Doctor insights on:
Ms Evaluation Panel
Tg= (thyroglobulin) had tg panel 16.0 results, a tg antibody <0.9, a tg by lc-ms/ms, s/p (n/a)! result not dispersed in flowsheet. What does this mean?
See neurologist: If you possess worrisome symptoms you should have your doctor's help. Do NOT self diagnose or treat ...Read more
How much time doe it take for rebiff injections to work on patients suffering from ms, not trigerring the attacks?
Should start rapidly: Would suspect full benefit from Rebif within a few weeks after starting, but if your MS has continued to deteriorate, and you are having relapses, and it has been 4-6 months, this is NOT the drug for you. See your neurologist ASAP, as there are 9 choices, and you might do better on an alternative intervention. Also, supplement Vitamin D-3!! ...Read more
Ms. Jackson, a nurse, is sitting in the hospital cafeteria having coffee with ms. Brown, a nurse who works on?
Question?: Was there a question there? Please resubmit if you have a medical question. ...Read more
Not known: We do not know the exact cause of ms, but do know that there are pts who have genetic susceptibilities, and that the disease is more common in northern climates. There is a relationship to prior ebstein barr virus infections, decreased vit d levels, and possible uv-b contact. Untreated ms can result in profound disability and may shorten lifespan. ...Read more
Neurologists! What is your opinion on the maximum daily dosage of vit D3 to prevent MS where cis confirmed? How often is toxicity witnessed?
My opinion: What is the evidence? Clearly, those with higher levels of oh-vit d-3 who have active ms, have fewer relapses, less progression, and fewer MRI lesions. Also, a military study showing lower risk of ms in folks with higher d levels. Typically, my patients will take about 5000-10000 units of d-3 daily, and we aim for blood levels of 50-60 ng/ml. Would also advise starting ms medicine, now. ...Read more
Hard to answer: Tysabri (natalizumab) is a potentially effective treatment for MS but your question would be difficult to answer. Tysabri (natalizumab) is approved for the treatment of aggresive or refractory MS where other equally effective medications have not worked. This is because of a possibly fatal side effect called pml which may cause more damage than the disease. Use requires an experienced doctor and close monitoring. ...Read more
Hip/ butt muscle spasms on left side like charlie horse. Recent MS dx. Possible symptom? Very painful lasted 2 days already. Suggestions?
SOME THOTS: Pain is very common in ms, and can present numerous ways, and even migraine is present in ms pts at a frequency of 2-4 times normals. However, your muscle spasms could represent a separate process in hip, back, pelvis. (unlikely, but if you were given steroids, check for avascular necrosis in hip). Lastly, do not want to second guess your doc, but there are oral meds now (no needles). ...Read more
My boyfriend just moved to Houston, TX from Port Gibson, MS. For the last 3 days he's been feeling bad. He says his head hurts, his body temp is hot,?
More details needed: These are very generic symptoms and can be due to any number of factors including environmental, stress from the move, infection, physical injury, etc. Continue to monitor the symptoms and if they persist or get worse, he should see a physician immediately. Http://www. Nlm. Nih. Gov/medlineplus/headache.html ...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
I have ms. I still work out using low impact cardio machines. I do between 75 and 85 minutes 5 to 6 days a week. Is this too much?
Not necessarily: It is accepted that exercise can positively affect the immune system in ms. If your exercise does not substantially over-heat your body, it is likely of great benefit. Continue to stay fit, eat low fat items, manage stress, supplement vit d, and take your dmt's, and you should do well! ...Read more
Age 36 female forgeting things, spelling words, names, people and objects, moments of confustion, comes and goes MS test normal, getting worse?
Cognitive issues: Your description focuses on worsening intellectual function, which can be due to many causes at age 36. Consider medication rxtns, vitamin deficiencies, (thiamine or b-12), low thyroid, occult infections (hiv, syphilis), contact with toxins (even carbon monoxide exposure in home or car). Perhaps there are psychological issues, or unusual complications of migraine or epilepsy. Doubt ms. ...Read more
I have MS and have been having constant chest pain evaluated for months. Nothing turns up. Now I am also having shortness of breath. Any ideas?
