Skip to main content


Types and course of the disease

The course of the disease is different and difficult to predict in each person, but over time, as the MS shows certain regularities when the disease is monitored over a longer period of time, most patients can be classified into one of four MS forms. When determining MS forms, knowledge of the previous course of the disease is used to try to predict a further course of the disease. MS forms are: relapse-remitent, secondary progressive, primarily progressive and progressive-relapse form.
Relapse-remitent form
In 85% to 90% of diseased illnesses begin as a relapse-remitent form. In these patients, unpredictable seizures (so called relapse, exacerbations, mosses, and swabs) are observed, followed by periods when the disease recedes (remission) and in which the patient's condition returns to what was before the attack, and may also be left behind damage. When the patient's condition always returns to what was before the attack, it is usually said that it is a benign form of MS.
Relapses occur within a few days or one to two weeks, and last for one to three months. The frequency and severity of the attack is different and variable in each patient, but can be reduced by treatment. Remissions can last only a few months, but usually last from one to two years. Attacks are more frequent in the first years of the disease with the tendency to extend their duration over time. The number of attacks does not affect definite disability. In about half of patients with this type of disease, a progressively progressive form develops over time.
Secondary progressive form
In this form of disease, there is no complete recovery after the worsening phase, but in time, disability accumulates and the disease is slightly worse, that is, there is a continuous progression of the disease with periods of improvement. This is the most common form of multiple sclerosis.
Primary progressive form
This type of disease affects about 15% of people. These are mostly people in whom the disease started later. There is no remission after the first appearance of the symptoms, but the ongoing progression of damage with the loss of certain functions and abilities starts without a clear-cut attack.
Progressive-relapse form
In this form of illness, progressive deterioration of the disease progresses from the very beginning, but there are also attacks after which the patient's condition can return to the one before the attack or remain slightly worse. The disease progresses continuously between these attacks. This is the most common form of multiple sclerosis.
Other effects on the occurrence and the course of the disease
There are some studies that show that smoking can exacerbate the symptoms of multiple sclerosis. Smoking can cause a sense of lack of air, improper heartbeat, increased preference for airway infections, and this can aggravate health.

Taking alcohol causes bad coordination, disturbance of balance, and interrupted speech, and changes the thinking process and behavior. Although there is no evidence that alcohol consumption worsens MS, the fact is that its symptoms tend to be associated with the action of alcohol.

The ability to conduct electrical impulses with nerve fibers, among other things, depends on body temperature. The rise in temperature causes deterioration, and the reduction in the improvement of symptoms. The heat does not worsen the symptoms permanently. Many patients noted that they were hot and damp weather, hot bath or fever temporarily aggravate symptoms. Therefore, avoiding strong heat and bathing in lukewarm water is recommended. Many have noticed that cooling with ice, ice drinks or cold cloths alleviates symptoms. Air conditioners can be an important part of the equipment that will make it easier for patients with MS to live everyday life.

The risks of general anesthesia that apply to all other patients also apply to patients with MS, with the exception of patients with MS who have breathing problems at the same time; they require cautious application of general anesthesia. Avoiding local anesthesia, such as the frequently used novocaine, is not necessary, except in case of allergy to it. Most people with MS also well tolerate epidural anesthesia. Maternal multiple sclerosis, who received epidural anesthesia during labor, have no more relapse due to this procedure. However, some neurologists, due to potential complications, do not recommend spinal anesthesia.


Popular posts from this blog

Corticosteroids and MS (Part 1)

Corticosteroids and MS (Part 1) Each of us has been treated with Cortisteroids, and Corticosterioids have been used in the treatment of MS since 1950, and today they are the treatment therapy in the treatment of relapse of the disease. The main goal of treatment emergent functional recovery of neurological deficits and prevent the accumulation of neurological deficits that are acquired during an acute exacerbation. With this introduction, they surely started moving your questions around the head. So let's go.
What are corticosteroids?
Corticosteroids are drugs we call steroid hormones. They are synthetically produced hormones and used to treat various pathological conditions in humans. They share glucocorticoids and Mineralocorticoids, and a primitive glucocorticoid is a cortisol that glows the adrenal gland. They can be applied locally as an aerosol-inhalable, skin cream, eye drops or nose, given as tablets, locally into the common space, intravenously and intramuscularly. Drugs from …

ALL ABOUT MS Treatment (Part 11)

Treatment of relapse and some symptoms
Routine therapy for acute relapses is an intravenous high dose of corticosteroids, usually methylprednisolone at a dose of 500 to 1000 mg daily for three to five days. The aim of this therapy is to stop the attack as soon as possible in order to keep as little a consequence of this attack. Although generally effective in short-term symptom relief, corticosteroids do not have a significant impact on long-term recovery. In addition, longer therapy with corticosteroids can lead to osteoporosis, high blood pressure, psychotic reactions, convulsions, and cataracts.
Spasticity, which can be manifested as a permanent contraction caused by an increased muscle tone or transient spasm, is usually treated with muscle relaxants and mitralants such as baclofen, tizanidine, diazepam, clonazepam, and dantrolene. Physical therapy and exercises help preserve existing functions, while various aids, such as a walkway, a stick and a prosthesis, serve to keep the patie…

Food Sustainability

Food Sustainability
When we go to the procurement, we need to carefully select the type of food we buy, and it is very important to check the shelf life, or the date of production, in order to prevent possible negative health consequences. Here are some of the most common questions about food sustainability.

What does the term of food lasts and what is the sustainability of certain foods? The shelf life is the minimum shelf life, the date by which the food retains its characteristic properties if properly stored. Food sustainability depends on the composition, the technological process of production, the sterilization process, the food additives, the type of packaging, the transport and the recommended manner of storage. Some foods are more susceptible to microbiological deterioration and have a short shelf-life. Such products are milk products, creams, shames, ice creams, meat and meat products, eggs. Other foods are subject to chemical changes, especially under the influence of air, an…