Doctor insights on:
Multiple Sclerosis And Bowel Problems
What suggestions are there to control bowel incontinence with multiple sclerosis? Is the incontinence permanent when it develops with ms?
Suggestions: Generically, I like to start with increased amounts of fibre into the diet. Would avoid stimulants such as caffeine and also, alcohol. Would want to be certain that there is no added co-morbidity, such as a colonic cancer which can be causing issues. ...Read moreSee 2 more doctor answers
The gastrointestinal tract starts at the mouth, travel down the tunnel (esophagus), which connects to the stomach, which then empties into the duodenum, jejunum, and ileum---the three parts of the small intestine (@25 feet). This empties into the colon or large intestine (about 5 feet), which then becomes the sigmoid colon, rectum and out the anus. So, every morsel eaten ...Read more
Im 24 male uk . Diagnosed 3 years ago with multiple sclerosis and recently I have beem unable to open my bowels its been 3 weeks now and im in agony?
Seen your Dr?: Reduction in movement of the bowels is not uncommon in ms patients and there are measures that can be taken to help with the problem. You didn't mention whether or not you've brought this issue up to your physician and what has been tried to date? Are you able to do exercise at all because that is a very good conservative form of getting the bowels to start moving again. ...Read moreSee 1 more doctor answer
My CT scan of the abdomen and pelvis showed sclerosis on both sides of the SI joints, indicating sacroiltis. Is this indicative of multiple sclerosis?
Of course not: "Sclerosis" is a general term that refers to pathological hardening of tissue due especially to calcification or overgrowth of fibrous tissue. In the CNS, where there is no fibrous tissue, it refers to an analogous process of tissue degeneration. Multiple sclerosis by definition occurs only in the CNS, not in joints. This sort of information is readily obtainable from a quick web search. ...Read more
Should i ask my doctor about liver damage? Bloated tummy, sore muscles, upper abdomen tired all the time but also have multiple sclerosis.
Significant at times: Main issue is evolution of progressive cognitive loss, which likely is present in at least 60% and creates an early disability. Lack of emotional control, such as crying or laughing without reason, or more persistent euphoria or depression gets even more challenging. Although delusions and hallucinations may be rarely seen, usually not an issue. ...Read moreSee 1 more doctor answer
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
What are some good ways to deal with cognition problems in general and memory problems in particular with multiple sclerosis?
See specialist: Generically, need to find out precise cause of such issues, and treat the underlying problem. Could involve thyroid, vitamin deficiency or other issues. If due to chronic disorder, such as MS, have found some benefit with alerting agents such as ritalin or modafanil, and rarely, assistance with galantamine (galantamine hydrobromide). Sometimes, speech therapy or cognitive/behavioural interventions of some benefit. ...Read moreSee 1 more doctor answer
You bet!: Anti-spasticity agents will assist the tightness in the legs, and you could try baclofen, tizanidine, maybe botox, etc. The newest agent touted to assist gait speed, and stamina, is called ampyra, (dalfampridine) but may not help everyone, just have to try it. Best way to address mobility problem is to be using the most effective potent medications, and supplementing with vitamin d. ...Read more
Is a prominent horizontal band of sclerosis in T8 -9 and L5-S1 multiple sclerosis, have had dizziness,balance problems and bad hand coordinaton?
Possibly?: Depends of what you mean by sclerosis? If there is abnormal findings on the spinal cord itself, possibly MS, but I'd expect there to be abnormal brain MRI as well. If the "sclerosis" is involved in other structures: discs, facet joints, ligaments, etc. Then you can take MS out of the picture. ...Read more
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 moreSee 1 more doctor answer
Neuro help needed: i'm 18 male and have optic neuritis. What are my chances of having multiple sclerosis?
Statistical risk: According to data from optic neuritis treatment trial, risk of clinically definite ms, if MRI lacks any lesions is 25% by 15 yrs, but, if only one white matter lesion, the risk escalates to 72%. Therefore, get followup MRI studies, and find neurologist who focuses in ms to work with. Please do not worry, newer meds are far more successful these days. Do supplement vitamin d-3. ...Read moreSee 1 more doctor answer
My wife is 37 and has multiple sclerosis. She wants to get pregnant but i'm afraid that stopping her medication will do her harm. Is it safe?
Multiple sclerosis: It is a concern. Removing certain medications can increase the relapse rate immediately after stopping the medication (immune reconstitution syndrome). This is not seen with the older "platform" therapies. Copaxone (glatiramer) is category b for pregnancy. Nevertheless, all my patients have opted to stay off medication during their pregnancies. Good thing is relapse rate is reduced during 2-3rd trimester. ...Read moreSee 3 more doctor answers
What is my risk for multiple sclerosis? . I'm 16 year old male non smoker. No family history. I moved from singapore to the UK when I was 14. High ris
My head is moving(nodding) involuntary since along time but it's increased nowadays..My aunt has multiple sclerosis and i'm afraid that I have it too?
Nonspecific: You describe a head tremor which could be due to many causes, including heredofamilial essential tremor, hyperthyroidism, issues with cerebellar brain stem connections, Wilson's disease, and medication reactions. This alone would not confirm MS, and your aunt's illness, is NOT a predictor of increased risk in you. Have a neurologist check this out. ...Read moreSee 1 more doctor answer
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
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
Dr. What if on last MRI the lesions of multiple sclerosis disappear? is that means that I'm healed ?yeah I'm the patient
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 moreSee 3 more doctor answers