What Are The Symptoms Of MS After 12 Years Of

Brief Answer:
It can be due to urinary problem or muri MS.OR spinal problem.

Detailed Answer:
Hi XXXXXXX Perrez1223,
Thank you for the query.
Multiple sclerosis is an autoimmune disorder where the covering sheth of brain & nerves(myelin sheath) is eaten up to cause neurological symptoms.
To start with, it gives varied symptoms for short time& recurs over the time.Getting more &more trouble in over the time.
Yourself with history of back ache,restless legs for last 12 years...with MRI of brain & cervical spine being normal four times during the span..(That indicates absence of ms in the regions scanned for all these years.)you get urinary symptoms from last 15 days only.
* It indicates two possibilities...
- Urinary symptoms due to infection any where in urinary tract ,stone,vaginal,urethral or bladder problems-these need to be investigated & excluded OR confirmed to be followed by cause specific treatment as per need under an expert care.Consult a Urologist/gynecologist.
-Multiple sclerosis / previous spinal injury getting worse over the time to have extended symptoms of nerve damage/pinching. ... The diagnosis would be by analysing sequence of symptom severity ,AND MRI of brain & lumbosacral spine (actually cervical spine affection does not give symptoms of back ache &restless legs ) Early MRIs can remain normal till
noticeable f damage has taken . place
So..well it can be defined as MS after new set of MRI.
Please don't worry..your urinary symptoms are not very long &early identification &treatment would relive you .please consult a Neurologist.
I hope that helps.Anyfollow up query is welcome.
Thanks.

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Brief Answer:
Less likely to be seen in MRI so early.

Detailed Answer:
Hi Dawnperez1223,
Thanks for the follow up query.
You are worried about the MS as possible cause of your recent urinary complaints.
MRI is said to be most reliable investigation to confirm diagnosis of MS...once the characteristic high signal intensity lesions (bright white) in brain or spinal cord.
However appearance of these lesions in MRI can not be certain at given stage of disease.It mostly depends on intensity & spread of the flare up.That is why it may or may not be observed in your urinary symptoms ( being since a couple of weeks only )... specially after a month of normal MRI of Brain & cervical spine.
In case the symptoms repeat again with a period of remission with minimum 1 month gap, your neurologist may advise for MRI lumber spine / test of cerebro spinal fluid for detecting antibodies specific for MS( specially when MRI is not diagnostic).
I hope that helps. For any more information please do not hesitate to ask.
Thanks.

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Brief Answer:
It may or may not show.

Detailed Answer:
Hi Dawnperez1223,
Thanks for the follow up query.
I understand your concern. Ms being an auto immune disease,body destroys it's own central nervous system by inflammation of myelin sheath( protective sheath )on brain neurons or spinal nerves.
Diagnosis of MS is by exclusion of other conditions with same symptoms .The clinical presentation of repeated flare ups of symptoms with minimum gap of one month OR a prolonged process of degeneration with Other supportive confirmatory investigations like MRI of brain / spinal cord with characteristic high signal intensity lesions ( white patches)in brain or spinal cord Or presence of MS specific antibodies in cerebro spinal fluid help in diagnosis.
The factors which decide appearance of MRI findings in MS are obscure & where & when the MRI findings are likely, can not be guessed.
Please understand that is why a 6 monthly MRI is repeated to mark appearance of MRI evidence of MS earliest in doubtful cases.You had got it done in May 2019... You have the urinary symptoms since hardly 2 weeks . So it is very difficult to judge about MRI signs in the short span. It may or may nor show in MRI .
Looking at your anxiety for earliest assessment I would suggest to get MRI done ( with due consultation of your Neurologist) .Can be followed by CSF test for specific antibodies in case MRI is still not conclusive.
I hope that clears the point to you.
Any follow up query is still welcome.
Thanks.

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