Hard to answer: There is no good way to estimate the risk you you developing these illnesses. Try to not worry about something you do not have! ...Read more
See below: An inflammatory attack on the coverings of nerves in the brain and spinal cord can cause loss of vision, weakness or paralysis, bowel or bladder dysfnctn, numbness or tingling, dizziness or imbalance, fatigue, cognitive and emotional problems, and eventual disability. However, in this day and age, we can treat and control this malady. ...Read more
Yes, possible: Unfortunately, many with MS develop progressive disability, which leads to inability to work. Social security disability and private disability policies can be available for many of these unfortunate individuals. ...Read more
SEVERAL CHOICES: If you have relapsing-remitting form, many meds are available. Many ms specialists are now recommending using the most potent drugs available, especially in first few years. Tysabri, (natalizumab) followed by gilenya, and possibly bg-12 (not yet available) might be good items. Copaxone if a young women who wants kids, but not very potent. Vitamin d-3 supplements are crucial in some. See ms specialist. ...Read more
MS is a variable illness. About 1/7 cases are very simple, with few attacks and symptoms. Many cases have multiple relapses, some cases result in progressive illness, and some rare cases are very aggressive or difficult to treat.
MS has become a much more manageable illness with good outcomes over the past 20-30 years, although there are exceptions too. ...Read more
Highly unlikely: The risk of ms if your own mother had it is about 3-5%. With grandmothers, the risk is well below 1%. Ms is a complex disorder, and only genetic susceptibility plays a role if environmental triggers are present. Thus, do not worry. ...Read more
Suggest you consider: Historically, the low fat swank diet seemed to improve the relapse rate, and two older nutritional studies confirmed a modest effect. A few doctors thought some foods to be harmful and looked at "pulse counting", but this has never been proven. Not a food, but vitamin d supplements seem quite important, as low levels result in worse outcomes. ...Read more
Several: CP is not progressive, does not remit and is present from birth. If very mild, it may go unnoticed for awhile. Ms usually starts in mid-adulthood. Symptoms can come & go or move around to different places but eventually ms usually does progress. The one thing they do have in common is that they are neurological diseases and some treatment efforts can be similar. Perhaps a neurologist will say more. ...Read more
A phase: We conceive that ms starts with inflammatory attack on the central nervous system, followed by a less intensive but gradually deteriorating process which is termed degenerative. So, the original relapsing-remitting course transforms at some point to a secondary progressive process. Without treatment 90% proceed by 20 yrs. Yet, potent and early treatment is designed to prevent the disability. ...Read more
Yes: Unfortunately, many symptoms of MS are shared in common with other medical conditions. Your neurologist will be in a good position to screen for these issues once a thorough review of medical history and exam findings are available. ...Read more
This depends on what kind of questions. A neurologist, neurology medical provider, or an MS center could help. There are facebook pages where thousands of patients share information with each other. There are several helpful societies and websites, such as this one here:
http://multiplesclerosis. Com/us/ ...Read more
MS v ALS:
One important difference- the brain or spinal cord MRI is often abnormal in MS, they are normal for ALS. The EMG is abnormal for ALS, it is normal for MS.
MS often causes symptoms that affect touch sensation, ALS causes a painless weakness, no symptoms that affect sensation.
MS often causes attacks, ALS is a progressive illness without attacks. ...Read more
Normal, but: Untreated MS can have a shortened lifespan of 8-14 yrs, but well treated MS can result in normal lifespan. Best study so far compared Betaseron with no treatment, and those on Betaseron lived full span. This could be expanded to more potent agents such as Gilenya or Tysabri, (natalizumab) which might not only live longer, but have less disease limitations. ...Read more
SEX/MS: YES. This disease can affect sexual function. ...Read more
Diagnosing MS: There is no one real good test for the diagnosis of multiple sclerosis. In general, a comprehensive neurological examination and an imaging study of the affected area is the best first step. Need to discuss with your physician and also with the neurologist that you would be seeing. ...Read more
No: It is NOT a hereditary disorder, so is not routinely passed along in families. Genetic susceptibility is the issue, and even then, disease does not occur without environmental triggers. ...Read more
Get aggressive: Ms is both a treatable and controllable disorder and multiple successful interventions are available. Contact skilled neurologists at your local medical school ms clinic in dallas, as you will be very pleased by what can be done. Do not delay, make an appointment asap. ...Read more
Usually not issue: Although some prior studies revealed a possible 9 year shortening of lifespan, it is now known that use of disease modifying agents results in normal lifespan. So, at your age, probably best to use a potent dmt, and maintain treatment indefinitely. The great news involves current valuable drugs and even more effective ones on the way. ...Read more