Doctor insights on:
Ms Affect Vestibular System
Immune mediated: Inflammatory disease of brain, spinal cord, and eye, occurring in genetically susceptible people in their late 20s into 30s, when risk factors such as living at northern latitudes, smoking, prior viral infections, adolescent obesity, trigger onset of initial attacks. It involves exclusively attacks on nerve coverings within the central nervous system. Treatment is very effective in 2015. ...Read more
SEE BELOW: Lupus may mimic ms and in evaluating a patient for ms, we commonly check lupus blood tests to make certain. But in general, this is a collagen vascular disease involving several organs in the periphery, not just brain or spinal cord, while ms is restricted to the central nervous system. ...Read more
Deceptive likeness: Both lupus and ms are autoimmune disorders and both affect the central nervous system. Both causes apparently random, sudden and often bizarre symptoms. Treatments for ms long-term have now been primarily interferon-based. No such widely accepted treatment exists for lupus. Steroids are often helpful in both conditions in short term. Diagnostic tests can separate the 2 conditions often. ...Read more
Is lupus attacking the nerves the same as ms? I know theyre different diseases, but when lupus affects the nervous system, does it do it the same way as ms? Are the symptoms the same?
One kind of lupus:
Lupus has many ways of hurting and destroying organs, one kind of lupus of the nervous system is similar and may coincide with ms
numbness poor function disconections of short circuits in electric system (nerves are like cables, with ms you loose the insulation, myelin). ...Read more
Very complicated: The Latest info suggests an inborn genetic susceptibility with environmental triggering events. The basic pathology causes the immune system to mistake brain and spinal cord myelin as a foreign entity. Data regarding grey matter involvement is starting to explain much of what is occurring. All current meds target lymphocyte trafficking, (t cells), but the b cell research is exciting. ...Read more
Does not cause: Ms doesn't directly cause any type of heart disease, and the only effect on the heart might be the slowing of the pulse within the first six hours after taking the oral medicine gilenya, (fingolimod) which does not persist. ...Read more
For a yearthey have been sayingi have possible ms. Nowtheh say I must have had a virus and it has attacked mynervous system will steroids help?
Yes & no:
Steroids are helpful for a condition called acute disseminated encephalomyelitis (ADEM) which is possibly due to a viral infection. This is a short-term, aggressive condition, not a long-term condition, and steroids are normally used in the early stages. In MS, steroids are used during severe attacks.
If your symptoms are like these examples, steroids may help. ...Read more
I see in MS & gbs the immune system only seems to attack the mylein sheath. What stops the immune system going further & directly attacking the nerves?
Variable: Yes, in many cases, the myelin sheath alone is involved, and the underlying axon is spared, BUT immune systems are variable, and the more aggressive forms of MS and GBS can result in axonal damage. It is the body's ability to turn off the immune attack which quells the ultimate damage. ...Read more
What are some of the best ways to get over colds? I have MS and they hit me hard. Immune system is compromised from my Ocrevus treatment killing Bcels
I would like to see another neurologist for my ms. Would like to compare as I have only been too one. Recommendation? I have not had any recurring systems since the first diagnosis (2005) other than tiredness and occasional dizziness.
Second opinion: Glad you have been stable. But have your MRI's confirmed lack of new lesions, or absence of brain atrophy? Has your MS medication been without side effects or difficulties with compliance? Has your fatigue been successfully controlled? If no to any of the above, get a second opinion. ...Read more
I have a very weak immune system and my MS treatment makes it worse. Will wearing masks around sick people keep me safe?
will help but it is wise to try to avoid such contact as much as possible...people should understand...(family and friends especially) and you should avoid crowds especially during a FLU season such as the one we have now!
Hope this helps!
Dr Z ...Read more
Can myelin injection treat MS, since the immune system is attacking myelin sheeth adding myelin in blood will keep WBC away from the nerves,right?
Wrong: This simply doesn't work. It's simplistic and in fact, you're asking for making the body more sensitive. Your body also makes attacking white cells to order when confortonted with something that it's sensitized to. Tolerization procedures exists for some autoimmune diseases and the whole are is fascinating. ...Read more
Taking copaxone (glatiramer) for many years for my MS. I have pain in my right big toe with inflamation. Could my body systems not want me to take it .... Gout?
Need to reassess: At your current age, 77, you may no longer need copaxone, (glatiramer) and if you developed a secondary progressive ms transition, this drug would not be appropriate to handle that either. The pain in your toe could be gout, but other explanations may be considered. Yes, check your uric acid, but also update MRI of brain, and get full neurological re-evaluation. ...Read more
Severe sensitivity in toes/feet. Light touch causes bad pain. Dr mentioned autonomic nervous system problems? Ms related to system? Ms reason for pain?
