How Do People Get Ms – Multiple sclerosis (MS) is an autoimmune disease in which the body’s immune system attacks and destroys myelin, a fatty substance that covers and protects nerve fibers and is essential for the quick and efficient transmission of nerve impulses. Without myelin, nerve communication is affected, causing a variety of symptoms.
MS symptoms vary from person to person, depending on which specific parts of the nervous system are most affected. Severity also varies greatly, which means that each person with MS will have a different experience. Symptoms of the disease include numbness and tingling, fatigue, locomotion problems, pain, vision problems, among others.
How Do People Get Ms
MS is broadly classified into four main types based on the stage and severity of disease progression. They are:
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Clinically isolated syndrome (CIS) is considered the first clinical presentation of a disease characterized by inflammatory damage (loss of myelin). CIS can be considered as the first set of neurological symptoms suggestive of MS. People with CIS may never have another episode of symptoms, or they may progress to full-blown MS.
Relapsing-remitting multiple sclerosis (RRMS) is the most common type of MS and is characterized by relapses (also called exacerbations), which are defined by the appearance of new symptoms or the return of old symptoms, for at least 24 hours and without . changes in body temperature or infection. Relapses are followed by remissions, which are periods of partial or complete recovery from symptoms.
Secondary progressive multiple sclerosis (SPMS) is the stage of disease that follows RRMS. With this type of MS, a person’s symptoms get worse. Relapses can occur in SPMS, but the change in symptoms is usually much less than in RRMS and symptoms do not go away even during periods of remission.
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Like SPMS, primary progressive multiple sclerosis (PPMS) is characterized by symptoms that worsen over time, without the periods of relapse and remission that characterize RRMS. In PPMS, disease progression starts from the onset of the disease – hence the term “primary” progression.
There is no exact list of the first signs of MS, since the manifestations of the disease can be different and completely different among affected people. Several symptoms, however, are common to the disease and can be considered early signs of MS. These are:
Concerned individuals who may have symptoms of the disease are advised to speak with their doctor and keep a record of the occurrence, severity and duration of their symptoms.
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A medical professional with special training in neurology or nervous system disorders can confirm the diagnosis of MS.
Specific symptoms vary from person to person, depending on factors such as where the nervous system is damaged. The severity of symptoms also varies greatly, which means that each person with MS will have a different experience.
Inflammatory attacks in the nervous system can lead to relapses, also called exacerbations or relapses, which are periods of time where one or more symptoms appear or worsen. To include a relapse, these symptoms must last at least one day and may continue for weeks or months.
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Muscle stiffness and tremors, an abnormal increase in muscle tone or stiffness that affects muscle movement, are among the most common symptoms of MS. It is estimated that 60% to 90% of MS patients will experience anorexia at some point.
Damage to the parts of the brain that help control balance can cause dizziness, a variety of sensations that include dizziness, fainting, off balance and confusion. Some people with MS experience vertigo, a more severe form of vertigo characterized by a strong spinning sensation, which can cause:
Due to spasticity and balance problems, as well as fatigue, muscle weakness, and other symptoms, many people with MS have trouble walking, especially in the later stages of the disease.
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Tremors (uncontrollable shaking) can occur in some people with MS. In addition, muscle weakness and nerve problems in the face and jaw can cause abnormal speech or dysphagia (difficulty swallowing).
Fatigue is defined as mental or physical fatigue that prevents a person from carrying out daily activities. It is one of the most common symptoms of MS, affecting around 80% of patients. Among patients with MS, fatigue is associated with unemployment, early retirement and reduced quality of life.
MS-related fatigue can be “primary”, also called lassitude, which is a direct result of myelin damage. This fatigue is unique to MS and is different from that experienced by people without MS: it is sudden, more severe, triggered by heat or humidity, and unaffected by restful sleep. In contrast, “secondary” MS-related fatigue is an indirect result of other MS symptoms such as depression, stress, recent relapses, medication side effects, and sleep problems.
