The onset and duration of Multiple Sclerosis (MS) symptoms vary considerably depending on the type and severity of the disease. MS sufferers can experience episodes that last from days to weeks or months, and these attacks can be triggered by a variety of factors, including fever, hot baths, and exposure to sunlight. MS is also known to recur, with symptoms relapsing at irregular intervals. Symptoms can affect a variety of body parts, and many patients experience varying degrees of fatigue, particularly in the late afternoon or evening.
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While no specific pattern exists for the onset of MS, it tends to develop in four distinct patterns. Relapsing-remitting MS is the most common form of MS, with about 85 percent of patients being diagnosed in their 20s and 30s. In primary-progressive MS, the symptoms do not improve with time and the disease progresses slowly over years. The secondary-progressive form of MS is more severe than primary-progressive MS, with symptoms recurring frequently but not progressing.
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While MS sufferers may find it difficult to walk during pregnancy, the weight gain will likely shift their balance, requiring wheelchairs and walking assistance devices. In addition to causing fatigue, pregnant MS patients may also suffer from urinary tract infections, so it is important to stay well-hydrated during pregnancy. If you do experience symptoms of MS during pregnancy, you should visit your doctor to get tested for pregnancy-related MS. They can advise you on the best ways to cope with these challenges.
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Muscle weakness and spasticity can occur as a result of MS, and symptoms can make walking difficult. Muscle weakness can also affect balance and cause dizziness and pain. Pain may also affect cognition. While the physical symptoms of MS may be apparent immediately after diagnosis, some people experience cognitive dysfunction. Cognitive dysfunction can be a sign of depression, anxiety, or other conditions, but is not a specific sign of MS.
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MRI scans and other tests can help confirm diagnosis. These can identify active and inactive lesions in the brain, as well as abnormal reflexes. A lumbar puncture can be used to check for abnormal cerebrospinal fluid (CSF) or to rule out other conditions that have similar symptoms. A nerve function study is another way to confirm a diagnosis of MS, although it is not commonly used.
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There are many different types of MS, with different symptoms in some people. In a typical person, they can have one type of the disease at a time, and progress from one form to another. It is difficult to pinpoint exactly when a patient’s condition transitions from relapsing to progressive MS, but the disease progression is often slow. However, the progression of the disease is often undiagnosed, making it difficult to diagnose and treat.
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Cognitive impairment refers to a variety of high-level functions of the brain that are affected in more than 50 percent of individuals with MS. Cognitive impairment can result from the effects of the disease itself, as well as from changes in the immune system and neurologic system. It poses a serious challenge for people living with the disease. The condition of cognitive functioning can be exacerbated by the stress of living with the disease, resulting in fatigue and difficulty focusing.
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Primary progressive MS is the most common form of MS. In this form, symptoms gradually worsen and relapses are common. It is important to note that this form of MS is a long-term form of the disease, as it can cause new lesions in the brain. MS can affect any part of the body and lead to disability. Some people may even lose the ability to write or speak. But this is not uncommon in patients who have secondary progressive MS.
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The immune system attacks the myelin sheath surrounding nerve cells in the central nervous system. Normally, this sheath protects nerve cells from harmful microbes. In case of Multiple Sclerosis, the immune system attacks myelin, causing scarring that slows down or blocks the flow of information between the brain and body. Because the brain is affected, vision problems and other aspects of cognition can be affected.
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Inflammation of the optic nerve, a vital extension of the central nervous system, is another common symptom of MS. Early diagnosis can prevent deterioration and significantly alter the course of the disease. The symptoms include blurred vision, flashing lights, and changes in color. Sometimes, eye movement may also be painful. The eye may be inflamed and painful, but it will recover within a few months. There are rare cases of permanent vision loss in people with optic neuritis.