I had a cat scan, showed chronic microvascular ischemic white matter disease. My doctor who ordered the CT looked at it and did not comment. Is MS or other auto immune system possible?
Unlikely: Sweating as describe is not typically a symptom of ms. ...Read more
What medicines will bring someone with MS back to a balanced homeostasis when the body can't do it on its own?
Will try to reassure: Every patient with ms is different, but when problems appear you need to make certain that your basic disease modifying treatment is a potent drug (like Gilenya (fingolimod) or tysabri). If you are suffering relapses, get steroids or acthar. You should be taking vitamin d-3, 5-10000 units daily. You should be doing aerobic exercise, follow low fat diet and manage stress, as all may help. Discuss with doc. ...Read more
I have MS and have constant lower back. Whether that has any relation I don't know what other medication I can take for pain.?
What meds R U taking: In the initial stages of MS, pain is uncommon, but, as the condition deteriorates, muscles weaken, joints get unstable, posture changes and, of course, painful muscle spasms can occur. The best thing you can do is to get a referral to a physical therapist who has experience in treating such conditions. I also have MS. Pain meds are the treatment of last resort! Best wishes! ...Read more
Recently diagnosis with lupus diagnosis with MS in 2003. Could I have had lupus all this time instead of ms? My neuro now thinks my lesions don't look like ms
Sort this out ASAP: Lupus is one of the diseases that may mimic MS, and very critical to pin down correct diagnosis. I do not have sufficient information to guide this, but if you are encountering uncertainty, get a second opinion ASAP. A rheumatologist could be very helpful regarding the lupus question. Might also, consider anti-phospholipid antibody syndrome in addition. ...Read more
What to do if I have all the symptoms of ms.but I don't have lesion on the brain.what could it be?
Advice: Some cases of MS have lesions in spinal cord only, and not in brain, early on. MRI of neck might help. Spinal fluid testing might also be of value. But since many other disorders, such as Lyme disease, lupus, or Sjogren's might mimic MS, make sure testing has been done for other entities. ...Read more
See neurologist: If you possess worrisome symptoms you should have your doctor's help. Do NOT self diagnose or treat ...Read more
I have a question about MS lesions and when they should or shouldn't light up under gadolinium.
MS Lesions: May "light up" if they are acute (new). This is due to the leakiness of the tiny vessels allowing the contrast material to cross into the plaque lesion. After the plaque matures the contrast no longer crosses the "blood brain barrier" Both new and older lesions will produce increased signal on both T2 and FLAIR MRI sequences. ...Read more
The injections were MS therpy. But I don't have it still. But lessons are their. What will the medicines due to my health.
LET'S ANALYZE: Presume a diagnosis of ms was made, and you were told to use injectable therapy, and have been asymptomatic. The MRI lesions are still present. So, the meds have controlled your problem, but not a cure, so you cannot stop treatment without risk of relapse. Do not worry about medication risk at this point, rather get a good treatment plan. See a neurologist who specializes in ms>. ...Read more
Friend of mine has just been diagnosed with ms, I have heard of it but don't know that much about it really. How can I help him?
SEE BELOW: Make sure that he has the help of a neurologist who is skilled and experienced in the field of ms, and that your friend is taking a potent and well tolerated medication (perhaps one of the oral meds?). Have him do aerobic exercise, eat a low fat, low salt diet, avoid smoking, and supplement vit d-3. You might want him to affiliate with the local ms society, and perhaps attend some events. ...Read more
My aunt was just diagnosed with MS and she is 33 or 34. How likely is this disease hereditary? I don't know of anybody else ever having this?
Multifactorial: Ms is not a genetic disorder, but does affect folks who are genetically susceptible, if specific environmental triggers are present. We are aware or prior ebstein-barr viral infections, low vitamin d, latitude prevalences, smoking risks, etc. You are not at any especial risk statistically due to your aunt's issues, indeed your risk is well under 0.5%. ...Read more
I have seen 6 neruolologist, 3 says MS just looking at me once, 3 says no neruo problems, have more problems, why won't the do more test, labs, m bio?
Go To University: Hello utah. I trained there. This is way too complicated for this simple app. I would call the neurology department at the university medical center in salt lake city and see if they would be willing to see you and sort all of this out. If you have not had an MRI then you need this. ...Read more
Suggestions: Your question is very timely. Some pts have MRI lesions visible only over the spinal cord. In the first year, spinal fluid may best confirm the diagnosis, if MRI equivocal, but sometimes followup images show diagnostic changes. Although your description is very c/w ms, you might instead have lupus, vitamin deficiency, lyme disease, other infections, sjogren's, etc. Might consider 2nd opinion. ...Read more
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