Doctor insights on:
Pregnenolone Lc Ms Ms
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?
Who gets MS: People everywhere may develop multiple sclerosis. It most often starts between ages 20-40. Cases of teenagers and older adults are less common. It is more common in climates that are cold, cloudy, and located in far northern or far southern latitudes. Family history and smoking are related to MS, but are not the cause. MS is relatively rare, it is present in only 2 million people worldwide ...Read more
Yes. But low. .:
Even in identical twins, the incidence is only 20-35%, thus environmental factors (infections such as epstein virus, geography, vitamin d deficiency? +others factors, unknown) play more important role than genetic in development of ms. There is still much ongoing research in this area and hopefully will shed more light in the years ahead.
It is a difficult one if you have ms, best of luck to you. ...Read more
Benign MS: About 15% of people with MS have only 1-2 attacks of neurological deficit, otherwise, they have an entirely normal life. This is the case even if they are not treated for MS. It would be nice to know how to predict who will have such a clinical course. ...Read more
Process: History and physical exam suggests the diagnosis. MRI films demonstrating old and new lesions together, scattered about the brain white matter, can be confirmatory, and lesions in both brain and spinal cord can clinch the diagnosis. Spinal fluid often useful if the films are ambiguous, and blood studies are obtained to exclude other disorders which may mimic MS. ...Read more
Multiple Sclerosis: For doctors, ms usually means multiple sclerosis, a disease that affects the brain and spinal cord, resulting in loss of muscle control, vision, balance, and sensation (results in numbness or paresthesia). With multiple sclerosis, the nerves of the brain and spinal cord are damaged by one's own immune system, so ms is called an autoimmune disease. ...Read more
RRMS: Relapsing-remitting MS is the most common form of MS. In this, there are episodic "attacks" or relapses of symptoms interfering with neurological function. These could affect vision, movement, sensation, speaking, coordination, bowel or bladder function, etc. Normally these attacks last 2-3 days. They often are treatable and the symptoms resolve. ...Read more
A subtype of MS: This subtype represents about 10-15% of all ms, tends to occur at an older median adult age. It is characterized by progressive worsening neurological disability for at least 1 year, without relapses, and with MRI findings compatible with demyelinating disease of the central nervous system. Other medical and neurological conditions which may mimic this clinical course must be carefully excluded. ...Read more
See below: Secondary progressive MS is a more advanced stage of relapsing remitting ms. In this stage, individuals experience fewer recognized neurological relapses, and betwen such attacks begin to accumulate measureable worsening of physical or cognitive disability. It is not a distinct form of disease, but part of the spectrum of relapsing ms. ...Read more
Complicated: Really don't know cause, but there are genetic susceptibility markers, and environmental events to trigger disease. Of interest is fact that there are 3.5 women to every male, and this is thought possibly secondary to hormonal issues. Also, the immunology is fundamentally different in men vrs women. Hope this helps, but we are making progress. ...Read more
Multiple Sclerosis: The different types of multiple sclerosis follow different patterns of progression. There are four main types of multiple sclerosis, as well as benign and malignant forms of the disease. The main types of multiple sclerosis include relapsing-remitting, primary-progressive, secondary-progressive, and progressive-relapsing. ...Read more
Symptoms of MS:
The cause of MS is not known. The symptoms vary from person to person. Common symptoms of MS are blurred vision in one eye, double vision, trouble walking, numbness or weakness on one side of the face or the body, normally lasting more than 24 hours. There are other causes of these symptoms, so they do not mean MS.
Hope that helps! ...Read more
One of these medicines may be a short-acting, temporary back up. There is no medicine rocicotin- perhaps you mean roxicodone (oxycodone)? This is a short-acting medicine.
MS contin is long acting, and is meant to bring the overall pain level down consistently, so that back up medicine is not needed as often.
Hope that helps! ...Read more
Depends: There are multiple types of ms, with different prognosis. There are also many meds available to slow or prevent progression and more being developed. A neurologist can evaluate and treat. Physical therapy and/or pmnr physician can help maximize your abilities if your symptoms necessitate it. ...Read more
See below: As of this moment there are several agents that have slowed the progression of progressive MS during the duration of the clinical trials. Wether they will be as effective in the long term remains to be established. In one study of MS patients the median time from diagnosis to needing a cane was 28 years. The median time for progressive MS would be less than 28 years. ...Read more
What about it?: Perhaps you can state your question more clearly. Healthtap is not a search engine. It's a place for asking questions and receiving answers from doctors. Unfortunately none of us is a mind reader and we cannot guess what a person's intent is when they put a couple of words together and a question mark at the end. A question mark at the end of a phrase doesn't turn the phrase into a question. ...Read more
No: Sed rate (erythrocyte sedimentation rate / ESR) is a famously poor guide to the presence or absence of disease. There are a few rheumatologic diseases in which it's almost always high and this helps rule out ordinary aches and pains. And the test is easy to do wrong. Don't set much by this lab result, despite the fact that there's inflammation in MS plaques in the active phase. ...Read more
Variable: Ms affects different parts of the brain or spinal cord at different times so the symptoms depend on what part is affected. They can include weakness, numbness, double vision, vision loss, facial pain, vertigo, trouble talking or swallowing, and heat intolerance among others. That is why it is sometimes so hard to diagnose. ...Read more