different specialties. Coordination of medical care is critcal these days. ...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
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've had numerous test done. Outcome sign of Multiple Sclerosis not active I'm 50 will it become active?
Yes it is possible: Disease can go into remission and then flare up. You have to look for the cause. We propose to treat causes of such chronic ailment. To learn more about how to treat the cause Please visit us www. Ehacstl. Com ...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
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