Doctor insights on:
Multiple Sclerosis Head Pressure
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 more
If you had multiple sclerosis would it be possible for it to cause pain in your head as well? Not just in your back.
Of course: Multiple sclerosis can cause facial pain in the form of trigeminal neuralgia, which is an attack of severe pain lasting a few seconds at a time. There is clearly a comorbidity with migraine as at least 52% of ms pts have these headaches. Also, a lesion in the midbrain/periaqueductal grey area is associated with frequent headaches and head pains. ...Read more
Heard that feeling like a "blood pressure cuff" wrapped around a leg is common in Multiple Sclerosis. How is MS diagnosed?
Common? How so?: Careful of the hallway lore that people speak in dimly lit corridors. I have many MS patients who have never complained of that symptom and some who have. MS is diagnosed by a specialist and by taking a careful detailed history of things the person has been experiencing to see if it fits a "story" consistent with the diagnosis. MRI of the brain and spinal cord are also important to the diagnosis. ...Read more
Head injury from short fall, doctor diagnosed multiple sclerosis, given 3 doses of Rituximab, is the diagnosis and medication correct?
See below: The diagnosis of MS can be rather complex, as several other entities need to be excluded, and the MS does need confirmation. But assuming diagnosis is correct, the drug Rituxamab would actually be a rather terrific choice. Cannot confirm your diagnosis based on information provided. ...Read more
No: Ms is at this point considered to be an immune related condition. The cause of MS unfortunately less understood: most neuroscientist feel that the immune system ("body police") attack the brain. This is reflected in the highly efficacious MS therapy available such as interferons, cop axone and tysabri (natalizumab). ...Read more
No, trauma does not: Cause ms. Rather it is a disease in those who possess a genetic susceptibility, brought to clinical attention by environmental causes, and this sequence evolves into an autoimmune process. Injury may seem to worsen ms, but this represents an additive damage, not a cause. ...Read more
Does a head CT scan help diagnose multiple sclerosis? If a CT scan is normal, is it still likely that multiple sclerosis can be present?
Takes time to show: "Multiple lesions over time and space" is how med students learn about MS. It evolves over time. Sometimes subtle MRI findings can suggest it, but are non-specific ("unidentified bright objects"). But it can take a long time before MS presents itself. If seriously concerned, see a neurologist. ...Read more
My mother has multiple sclerosis and she got a pressure sore which turned into septicemia. She is 6 weeks in the hospital now.?
Infectious disease: Consultstion and treatment with 2-3 antibibiotics, routine blood cultures are needed. ...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
Variable, but: Quite more common is optic neuritis, where unilateral loss of vision, associated with pain on eye motion, color desaturation, and possibly an abnormal pupillary light response. Other eye issues may include abnormal eye movements, such as nystagmus or double vision, and an item called internuclear ophthalmoplegia, which can associate both of the latter phenomena. ...Read more
Yes.: Multiple sclerosis is associated with several ocular findings that can be diagnosed by an ophthalmologist or neuro-ophthalmologist. Optic neuritis can be both a presenting symptom and a complication of ms. Other eye findings can include motility disorders of the eyes and retinal vasculitis. ...Read more
You bet: MS commonly affects the eyes, and if you have loss of vision, double vision, any abnormal eye movements, it is possible that MS is the cause. But other eye events can co-exist, so see an ophthalmologist to get this pinned down. Hope you are taking a potent MS disease modifying agent, as this can protect your eyes. ...Read more
I have been on IV Solumedrol (methylprednisolone) for four days so far for Multiple Sclerosis. Today, multiple lymph nodes became swollen/painful in my neck/chin. Concern?
? Pharyngitis: Tell your doctor, could be pharyngitis, viral or bacterial, whether was that secondary to solumedrol (methylprednisolone) or not, we don't no, as steroids cause immunosuppression, at any rate, rest, fluids, salt water gargles, till you see your doctor who may prescribe an antibiotic, wish you wellness ...Read more
Sorry, off and on eye twitching every day for past month and lower burning back pain when lying down, relapsing remitting multiple sclerosis?
Let's analyze: The eye twitching could be ocular myokymia, due to eyestrain, fatigue, stress, chemical imbalance, and the back pain may be due to degenerative spondylosis, or a disc issue. You list ampyra, (dalfampridine) a drug used to improve walking in ms patients, but do not list other ms disease modifiers. Do you in fact have ms? Maybe, your neurologist can sort this out if indeed you do.. ...Read more
If I have multiple sclerosis do I need to see a retina specialist along with my regular eye doctor?
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
Is one eyelid/eye twitching which lasts over a week a sign of multiple sclerosis or any other neurological prob? When worry? No symptoms except it.
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
Face/eyelids/temple& tricep Twitching, face tingling, nose burning&eyeballs tingle occasionally, & chest pain. Multiple Sclerosis or Anxiety?
See neuro: You need to consult a neurologist to find out. ...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
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
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
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 more
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 more
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
Actually very low: Your risk is best considered to be at the level of the average resident of Singapore, and therefore very low, and indeed, lower than if you lived in UK your entire lifespan. ...Read more
Varies, but often: The disease can present with loss of vision in one eye, electrical tingling on bending the neck, unexplained imbalance or falling, leg weakness and/or spasticity, bladder incontinence, fatigue, double vision, and problems with intellectual function. This can be isolated or grouped, and in 85% if pts symptoms come on rapidly and slowly remit, i.e., relapsing-remitting ms. Start rx asap. ...Read more