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MS fatigue can be managed through medication and/or lifestyle changes (such as exercise, diet, sleep, and cold showers). Experts also recommend evaluating and treating any secondary causes (such as medication side effects, stress, and sleep problems) to help manage fatigue in MS.
Up to two-thirds of people with multiple sclerosis experience a variety of pain-related symptoms, from headaches and backaches to tonic spasms (pulling, pulling pains) and constant burning pain in the joints. Patients with MS may develop:
Good mental health practices along with exercise, staying socially active, physical massage, chiropractic care, hydrotherapy, acupuncture and/or medication can help manage MS pain and improve quality of life.
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Analgesics (analgesics) are usually not enough to relieve pain caused by nerve damage in the central nervous system; therefore, anticonvulsants, antidepressants, and some benzodiazepines are among the first options for pain management in MS.
In addition to pain, people with MS may experience other unusual sensations, such as numbness, tingling, or uncontrollable itching. They may also experience dysesthesia, which is an unpleasant and possibly painful sensation often described as a burning, stinging sensation or, if it affects the trunk, a whole-body “enveloping” feeling (known as “hugging MS”). .
Another unusual sensation that can occur in people with MS is Lhermitte’s sign: a sudden sensation that feels like an electric shock running down a person’s neck and into the spine, which can then radiate to the joints. Lhermitte’s sign is usually caused by tilting the head towards the chest.
Itchiness As A Symptom Of Multiple Sclerosis
Heat intolerance in MS is common. Heat, in any form, can make MS symptoms worse. This can be triggered by anything that raises your body temperature, including exercise, sunbathing, hot showers, and a fever. Common side effects of heat sensitivity include:
Sexual health issues are also common in MS. Damage to nerve impulses can directly affect arousal and climax, and other symptoms – from emotional issues to fatigue and movement problems – can cause challenges in intercourse.
MS does not directly affect fertility, although symptoms such as impotence can still pose obstacles for people trying to have children.
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Depression – characterized by prolonged periods of sadness, apathy and other negative thoughts – is very common. Depression occurs more frequently in MS than in the general population or other illnesses. It can be directly caused by underlying damage to the nervous system, but some medications can also contribute to depression in some people.
Some people with multiple sclerosis may experience sudden, pseudobulbar bursts of uncontrollable laughing or crying, often for no apparent reason.
Damage to the nervous system can cause difficulty thinking or reasoning, learning, problem solving, and planning. More than half of MS patients will experience cognitive impairment. These changes are usually mild, but more severe cognitive impairment can occur.
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MS can damage the optic nerve, which connects the eyes to the brain. Therefore, the following vision problems can occur in MS:
MS is up to three times more common in women than in men. In general, women seem to be more likely to develop autoimmune diseases. The reason for this difference is probably related to hormonal and chromosomal differences between the sexes. While many of the symptoms of MS in women are similar to those in men, special attention is paid to issues specific to women, including the following:
Some women with MS report that their symptoms are worse during certain parts of the menstrual cycle, especially the week leading up to the first few days of the cycle. The reasons for this worsening of symptoms are still not fully understood, but changes in the immune system and core body temperature during the menstrual cycle have been suggested as possible causes.
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Some women with multiple sclerosis also report that menopausal symptoms, such as hot flashes, make their multiple sclerosis symptoms worse. During menopause, the body stops producing estrogen in large amounts.
Women with MS may experience reduced or painful sensations in the vulva/groin area, as well as vaginal dryness. While there are no specific medications available for these symptoms, vaginal dryness can be alleviated with the liberal use of water-based lubricants.
Climax problems can be solved by stimulating attention – spending more time on foreplay and using a vibrator to overcome slow arousal and sensory meltdown.
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In general, MS does not affect a woman’s fertility. There appears to be no evidence to suggest that women with MS are at greater risk for pregnancy complications, such as a diagnosis of gestational diabetes, needing an emergency caesarean section (C-section), or preterm labor or delivery.
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