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Doctor insights on: Ms Symptom Checklist

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Dr. Bennett Machanic
1,440 doctors shared insights

Multiple Sclerosis (Definition)

A progressive disease that interferes with the functioning of the central nervous system and brain. Symptoms include numbness, impairment of speech and of muscular coordination, blurred ...Read more


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Can the MS hug be the only symptom of multiple sclerosis?

Can the MS hug be the only symptom  of multiple sclerosis?

Initially maybe: The MS "hug" is indicative of spinal cord involvement, and may be a presenting feature, but could occur later in form of relapse. If you have such problems, it could be due to a different cause and this needs sorting out. If you indeed have MS, you should be placed on potent medication. Would a Concierge visit help guide you? ...Read more

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"Numbness or pain induced by heat or hot water" Is it only a MS symptom or any other disease or pricess can cause such hot temperature sensitivity ? 

"Numbness or pain induced by heat or hot water" Is it only a MS symptom or any other disease or pricess can cause such hot temperature sensitivity ? 

Any neurologic: This is usually a neurologic issue not confined to MS. If this has been present for more than a couple of weeks, consult a neurologist. ...Read more

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Can multiple sclerosis magnify feelings of depression and anxiety? Can it be a symptom of MS also?

Can multiple sclerosis magnify feelings of depression and anxiety? Can it be a symptom of MS also?

Yes to all: Ms can and often does worsen depression and anxiety. It could also be biologically a cause for depression and anxiety. Please get the help you need from your neurologist and your family doctor and see a psychiatrist or psychologist or both if necessary. Try to enjoy the holidays. Best wishes. ...Read more

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43 yr old f, diagnosis 8/2012 with rrms.Past 3 mos both hands hv begun twitching, making use of touch screens hard. Could this be new MS symptom? Advise pls?

43 yr old f, diagnosis 8/2012 with rrms.Past 3 mos both hands hv begun  twitching, making use of touch screens hard. Could this be new MS symptom? Advise pls?

GET TO DOC: Although could be relapse, could also be a co-morbidity, and in either case, sounds like you are having trouble and need help. If indeed relapse or progression, absolutely needs to be treated and reversed asap. See your neurologist, and make certain that your medications are potent, not the older self-injectables. ...Read more

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I'm hallucinating the smell of smoke. I've had MS for 24 years, but my MS neurologist says this isn't an MS symptom. I had 3 prolonged episodes of this smoke smelling in may-july 2010, every day for 2 weeks, then 2 weeks remission. I had an MRI for epile

I'm hallucinating the smell of smoke. I've had MS for 24 years, but my MS neurologist says this isn't an MS symptom. I had 3 prolonged episodes of this smoke smelling in may-july 2010, every day for 2 weeks, then 2 weeks remission.

I had an MRI for epile

COMPLEX ISSUE: Your symptoms are atypical for ms, but not impossible. Sounds like there was a consideration for auras associated with epilepsy, and questions of lesions in olfactory areas. However, you may be experiencing ephaptic reactions due to neuronal short circuiting associated with demyelination. Not a true seizure but aed's do help in most cases. I do think, unless you have sinus pathology, due to ms. ...Read more

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Have suspected ms, muscle weakness in left lower arm and hand gets worse thru the day but ok at night. Ms symptom or something else? Ms not confirmed.

Have suspected ms, muscle weakness in left lower arm and hand gets worse thru the day but ok at night. Ms symptom or something else? Ms not confirmed.

Here is an approach: First, be certain that problems in left arm are not associated with nerve compression at wrist, elbow, shoulder, or neck. An EMG study will certainly help. Secondly, mri's of both brain and spinal cord may be helpful, and spinal fluid analysis can also be needed. If your current doctors are unsure, get a second opinion at a nearby medical school. Unlikely, but maybe a myasthenic problem exists. ...Read more

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What symptoms of ms multiple sclerosis ?

Variable: Please consult this site for information on early symptoms of MS http://www.webmd.com/multiple-sclerosis/guide/multiple-sclerosis-symptoms Wish you good health. ...Read more

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How do doctors diagnose multiple sclerosis (ms)? What are the typical symptoms?

How do doctors diagnose multiple sclerosis (ms)? What are the typical symptoms?

Diagnosed by MRI.: Typically MS is diagnosed by mri, but in some patients may require a spinal tap or other specialized studies. These tests may include optical coherence tomography (oct) or visual evoked potentials (ver or veps). Symtoms include numbness and tingling usually on one side of the body starting in the hands and toes and progressing proximally. Weakness in the same distribution. Painful visual loss. ...Read more

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Dr. Alan Ali Dr. Ali
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What are the most determining symptoms of Multiple Sclerosis? What symptoms have to be present for doctors to diagnose MS?

