
Suggest Treatment For Swallowing Difficulty While On Treatment For Myasthenia Gravis

Swallowing difficulty may be due to myasthenia gravis.
Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
Some patients can have isolated swallowing difficulty in myasthenia.I would like to know the following details-
1)Which muscles were primarily involved with your myasthenia gravis illness?Restricted to speech,swallowing,extraocular or generalized?
2)Since when you are having this 'something stuck in my throat' problem?Is it of fluctuating course as the symptoms typically are in myasthenia?
However,itching and rash don't appear to be related to the illness.
Please follow up with details so that I can answer this well.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)


It is just over the last 3 months that I have had the throat thing, although about a year ago had the same problem and could not eat much, lost weight. At the moment I still eat, watch what I eat.
Trial of mestinon is warranted.
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up and providing further details.
Considering your clinical details, a trial of mestinon appears warranted because these symptoms can be a part of your myasthenia.So, start mestinon and observe if the symptoms improve.
If you have some further questions,I shall be glad to have you in follow-up.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

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