Multiple Sclerosis

Multiple sclerosis, otherwise called MS, is an autoimmune disease that affects the central nervous system (brain and spinal cord). Here, the immune system attacks and damages the myelin, the protective sheath that covers nerve fibers. This damage can result in permanent damage to the nerves.

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I have been diagnosed with multiple sclerosis. Can you please help me?

Query: Hi doctor, I am a 24-year-old married woman. I have symptoms of a tingling foot. I stay back in the shower for a long time, and I wear a sundress on a beautiful spring day to work. I wake up earlier than required. I get the pin and needle sensation in my legs (tingling sensation) too often, and it h...  Read Full »

Dr. Florilyn Joyce Chulsi Bentrez

Answer: Hello, Welcome to I can understand your concern. I see that you are diagnosed with multiple sclerosis (MS). The course of the disease will tell the pattern of the MS. It can go away and come back once triggered. Treatments are offered to speed recovery and modify the course. You can sti...  Read Full »

Can you please suggest some drugs for the inflammation of the brain?

Query: Hello doctor, My sister's daughter, aged 14 years, was having double vision from past one week. After having an MRI, a neurologist looked at the scans and said she had multiple sclerosis (MS). He pointed out that she had many white spots (lesions) on the brain scan and also, she has inflammation of...  Read Full »

Dr. Aida Abaz Quka

Answer: Hi, Welcome to I understand your concern. There is no over-the-counter medication for inflammation in multiple sclerosis. You should know that high-dose steroids are the main therapy in these cases, and they are not over-the-counter medications. Anyway, there is no reason to panic as...  Read Full »

What can be the reason behind severe shifting pain with numbness and weight loss?

Query: Hello doctor, I have multiple sclerosis, diabetes, and epilepsy. However, I am usually numb to pain, my bowels function fine, and my temperature is normal. I got two shots of the vaccine for COVID. Hence, over the last three or four weeks, I initially got pain in both kidney areas, but not from them...  Read Full »

Dr. Bn Bhagat

Answer: Hello, Welcome to I have read your query. I am sorry for such discomfort you are having. Your description of the symptom does not fit the usual suspects. Therefore I would like to ask you a few questions; Do you have any aggravating or relieving factors for the pain in the mentioned...  Read Full »

Can I take antidepressants along with multiple sclerosis medications?

Query: Hello doctor, I have had multiple sclerosis for five years. I have been taking Tysabri once a month from four years. Recently, I have been more depressed. My psychologist suggests that I take Prozac for my depression. Does Prozac interact with Tysabri? I have read online that it is risky. I am attac...  Read Full »

Dr. Seikhoo Bishnoi

Answer: Hello, Welcome to The study which you have mentioned is not a proper research study. The sample selection is random and there are many biases in this study. I could not find any specific study that discusses drug interactions between Tysabri (Natalizumab) and Prozac (Fluoxetine). But, o...  Read Full »

Why do I have an increased signal intensity within the cervical cord?

Query: Hello doctor, I have increased signal intensity within the cervical cord at C2 and C4 levels. The cervical discs have degenerated with some loss of normal disc height and hydration. What does this mean? I also have multiple sclerosis. My current medications are Gilenya, Amitriptyline, Omeprazole, a...  Read Full »

Dr. Aida Abaz Quka

Answer: Hello, Welcome to I would like to know if you have performed any brain MRI (magnetic resonance imaging) study. These lesions in the cervical spine could be related to many possible causes. They could be MS (multiple sclerosis), cervical myelopathy, myelitis, neuro infections, etc....  Read Full »

My friend has multiple sclerosis associated with Borrelia, and she is not showing improvement. Why?

Query: Hello doctor, A friend of mine has started treatment for MS, but she is not showing any progress. MRI showed MS-like lesions. She did a Lyme disease test and also has received some positive antibody results. Borrelia burgdorferi Immunoblot IgG - p41 is positive, Borrelia burgdorferi Immunoblot IgM ...  Read Full »

Dr. N. Ashok Viswanath

Answer: Hi, Welcome to I understand your concern. I acknowledge the lab reports attached (attachments removed to protect the patient's identity) with this query. The serological lab reports suggest Borrelia infection with neurological involvement (Multiple sclerosis). Borrelia infection durin...  Read Full »

When I cleared my throat, blood-tinged mucus came out. What can be the reason for it?

Query: Hi doctor, I am a 37-year-old female. When I cleared my throat, thick mucus with blood came out seven months back. It was dark red and thick, and when I called my doctor, he sent me to the hospital as he thought it could be a clot in the lung. I got the blood test done, and it was normal. The chest...  Read Full »

Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to Thanks for writing in, and I understand your concern. According to your statement, you have noticed thick blood with mucus while clearing your throat.Sometimes a vigorous cough can irritate the upper respiratory tract and tear the blood vessels, which may cause coughing...  Read Full »

What scan is used to detect multiple sclerosis?

Query: Hello doctor, I have muscle spasm, nerve pain, numbness, dizziness, and pain while swallowing. I could not move my neck or throat muscle. I also have speech difficulty and difficulty in coordinating my body movements. It is hard to explain, but it feels my mind cannot tell my body to move corre...  Read Full »

Dr. Aida Abaz Quka

Answer: Hello, Welcome to I understand your concern, and as your MRI (magnetic resonance imaging) is normal, I would exclude MS (multiple sclerosis). There is no need for contrast when there is no brain lesion. The contrast is used to differentiate between old and ...  Read Full »

Would you please check the results of my neck sonogram and interpret the results?

Query: Hi doctor, I am 47 years old, 5 feet 3 inches tall, weigh 165 pounds. I am a MS patient and I take Aubagio 7 mg. My MS is under control with no problem and it is stable. I was feeling very tired, had pain on the neck before four months. I went to the doctor and she sent me to do a neck ultrasound a...  Read Full »

Dr. Bn Bhagat

Answer: Hello, Welcome to I have read your query, and I can understand your concern. Lymphadenopathy is benign and self-limited in most patients. It refers to lymph nodes that are greater in size than 1 cm or abnormal inconsistency. A detailed and relevant medical history and physical exa...  Read Full »

I had an MRI with a possible indication of MS. What type of MS could it be?

Query: Hi doctor, I had an MRI with a possible indication of MS. I want to know based on the following symptoms, what type of MS it could be? A few weeks back, I had blurry vision in one eye for 20 to 30 seconds. My bladder wall is thick, and I had frequent urination problem. I consulted a urologist, and...  Read Full »

Dr. Ashok Kumar Choudhary

Answer: Hi, Welcome to I read your query and understand your concerns. Although many of your symptoms can be explained by other factors, the presence of symptoms in collaboration with deep white matter changes points toward the possibility of multiple sclerosis. Among the given symptoms, trans...  Read Full »

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