Dr. Alan Ali Dr. Ali
1 doctor agreed:
What are the most determining symptoms of Multiple Sclerosis? What symptoms have to be present for doctors to diagnose MS?

MS?: Other symptoms exist. Refer to diagram, and please consult your pcp for referral to Neurologist if warranted following exam. ...Read more

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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

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Which type of symptoms with the eyes does someone with MS (multiple sclerosis) have?

Which type of symptoms with the eyes does someone with MS (multiple sclerosis) have?

Vision loss pain : Optic neuritis is inflammation of the optic nerves that presents with vision loss, pain with eye movement & "fading vision" when a person gets hot (like in the shower). It is most commonly associated with ms- multiple sclerosis. Ms also causes pars planitis -inflammation in the eye that presents with floaters and/or vision loss. A few of my patients have inflammation in the front of the eye too. ...Read more

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Is it possible to have multiple sclerosis with many MS symptoms and white matter changes on the brain and not actual lesions?Ep's were normal also.

Is it possible to have multiple sclerosis with many MS symptoms and white matter changes on the brain and not actual lesions?Ep's were normal also.

Straightforward: Severity of ms varies, and even benign cases, but diagnosis is based on history and exam and supportive lab studies. Evoked potentials usually worthless, and not used routinely. Mri of neck showing just one lesion could be confirmatory, or change of brain MRI also supportive. In some cases, spinal fluid analysis helps. However, you may possess a different condition. Maybe a second opinion? ...Read more

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I have all the symptoms of multiple sclerosis, but it didn't show up on the mri, could i still have ms? What else could it be? I'm negative for lupus

I have all the symptoms of multiple sclerosis, but it didn't show up on the mri, could i still have ms? What else could it be? I'm negative for lupus

Lots of things: Ruling MS in or out is much easier than it used to be, but it still requires training, skill & expertise that you'll never get from "Doctor Google." It isn't just laypeople who lack the knowledge & experience to distinguish MS from conditions that superficially resemble MS but aren't; the average US nonneurologist physician isn't confident of his/her ability to do so either. ...Read more

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My eye has been twitching for wks.I have dry eye but heard it was a sign of multiple sclerosis... My mom and sister have MS... Should I get MRI?

My eye has been twitching for wks.I have dry eye but heard it was a sign of multiple sclerosis... My mom and sister have MS... Should I get MRI?

Doubt MS: You most likely have orbital myokymia, which can be due to eyestrain, fatigue, lack of sleep, stress, chemical imbalance. The odds of your acquiring MS with your family background is about 2-4%, at most. Lastly, lots of comments about MS are provided by numerous non-medical "experts" both online and in the community. Check with your eye doctor about your current issues. ...Read more

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Anxiety & multiple sclerosis sure do have the same symptoms.How do you tell the difference? Doc won't test for ms,even though twitching & eye problem.

Anxiety & multiple sclerosis sure do have the same symptoms.How do you tell the difference? Doc won't test for ms,even though twitching & eye problem.

MS vs anxiety: Can be tricky in some cases, but usually anxiety has "extra" symptoms and signs which are unlikely to be caused by MS. Also signs of anxiety may be fleeting. Eye twitching alone is not likely to be MS. I do not know what your eye symptoms are, but a dilated eye exam can rule out involvement of the optic nerve which is a key finding for MS. ...Read more

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Could I have multiple sclerosis even if my MRI was normal? I have a lot of the symptoms (muscle spasm, weakness, tingling down my back and legs), but my MRI didn’t show anything. Can an MRI miss ms?

Typically not: Mri is the most sensitive test available to aid in the diagnosis of ms. While there are rare cases of MRI negative ms, the vast, vast, vast majority of patients with ms have MRI abnormalities. Having said that, given your symptoms it would be important to know if the cervical and thoracic spinal cord were imaged. If brain and spinal cord imaging negative then not likely to be ms. ...Read more

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Head pressure, dizziness, and blurry vision for over 3 years without a diagnosis in a 36 year-old, with empty sella on MRI.....?

Head pressure, dizziness, and blurry vision for over 3 years without a diagnosis in a 36 year-old, with empty sella on MRI.....?

Empty Sella Syndrome: This case most likely constitutes Empty Sella Syndrome (ESS), which can be associated with Pseudotumor Cerebri. Next step is to get a full endocrinology workup, especially examining pituitary hormone levels. A full ophthalmological/retinal exam and lumbar puncture can also be done to evaluate further. Treatment can then be devised based on these test and examination results. ...Read more

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How to cure multiple sclerosis ms?

NO cure: In medicine cure is not available for most common conditions control of symptoms and prevention of recurrence is possible in the majority of cases of ms. ...Read more

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