Stages, diagnosis, and prevention of multiple sclerosis

Stages, diagnosis, and prevention of multiple sclerosis

Multiple sclerosis is a disease that affects the spinal cord and the brain. Some of the common symptoms of multiple sclerosis are weakening and numbing in the body, blurring of vision, headaches, loss of hearing, speech issues, seizures, and bladder issues. The main treatment of multiple sclerosis focuses on managing symptoms of the disease.

Let us take a look at the stages that the person goes through in case of multiple sclerosis.

Stages of multiple sclerosis

There are four stages of multiple sclerosis. These include:

Clinically isolated syndrome

A clinically isolated syndrome is usually the first attack of multiple sclerosis experienced by patients. It is marked by an inflamed myelin sheath. At this stage, a Magnetic Resonance Imaging (MRI) test is used to make a proper diagnosis.

Relapsing-remitting multiple sclerosis

Relapsing-remitting multiple sclerosis is the most common stage. Most patients experience symptoms of this stage before the age of 30. Patients may experience episodes of symptoms. Relapse in this stage can lead to brain lesions. If patients go into remission, this phase can continue for a few weeks or even several years.

Primary progressive multiple sclerosis

Primary progressive multiple sclerosis usually begins in patients after they cross the age of 40. This form of multiple sclerosis will have continuous symptoms with no gap. Generally, patients do not go into remission during this stage.

Secondary progressive multiple sclerosis

Secondary progressive multiple sclerosis is a very severe form of relapsing-remitting multiple sclerosis. Unlike the relapsing-remitting multiple sclerosis where it is common for patients to experience a break in the symptoms, secondary progressive multiple sclerosis does not have any break in the symptoms and they remain constant.

Diagnosis of multiple sclerosis

There are no specific tests that one can undergo to determine whether they have multiple sclerosis. Therefore, the diagnosis depends on ruling out other diseases that have similar symptoms. This is a process that doctors refer to as differential diagnosis. Here are some of the tests that are a part of the differential diagnosis for multiple sclerosis

  • Blood tests
    After asking you a few questions about your medical history, the doctor will make you do a blood test. The blood test helps the doctor to verify the absence of other diseases. To further enhance the diagnosis, blood tests are currently under study in order to find specific biomarkers related to multiple sclerosis.
  • Lumbar puncture
    In this test, fluid is taken from your spine to search for antibodies. A lumbar puncture can also help to eliminate other possible diseases.
  • MRI
    MRI is used to search for brain lesions. It also helps to look at the spinal cord.

Prevention of multiple sclerosis
To date, multiple sclerosis has no known cure. There also are no confirmed methods of preventing this disease. Experts are currently studying the impact of the environment and genes on the development of multiple sclerosis. Various studies state that vitamin D and coffee were two factors, which have helped in the prevention of multiple sclerosis. Yet, these studies have not been confirmed and are still a part of the ongoing research.

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Understanding arthritis – A common joint condition

The joints are constantly working while we move our limbs, so, understandably, people may develop certain joint conditions that cause pain and compromise mobility, especially with age. One of the common joint conditions is arthritis, which leads to joint inflammation and mild to severe pain. While there are several types of arthritis, the two most common types are rheumatoid arthritis and osteoarthritis. Stages Rheumatoid arthritis has four stages: Stage 1: At this stage, inflammation occurs inside the joints, and swelling, stiffness, and joint pain are the common symptoms. Stage 2: The inflammation of the joint lining, synovium, aggravates at this stage and results in cartilage damage. The affected joints’ range of motion is also compromised, causing pain and discomfort. Stage 3: At this stage, the severity of the joint condition increases, and it leads to bone damage. This results in more pain, loss of mobility, and weakness of muscles. The bones rubbing against each other can cause bone deformity as well. Stage 4: This is the final stage where the joints stop functioning completely. It leads to more pain, stiffness, and swelling, and the bones may even fuse, which is known as ankylosis. Osteoarthritis also has four stages of progression: Stage 1: Wear and tear may affect the knee joints, and minor spur growths on the affected bone can also be seen, but the condition does not cause too much pain at this stage. Stage 2: The bone spur growths increase and cause pain, and the knee joints become stiffer. Stage 3: This stage is characterized by joint inflammation leading to increased pain and stiffness. Walking can also cause popping sounds in the joints. Stage 4: The space between the bones in the joints becomes very narrow, causing the cartilage to wear down. Also, a chronic inflammatory response caused by the breakdown of cartilage aggravates discomfort and pain. Diagnosis of arthritis These joint conditions can be diagnosed using several tests. A physical examination reveals whether a patient has red, warm, and tender joints, and this test also helps examine the fluid around the joints. A rheumatologist can analyze the level of inflammation in the joints to determine the type of arthritis an individual is affected with. Also, blood tests are undertaken to check for antibodies like anti-CCP, rheumatoid factor, and antinuclear antibody. In addition, X-ray, CT scans, and MRI are also performed to check the condition of the cartilage and bones. Prevention of arthritis A family history of joint conditions like arthritis or aging can increase one’s risk of developing arthritis, but making certain lifestyle changes can also help lower the chances of developing the condition. To start with, one should include more foods with omega-3 fatty acids in their diet as these healthy fats are anti-inflammatory. One should also exercise regularly, keep their weight under check, reduce stress on their joints, and try to avoid injuries. Also, if one notices any symptoms of arthritis, they should consult a doctor immediately as early diagnosis goes a long way in managing the condition effectively through timely treatment.

