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Doctor insights on: Treatment Of Ms

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Any treatment of multifocal motor neuropathy?

Any treatment of multifocal motor neuropathy?

Neuropathy: Treatment for multifocal motor neuropathy varies. Some individuals experience only mild, modest symptoms and require no treatment. For others, treatment generally consists of intravenous immunoglobulin (ivig) or immunosuppressive therapy with cyclophosphamide. ...Read more

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What are the initial symptoms of scleroderma/systemic sclerosis?

What are the initial symptoms of scleroderma/systemic sclerosis?

Raynaud's: Tight skin is characteristic but there can be a variety of other symptoms such as raynaud's whihc is usually the first symptom, shortness of breath, chest pain, trouble swallowing, other GI symptoms, etc. Each person with scleroderma has a different set of symptoms and different type of scleroderma involvement. ...Read more

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Treatment of multiple sclerosis is for life or temporary taking s.c injection of betaferon?

Treatment of multiple sclerosis is for life or temporary taking s.c injection of betaferon?

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

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What is required for a proper diagnosis of Alzheimer's disease beyond the signs of dementia?

What is required for a proper diagnosis of Alzheimer's disease beyond the signs of dementia?

Medical examination: It is important to exclude the possibility that the signs of dementia are caused by some reversible condition, e.g. Vitamin B12 deficiency, . ...Read more

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What progress is there in diagnosis and treatment of brain disorders like alzheimer's and parkinson's?

What progress is there in diagnosis and treatment of brain disorders like alzheimer's and parkinson's?

Lots of research: There are vigorous efforts to understand these illnesses and we are making gains. It is not clear if there will be major breakthroughs soon though. ...Read more

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What is the duration of prophylactic treatment of migraines?

What is the duration of prophylactic treatment of migraines?

Duration of action: Often prophy treatment for migraines lasts 24 hours. For botox injections, it can last 3 months. The duration depends on what is being used, and how long it has been used for. ...Read more

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Is neurogenic bladder a side effect of bortizomib in the treatment of of multiple myeloma ?

Is neurogenic bladder a side effect of bortizomib in the treatment of of multiple myeloma ?

Possible: Bortezomib, the proteosome inhibitor is licensed for use in multiple myeloma. It has also been used to treat antibody mediated transplant rejection. One side effect is peripheral neruopathy--about 10% of patients. One can speculate that the same mechanism can cause either a failure to emtpy or some urgency of urination. You would need a formal urodynamic assessment to determine this. ...Read more

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What is the objective of treating multiple myeloma?

Depends...: This answer depends. That might not be as satisfying but is true. For a 90yo pt it is palliative -- keeping crab symptoms away with minimal discomfort fro m tx. A new study from dr. Campagnaro in ecog will evaluate. For most, "control" as a chronic disease. For some cure. If young, we like to obtain a "deep" response w/ complete response (cr) & now looking at minimal residual disease (mrd) by flow. ...Read more

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What is necessary for a proper diagnosis of Alzheimer's disease beyond signs of dementia?

What is necessary for a proper diagnosis of Alzheimer's disease beyond signs of dementia?

Test exam: A full exam by a qualified expert in the field; MRI or ct of the brain often done; lab work to r/o reversible causes; consideration of depression as a cause or contributing; a full review of medications; avoidance of alcohol; consider full neuropsychol testing as well. ...Read more

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Is there treatment of multiple scelerosis desease?

Is there treatment of multiple scelerosis desease?

Yes: Nmss.Org msaa.Org there are several approved therapies. If you have been diagnosed with ms then surely the doctor who made the diagnosis has discussed this with you. ...Read more

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What pharmacologic treatment of stroke are there?

What pharmacologic treatment of stroke are there?

CHALLENGING: Alteplase or t-pa, can be infused within the first 4.5 hrs after a stroke and possibly reverse the symptoms. If this does not work, conservative in=hospital symptomatic medication is employed with emphasis on complications. An embolism from elsewhere is handled with heparin, warfarin, pradaxta, etc. Prevention best from Aggrenox or clopidigrel. ...Read more

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What arre the symptoms of sarcoidosis?

What arre the symptoms of sarcoidosis?

Variable: They can range from being asymptomatic to cough, bloody cough, headache, GI problems, visual problems, arthritis, the list goe on. ...Read more

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What are the side-effects of velcade (bortezomib) in the treatment of multiple myeloma?

What are the side-effects of velcade (bortezomib) in the treatment of multiple myeloma?

Minimal: It us a fairly well tolerated drug. Its main side effect is neuropathy which can menifest as tingling, numbness of the toes and fingers and lead to weakness in the hands if the drug is continued for long time. But it does recover after stopping or change over to once weekly use. ...Read more

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What is the course of treatment for fibromyalgia?

What is the course of treatment for fibromyalgia?

Fibromyalgia: Exercise, stretching and low impact aerobic work outs, adequate medication for pain with either Cymbalta (duloxetine), lyrics (pregabaline), stavella (milnacipran). Check with a rheumatologist or neurologist. ...Read more

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What are the long-term outcomes of surgical treatment for spinal stenosis?

What are the long-term outcomes of surgical treatment for spinal stenosis?

It depends: These arethe result after 8 years follow up for patients have the sugery.There were 68% excellent and good, 22% fair and 10% poor results. Back pain was relieved in 91% of the patients. Leg pain was relieved in 76% of the patients. Numbness was relieved in 87% of the patients. Five patients had re-operations. ...Read more

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Theresa Yang Dr. Yang
7 doctors agreed:
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What are the forms of treatment for menieres disease?

Theresa Yang Dr. Yang
7 doctors agreed:
What are the forms of treatment for menieres disease?

Medication, and more: There is no cure for meniere's disease, but symptoms can be managed with motion sickness medication such as diazepam (valium) or Meclizine (antivert). Antibiotics or steroids can be injected into the middle ear. Hearing aids can help with hearing loss and rehabilitation can help with balance issues. Surgery can be done in patients with severe symptoms. ...Read more

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What is the effectiveness of Ayurveda in treatment of neurodegenerative disease?

What is the effectiveness of Ayurveda in treatment of neurodegenerative disease?

When talking about..: ...Treatments, "alternative" really means "effectiveness not demonstrated" - either never tested, or tested and not found to work. The herb promoted for cognitive health, withania somnifera, does seem to have some effect in animal models, but has not been well-tested in humans, so the answer is, we don't really know. ...Read more

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What are the symptoms of a relapse of leukemia?

What are the symptoms of a relapse of leukemia?

Variable: This is variable but can include fatigue, shortness of breath, fevers, night sweats, easy bruising or bleeding. There may also be no symptoms. ...Read more

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What are the stages of treatment for lupus?

What are the stages of treatment for lupus?

It depends: It really depends on the systems involved and the severity of that involvement. Most start with Plaquenil (hydroxychloroquine) and add meds as the disease dictates. ...Read more