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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Is it advisable to have artificial valve for urinary incontinence?

Query: Hi doctor, I have secondary progressive multiple sclerosis. I am a 37 year old male. My weight is 165 pounds and height is 6 feet. My neurologist is treating my MS with two rounds of Rituximab infusions (low dose chemotherapy) every six months and a twice-daily dose of an Ampyra capsule. I also take...  Read Full »

Dr. Raja Ramesh

Answer: Hi, Welcome to Multiple sclerosis is a progressive disease. So with time, incontinence may change in either direction, positively or negatively. The best option is what you have been doing. It is called CIC (clean intermittent catheterization). It is adaptable to all stages o...  Read Full »

I am suffering from insomnia and have a history of multiple sclerosis. Can my insomnia be treated without medication?

Query: Hi doctor, How does multiple sclerosis affect sleep? They say the last solution for insomnia is sleeping pills or medication, but I was considering other alternatives.  Read Full »

Dr. Vishal Anilkumar Gandhi

Answer: Hi, Welcome to Multiple sclerosis is a chronic disease. It may lead to emotional disturbance and physical fatigue, which causes mental illnesses like anxiety and depression with sleep disturbance. You should follow the below lifestyle to deal with your problem. It will help you. 1. Y...  Read Full »

I suffered from multiple sclerosis and optic neuritis and have been under steroid treatment for the last seven months. Can I still take steroids for my recent bout of optic neuritis?

Query: Hi doctor, I am a patient with a history of MS. I have had several bouts of optic neuritis, and I do not take steroids due to their awful side effects. However, I was recently admitted to a hospital for two weeks as I had lost feeling in my legs, accompanied by spasticity and walking issues. I was u...  Read Full »

Dr. Aida Abaz Quka

Answer: Hi, Welcome to I went through your query and understood your concern. I would not recommend taking another treatment with Solu-Medrol (Methylprednisolone), considering the short period of time since your last IV (intravenous) therapy. For this reason, I suggest you start with oral st...  Read Full »

There is a white spot on my daughter's MRI. Could it be multiple sclerosis?

Query: Hello doctor, This question is in regards to my 12 year old daughter. She had a routine eye exam at the optometrist's who noticed that she had blurred disc margins. We were given a referral to an eye specialist, who checked her eyes and said that her vision and peripherals were perfect, but yes, the...  Read Full »

Dr. Vaibhev Mittal

Answer: Hello, Welcome to Please do not worry. A calcium deposit on the optic nerve head is known as an optic disc drusen which are easily seen on a B-scan or CT scan.That small area is in the white matter, and it is not related to optic disc swelling. This could be some incidental finding.Havi...  Read Full »

Why am I having right ear fullness and background noise?

Query: Hi doctor, I am having right ear fullness and it started several days ago. Last night I awoke due to a pulsating pain in my right ear. I hear some background noise and in silent environment, it is most evident. Is that fine? I had Bell's palsy 2.5 months ago on the left side and again, a month ago o...  Read Full »

Dr. Alok Rathi

Answer: Hi, Welcome to You are having sensorineural hearing loss. It is in early stage and mild. So, you are having pulsation in the ear. Another important thing is bilateral Bell's palsy. It is not common. Having facial palsy is not good and the developing sensorineural component...  Read Full »

What causes a left side spasm with muscle pull and vision disturbance in a 15-year-old girl?

Query: Hi doctor, I am the mother of a 15-year-old girl who was adopted. She has no family history and no medical history. She started experiencing back pain in her lower central back. The pain felt like sharp jabs at sometimes and dull at others. This pain progressed to the hips and shooting pains down ...  Read Full »

Dr. Naresh Kumar M.

Answer: Hello, Welcome to I had gone through all the data that you have posted. I can understand your concern being a mother of 15-year-old and facing all this. I will try to help in my way. The first thing is complete detailed neurological examination is very important in this case. Due to ...  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. Basuki Nath 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 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 »

I have had leg weakness and discomfort for a few months. Are there possibilities that I have multiple sclerosis or amyotrophic lateral sclerosis?

Query: Hi doctor, Since few months, I have had leg weakness, but they are not actually weak. They just feel like it. And also feels heavy sometimes. I also have slight shakiness in hands and shooting pains in my left knee. The cardiology checkup was normal, CT scan done a month ago was normal except for an...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to I would like to know some details about your symptoms: 1. since when do you have the symptoms? How long was the duration? Was it of sudden onset or developed slowly over time? 2. How exactly do you feel in your legs? What activities seem difficult with legs - getti...  Read Full »

My MRI reports reveal white plaques. What do they indicate?

Query: Hello doctor, Ten years back, I suffered numbness in my right arm. So I was referred to a neurologist who advised me to do an MRI scan, a few blood tests, and nerve conduction studies. My results were reviewed by my physician and were normal. After that, the numbness disappeared, and I could not get...  Read Full »

Dr. Aida Abaz Quka

Answer: Hello, Welcome to Thank you for your query. I understand your concern and would explain that those white matter lesions on your previous MRI (magnetic resonance imaging) seem related to the diagnosis of RRMS (remitting-relapsing multiple sclerosis). But, the isolated white matter les...  Read Full »

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