Suggest Treatment For Secondary Progressive MS
progression of multiple sclerosis
Detailed Answer:
Good evening.
Thank you for writing on health care magic
Well secondary progressive multiple sclerosis tends to overlap remitting relapsing at course when it slowly starts progressing. But it is hard to predict how fast and what all the symptoms it will cause. The most common predictor for multiple sclerosis is the number of episodes and the system involved initially. For example optic neuritis is a sign of a good prognosis.
To exactly tell you how the disease will behave, it will be helpful if you could tell me what were the initial symptoms you experienced?
2. Number of episodes per year or number of episodes you have had till now
3. MRI findings would be helpful as well
4. Current medications you are taking for multiple sclerosis?
5. The most severe episode you had like a paralysis or loss of vision which recovered eventually?
Since already 18 years have passed it makes it less likely that it may cause major central nervous system involvement.
But do let me know these queries. Would be useful in predicting the disease response.
Regards
Dr naval
Could be Secondary Progressive Multiple Sclerosis
Detailed Answer:
Good evening
Sorry for the delayed reply. Had got stuck up with family issues
Well you have had a rough course throughout. I read through the history but what I could not get is: You said you haven’t been formally diagnosed as Multiple Sclerosis. If you could throw some light on it that would be great. Cause if you have been diagnosed as Multiple Sclerosis, then there are many good treatment options available. Prednisolone is one drug for the acute stage, but now they have plenty of Biological Drugs available which help control the disease like Natalizumab. So I would like to clarify on this aspect regarding your diagnosis and if it is MS, then you should be on some treatment.
Secondly, the symptoms you are experiencing now are more of Fibromyalgia ones with lot of fatigue, forgetfullness, irritability. Never the less, it can still be a part of Multiple Sclerosis as well.
Also, I feel you need to include Vitamin D supplements in your diet. It will help your fatigue as well and plays a very important role in Multiple Sclerosis.
If you could mail me your results that would be good, I can go through it once. Also, if it is Really MS we need to put you on treatment for it ,so we can curtail it. And you need to ask your rheumatologist to start you on Duloxetine/Amitryptilline for the other symptoms. It will definitely help you.
Do let me know for more queries
REgards
Dr Naval
My NAB - low
Vit.D - Low
Muscle inflammation is High
Fatigue- sleep - 10- 24 hours at a time.
Weakness- Physical Therapist told me I am a very weak person.
Inflammatory tests high
Thyroid - low
Tremors- intentional- moderate to severe- including head.
body jerks - need Xanax to stop
Pain in left ear and left eye - not able to sleep on that side when it is acting up.
slurred speech
lack of bowel control at times
bladder infections
Staring off into space when 1st get up or tired.
Heat makes me sick, staring and tired . Mostly tired.
buzzing, tingling, whooshing sounds in head.
looking up and too left with eyes is painful and makes my head shake.
head shakes with tremors
electric like shocks back, arms, legs
Total exhaustation of my limbs - pain with it. Can't use them for a while. happens a lot when driving car.
Total Body numbness at times.
Feeling light headed or dizzy
Feeling light headed? I don't know how to explain it. Strange.
multiple sclerosis likely
Detailed Answer:
Good evening
Sorry for the delayed reply. Had my emergency shift going on.
I have gone through your symptoms list. A lot of them can fit into multiple sclerosis/fibromyalgia and Vitamin D Defeciency. I feel we need to plan the course of action for you as your quality of life is getting compromised.
I do see the main problem you are having is a lot of fatigue. The fatigue in Multiple Sclerosis is mostly after exertion and gets relieved with rest. You seem to be experiencing it. I feel you should consult your Neurologist once and ask him if there is Muliple Sclerosis, why arent you being treated for it. Loss of bowel and bladder control along with Uthoff symptoms( Worsening on Heat) can very well be a part of it. As you don't have any paralysis or loss of vision, you will benefit from low dose of steroids along with another medication which they feel appropriate for you.
Secondly start Replenishing your Vitamin D. It can help alleviate the fatigue component and relieve the muscle aches and body pain.
Thirdly, as i had mentioned before you will need some mood stabilizing drugs as well. All this long course of illness is making you more depress and we need to get you out if it primarly.
You should seek an appointment at the earliest with your neurologist and get these issues sorted out. You will feel much better once the treatment commences and it will definately improve your quality of life.
Hope the information was useful. Do let me know for more queries. Would be happy to help out.
Regards
Dr Naval
I get really wobbly and weak.
left eye and ear pain where I Can't sleep on that side.
My eye pains started in both eyes. Couldn't be near light and bad headaches. Opthlamologist said he didn't know what it was after checking me several times. flunked the shrimer test with 0-4 moisture. Severe pain. That was 20 years ago. It has improved a lot over the years. XXXXXXX test positive, NAB positive - low- homogenous, with low white cells years later.
C- Reactive high.
Alpha 2 near high by .01 point.
Deep tendon reflexes 2-3+.
High ESR.WEStergren 35
Generalized muscle weakness
no erosive arthritis
co2 - low
Lymph - low
confusion
hematemesis
inflammatory arthritis
GGT -high
alkaline phosphatase
sed. rate-35
crp-2.2
Did not meet criteria for - Lupus,
rheumatoid arthritis, or a connective tissue disease.
no fibro points.
vision loss and blurring
hyperreflexia
pain in joints and
d muscles
;;;
? Multiple Sclerosis
Detailed Answer:
Good evening
Thank you for your reply
I have gone through your reports. I still feel you need to sort out with your neurologist here if it is really multiple sclerosis. You dont fit with SLE or Rheumatoid at all. There are no symptoms of joint pains/oral ulcers/rash/hair fall and the tests are not suggestive of it as well.
I would suggest you to follow the advise i mentioned earlier.I feel it will really help your cause and improve the quality of your life as well.
Do let me know for more queries
Regards
Dr Naval
?/multiple sclerosis
Detailed Answer:
Good evening.
Oh yes feel free to buzz whenever you want..I am glad if I could be of some help
Regards
Dr naval