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Diabetes and fruits: What to include and how much

Diabetes is a chronic health condition characterized by unstable blood sugar levels. While treatment and lifestyle changes help manage the disease, eating the right foods is essential. So, are fruits healthy for diabetes? Well, fruits have a lot of nutrients and phytochemicals, which are necessary for the body. But, they are also rich in sugar. Hence, diabetes patients must understand how to add fruits to their everyday meals. Here are some diabetes fruit intake tips. Understand how fruits affect blood sugar Fruits have a natural sugar called fructose, which breaks down quickly and gets absorbed by the liver. However, fructose can bypass a signal that indicates when the cells have consumed too much sugar. This is problematic for diabetic patients as the sugar levels can increase significantly after eating a lot of fructose. The amount of fructose differs among fruits. So, certain varieties may raise sugar levels faster. But, it is challenging to measure sugar responses in patients. For some, eating bananas may not be an issue, but it may cause blood sugar levels to rise for others. Therefore, it is best to consider the fruit's glycemic index (GI), which shows how quickly it will affect blood sugar. The numbers vary depending on how the fruits are prepared. Also, the riper the fruit, the higher the GI. Know the list of acceptable fruits Fruits cannot be segregated into "good" or "bad." But for maximum nutritional value, one must keep an eye on their fiber content (high-fiber options are recommended) and choose a variety of fruits. According to one study, the greater the variety in fruits and vegetables, the lower the risk of type 2 diabetes. Berries like strawberries, blueberries, and blackberries are beneficial for people with diabetes. They are rich in vitamin C, folic acid, fiber, and anti-inflammatory phytochemicals. Citrus fruits, such as oranges, grapefruit, lemons, and limes, are rich in vitamin A, C, and potassium. The nutrients in citrus foods help decrease inflammation, minimize cell damage, and protect against cardiovascular diseases. Keep an eye on portions When including fruits in the diabetic meal plan, patients must stick to one serving per meal. One serving of fruit generally equals 15 grams of carbs. So, the amount one can eat depends on the type of fruit. This list indicates ideal serving sizes for common whole fruits: Apple, orange, peach, pear, or plum: one small piece (or about four ounces) Banana: half (medium-sized) Tangerine: one large or two small (four ounces in total) Kiwi: two small-sized (two ounces each) Apricots: four small, about one ounce each Cantaloupe, watermelon, or honeydew: one cup Grapes or cherries: 17 small pieces Mango: 1/3 portion (medium-sized) Strawberries: 1 1/4 cup Blueberries: 3/4 cup Raspberries or blackberries: one cup Raisins and dried cherries: two tablespoons Other diabetes fruit intake tips to follow Besides keeping the above points in mind, patients must: Choose whole, fresh fruits rather than juices or canned fruit. Pair fruits with protein or fat—for instance, top cottage cheese with pineapple or dip apple slices in nut butter or tahini. Test blood sugar levels before and after eating fruits to understand the safe ones. Speak to a doctor before changing a meal plan.

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