Both the symptoms and course of MS can vary considerably from person to person. Some people have only mild symptoms throughout their lives, while others have episodic attacks. Clinicians are now able to determine the types of MS people have and its likely course.
1) Relapsing Remitting MS (RRMS): This type of MS involves relapses sometimes called attacks/exacerbations, where there is a flare-up of symptoms, followed by periods of recovery (remissions) during which there are fewer symptoms or no symptoms. These relapses can last for days, weeks or months. Exposure to very warm weather or a hot bath may intensify symptoms. Relapses tend to occur at random intervals. Initially, it's common to experience one or more relapse per year and the rate of relapse may often decrease over time. Remissions can last for any length of time, even years.
2) Sndary Progressive MS (SPMS): Many people with relapsing remitting MS gradually develop secondary progressive MS. People with SPMS begin to develop a continuous progressive loss of function. People with SPMS may initially also experience occasional relapses, while others experience a more steady progression of disability. Overall, it affects 40% of people with MS.
3) Progressive Relapsing MS (PRMS): In progressive relapsing MS, people experience a steady worsening of disease from its onset and can also experience occasional relapses. This type of MS is comparatively rare representing about 5% of all MS cases.
4) Primary Progressive MS (PPMS): This disease is progressive from the very beginning and is called Primary Progressive MS. People with PPMS experience a steady worsening of symptoms and a progressive increase in disability. However the rate of disease progressions may vary from person to person.
5) Childhood MS: Even though MS is typically a disease of young adults (20-40 years), childhood MS does occur. Less than 10% of MS patients are under 18 years of age and before 10 years of age, MS is extremely rare, accounting for less than 1% of all cases.
- Bladder and Bowel Function in MS Most patients with multiple sclerosis complain and have obvious disturbances of autonomic nervous system such as the bladder, sexual, and/or bowel dysfunction along the course of the disease. These are closely associated with the quality-of-life, even in those with otherwise minimum disability. chief complaints may be of urgency (inability to hold urine for smallest of times),
- Part III- Did You Know: Facts About Multiple Sclerosis Treatments for MS should focus on Managing the symptoms Reducing the number of attacks and delaying disease progression MS symptoms can be managed in part with medication, physical therapy, and mobility devices. The therapy approach to reduce the frequency of recurrent attacks and delay disease progression in MS is called disease modifying treatments(DMT). Interferons are naturally occurring proteins in the
- Part II- Did You Know: Facts About Multiple Sclerosis MS can cause loss of balance, impaired speech, extreme fatigue, double vision, bladder and bowel dysfunction, sexual dysfunction and mobility problems. People with MS may experience these common bowel problems such as constipation, diarrhoea, and faecal incontinence. Loss of Myelin (covering over the nerve) in the CNS can interfere with nerve signal transmission required for normal bowel
- Did You Know- Facts About Multiple Sclerosis Multiple Sclerosis affects the central nervous system (brain, spinal cord and optic nerves). In MS, the insulation covering the nerves (called Myelin) is damaged. About 85% of MS diagnosed is of the relapsing-remitting type. Relapsing-remitting MS changes to secondary progressive over 10 to 20 years. MS is thought to be an “immune-mediated” disease. MS is not a contagious disease. Women are
- Experts Speak Experts speak: Ask questions to our expert: Prof. M V Padma Srivastava MBBS, MD, DM. FAMS, F.N.A.Sc Room No 708, 7th Floor, Department of Neurology, Neurosciences Centre, AIIMS, New Delhi-110029 Phone/Fax +91-11-26594794 Frequently Asked Questions 1. What Is Multiple Sclerosis? Multiple sclerosis is an autoimmune disease, whereby the body’s own immune system, which normally targets and destroys substances foreign to the body such as