While MS varies in its symptoms from person to person, the disease is categorized into primary and secondary forms. The primary form, relapsing-remitting MS, affects 85 percent of people and typically begins in a person’s 20s. Secondary progressive MS, on the other hand, begins with relapsing-remitting MS and gradually progresses. In addition to the symptoms of MS, people with MS may also develop mood and anxiety disorders, cognitive impairment, and/or dementia.
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The disease results from damage to the myelin sheath covering nerve cells in the central nervous system. The immune system attacks this myelin repeatedly, causing lesions that interrupt the nerve fibers and affect the flow of information between the body and brain. These lesions can affect one’s cognitive capabilities, although these effects are mild in the early stages. In the later stages of MS, patients may suffer permanent visual impairments.
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While the causes of MS are many and varied, the symptoms can be similar to those of another disorder. One such symptom is decreased mobility. People with this condition may be unable to move their legs, which increases the risk of bone fractures. Other symptoms may include difficulty with concentration, poor attention, and a fuzzy memory. However, in many cases, the symptoms of MS are so mild that no one can detect the underlying cause.
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There is no specific test for diagnosis of MS. As a result, diagnosis of the disease is difficult during the early stages. However, strict diagnostic criteria have been updated several times in the past. These criteria are based on recurrent attacks in different parts of the CNS at different times. A person with MS must experience relapses at least once in a lifetime and develop new symptoms or worsening of existing symptoms.
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Using prevalence tables for various symptoms can help researchers better understand the course of MS. The tables provide validation of patient self-reports and can be used to reassure pessimistic outlooks. For example, a prevalence table for mobility indicates that wheelchair use is not inevitable in the early stages of the disease. One out of five NARCOMS participants still reported some form of mobility problems after 30 years of the disease.
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The most common form of MS is relapsing-remitting. These episodes last for weeks to years, but they can also be referred to as relapses. Secondary-progressive MS, on the other hand, progresses steadily. In patients with RRMS, symptoms may worsen during remissions but may not occur during these periods. If a patient experiences two or more relapses, the symptoms of secondary-progressive MS are often worse than those of primary-progressive MS.
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In addition to disease-modifying drugs, doctors can also prescribe intravenous immunoglobulin (IVIG) or steroids. These medications contain antibodies from healthy blood donors and can reduce the unwanted immune response in patients with MS. However, despite their potential benefits, steroids may have harmful side effects and are rarely used in the early stages of the disease. However, the side effects of these drugs should not prevent people from taking these medications.
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A patient suffering from MS may experience difficulty swallowing, speaking, or articulating words. This condition can also affect one’s ability to control their bowels. They may experience constipation and bowel problems. Another symptom is dizziness, where they feel lightheaded or spin around. However, unlike in other MS symptoms, dizziness is only temporary. While it does not mean the room is spinning, it can be a symptom of an attack.
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Despite the widespread nature of MS, most sufferers do not become totally disabled and continue to live a normal life. Symptoms of MS can be difficult to spot. Some people with MS will experience fatigue, numbness, and tingling. In later stages, there may be changes in perception, sensitivity to heat, and difficulty with physical activities. Fortunately, the disease is treatable and can be managed effectively with physical therapy, drugs, and physical therapy.
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One of the most common symptoms of MS is depression, and the condition is more common in people with MS than in the general population. Some of the other symptoms include pain, spasticity, and speech disorders, including slurring and dysphonia. Speech problems usually start in the early stages of the disease, but people with the condition may also experience hearing loss or stuttering. One-quarter of people with MS experience impaired taste.
