The Cultivate an Exceptional life Podcast is where Leisa Watkins uncovers stories, strategies, and resources designed to inspire and encourage you to cultivate better health, more happiness, and joy, despite the challenges life throws in our path.


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When I was first diagnosed with Multiple Sclerosis I had some many questions. Here are a few of the most important ones, with answers.

What is multiple sclerosis?

Multiple sclerosis is an autoimmune disorder in which the healthy tissue in the central nervous system (CNS), which is made up of the brain, spinal cord and optic nerves, is attacked by the body. The attacks focus on the myelin sheaths of nerve cells, causing mis-signaling which can impair a person’s normal functions.

What are the most common symptoms of MS?

MS symptoms vary depending on which nerve cells are being damaged, and to what extent. Typical Multiple Sclerosis symptoms to watch out for include:

* Blurry vision
* Loss of vision in one eye
* Pain in one eye upon movement
* Loss of balance
* Poor coordination/clumsiness
* Slurred speech
* Slow speech – trouble in expressing information
* Brain fog, a lack of mental sharpness
* Tremors and shaking
* Numbness in the arms and legs
* Tingling
* Muscle spasms
* Urinary issues
* Bowel issues, such as constipation
* Sleep problems

Who gets MS?

Anyone may develop MS but there are some patterns. More than two to three times as many women as men develop MS, and this gender difference has been increasing over the past 50 years. In fact, women generally tend to develop autoimmune disorders more often then men.

Studies suggest that genetic risk factors increase the risk of developing MS, but there is no evidence that MS is directly inherited. However, those with family members who have it may be at greater risk.

Environmental factors such as low vitamin D and cigarette smoking have also been shown to increase the risk of MS. MS occurs in most ethnic groups, including African-Americans, Asians and Hispanics/Latinos, but is most common in Caucasians of Northern European ancestry.

When is MS usually diagnosed?

Most people are diagnosed between the ages of 20 and 40, although there have been cases as young as 2 and as old as 75. I was 55 when I was diagnosed – but likely had it for years.

Can an MS Diagnosis Be Wrong?

Yes, it is possible for a multiple sclerosis (MS) diagnosis to be wrong, as with any medical diagnosis.

The diagnosis of MS is based on a combination of clinical evaluation, medical history, neurological exams, and imaging tests such as magnetic resonance imaging (MRI) and cerebrospinal fluid analysis (CSF). However, these tests are not 100% accurate, and misinterpretations or errors can occur.

There are several factors that can lead to an incorrect MS diagnosis. For example, other conditions may have similar symptoms to MS, and it is possible for a person to have more than one condition that contributes to their symptoms. Additionally, changes in MRI results or other tests may be misinterpreted or attributed to MS, when they may be due to other factors.

It is also important to note that MS can be difficult to diagnose in its early stages, and some people may not receive a definitive diagnosis until they have experienced multiple relapses or symptoms over time.

If there is uncertainty about an MS diagnosis, healthcare professionals may recommend additional testing or a referral to a specialist for a second opinion. It is important for anyone with an MS diagnosis or suspected diagnosis to work closely with their healthcare team to ensure that they receive the most accurate diagnosis and appropriate treatment.

How many people have MS?

More than 2.3 million people are affected by MS worldwide. This number may be larger due to the confusing nature of MS symptoms, leading to cases going undiagnosed.

Why Is it Hard to Diagnosis Multiple Sclerosis?

Multiple sclerosis (MS) can be difficult to diagnose because its symptoms are often similar to those of other neurological conditions. The symptoms of MS can also vary widely from person to person and can change over time. This makes it challenging to recognize and diagnose the condition, especially in its early stages.

Another reason why MS is hard to diagnose is that there is no single test or imaging study that can definitively confirm the diagnosis. The diagnosis of MS is typically based on a combination of clinical evaluation, medical history, neurological exams, and imaging tests such as magnetic resonance imaging (MRI) and cerebrospinal fluid analysis (CSF).

Furthermore, MS is a disease that affects each person differently, with varying patterns of symptoms and progression. This makes it difficult to predict the course of the disease and to develop a standardized approach to diagnosis and treatment.

Despite these challenges, advances in diagnostic techniques and treatment options have improved the ability of healthcare professionals to diagnose and manage MS. It is important for anyone experiencing symptoms suggestive of MS to seek medical attention and to work closely with their healthcare team to obtain an accurate diagnosis and develop an individualized treatment plan.

Are the symptoms of MS the same for everyone?

No. Symptoms of MS are unpredictable. They vary in type and severity from one person to another. The can also vary in the same person over time. Symptoms may disappear completely, or they may persist and even worsen over time.

Is there more than one kind of MS?

Yes. There are four kinds:

* Clinically isolated syndrome (CIS)
* Relapsing-remitting MS (RRMS)
* Primary progressive MS (PPMS)
* Secondary progressive MS (SPMS)

RRMS is the most common, with around 85% of all patients suffering from this type.

Does Multiple Sclerosis Show Up on a Blood Test?

No, multiple sclerosis (MS) does not show up on a blood test. MS is a neurological disorder that affects the central nervous system, specifically the brain and spinal cord. The diagnosis of MS is typically based on a combination of clinical evaluation, medical history, neurological exams, and imaging tests such as magnetic resonance imaging (MRI) and cerebrospinal fluid analysis (CSF).

Blood tests may be used to rule out other conditions that have similar symptoms to MS, but they cannot confirm or diagnose MS. However, there are certain blood tests that may be used to help support a diagnosis of MS or monitor the disease activity, such as tests for certain antibodies that are associated with MS, or tests that measure inflammation or immune activity in the body.

Overall, the diagnosis of MS requires a comprehensive evaluation by a healthcare professional who specializes in treating neurological disorders.

What should a person with RRMS expect in terms of their illness?

Relapsing-remitting MS means the course of the disease will not be a steady decline, but more of an unpredictable pattern. After the initial presentation of MS, a person’s symptoms may vanish. Or, one symptom may linger, while others disappear. This would be termed a remission period.

However, at the next flare-up when symptoms appear again, there might be different symptoms, or others that will get worse, or better. Some might even become permanent.

Does MS always cause paralysis?

No. More than 66% of people will MS will never become severely disabled. They should still be able to walk, though they may need assistive aids.

What Doctor Diagnosis’s Multiple Sclerosis?​

A neurologist is the medical professional who typically diagnoses multiple sclerosis (MS). Neurologists are doctors who specialize in the diagnosis and treatment of conditions that affect the brain, spinal cord, and nerves.

When a person experiences symptoms suggestive of MS, such as vision problems, weakness, numbness, or tingling in the limbs, a neurologist will perform a comprehensive neurological examination, which may include tests to assess the function of the nervous system, such as reflexes, coordination, and sensation.

If MS is suspected based on the clinical evaluation, the neurologist may order further tests such as magnetic resonance imaging (MRI) scans of the brain and spinal cord, cerebrospinal fluid analysis (CSF), and other tests to rule out other possible conditions that have similar symptoms. Once a diagnosis of MS is confirmed, the neurologist will work with the patient to develop a treatment plan that is tailored to their specific needs and symptoms.

Is MS fatal?

In rare instances, MS can progress rapidly from the point at which it is diagnosed, and prove fatal. However, in the majority of cases, those who practice good self-care have a good chance of living close to the normal life expectancy of people in their country.

Is MS contagious?

No, it is an autoimmune disorder within one’s own body.

Hopefully, these answers will help give a better understanding of MS. If you or any of your family are diagnosed with this condition, it helps to be fully informed.

What questions do you have?
Leave a comment below and I’ll edit this page and do my best to answer them.


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