MS is a debilitating disease, with the most common symptom being fatigue. MS patients may experience fatigue all day long, which is made worse by hot weather, exertion, and illness. In addition, excessive heat may cause nerve pain and extreme muscle weakness. Therefore, people with MS should avoid hot baths or showers and find ways to cool themselves. In addition to these physical symptoms, a patient may experience depression or anxiety.
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MS develops when the immune system attacks nerve tissue and a layer of protein called myelin, which surrounds the fibers in the central nervous system. Myelin protects the nerve fibers from damage and helps carry electrical signals. Once the myelin is damaged, electrical signals are no longer efficiently transmitted. This damages the nerves and results in permanent disability. Because MS is unpredictable, symptoms vary with severity and frequency.
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In addition to the symptoms of the disease, doctors can also use other tests to determine the cause of MS. In addition to blood tests, a lumbar puncture, or spinal tap, may be performed. This test will look for immune proteins in cerebrospinal fluid. If MS is suspected, blood tests may be ordered for other conditions similar to MS. The most accurate diagnosis can help slow the progression of MS, and early treatment can make it manageable.
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Multiple sclerosis can occur at any age, although the disease often develops in people aged 20 to 40. Women are more likely to have relapsing MS than men, and it tends to begin in the reproductive years. However, it is important to note that MS does not have a fatal outcome. MS can cause many symptoms, ranging from difficulty walking to vision problems. A doctor can help a patient understand these symptoms and determine what the best treatment options are for their particular condition.
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Speaking problems are another common symptom of MS. These issues often manifest as slurred speech. Similarly, some sufferers may experience difficulty swallowing. Other symptoms may include difficulties articulating words, difficulty swallowing, and bowel issues. Depending on the severity of the disease, the patient may experience a combination of these symptoms. In addition, some people experience difficulty chewing and swallowing. In addition to these symptoms, a healthcare professional may recommend further testing to determine if MS is the cause of speech problems.
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Currently, there is no cure for MS and many people with MS do well without therapy. Several MS medications can have serious side effects and have significant risks. Steroids are typically prescribed to treat the acute symptoms of an attack but have little impact on the course of the disease over the long term. However, there are several FDA-approved drugs that treat multiple sclerosis and delay the progression of the disease. These drugs can be administered intravenously, orally, or by infusion. During a relapse, patients should seek the advice of a trained physician before taking any medication.
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A full neurological exam and history are necessary for a diagnosis. The doctor may perform several diagnostic tests, including an MRI of the brain and spine to identify lesions that are characteristic of MS. A lumbar puncture may be used to determine if there is cerebrospinal fluid or if other conditions have caused the disease. Additionally, blood tests may be performed to rule out other conditions that might mimic the symptoms of MS.
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Multiple sclerosis is not a curable condition, but there are medications and neurorehabilitation that can help patients manage their symptoms. Neurorehabilitation and medications can improve bladder spasticity and other symptoms. If diagnosed early, these treatments may help the patient achieve a better quality of life and improve their functional status. In the 1870s, French neurologist Jean-Martin Charcot first recognized multiple sclerosis as a separate disease and summarized previous reports. Charcot called the disease Sclerose en plaques.
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In addition to the physical symptoms, emotional changes can occur when the disease progresses. The emotional toll of MS is unpredictable. Because the disease damages the nerve fibers in the brain, it can have a strong impact on emotions, as well. As a result, the emotions of an MS patient may be affected by the medications they take. A patient may feel sad or depressed, or experience difficulty concentrating and paying attention.
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Relapse symptoms may affect the patient’s ability to work and participate in everyday activities. Because MS is episodic, a patient’s symptoms may change throughout their lifetime, so a person should inform their healthcare team immediately when they experience a relapse. A health-care team can offer support and advice to help them regain their independence and maximum level of functioning. Rehabilitation programs can also improve a patient’s physical, emotional, and social quality of life.
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