Customer question:
How do the first signs of multiple sclerosis appear? Anonymous customer's question
Pharmacist's answer:
Signs and symptoms vary significantly between patients and depend on the location and severity of nerve fiber damage in the central nervous system. Some people with severe multiple sclerosis may lose the ability to walk or move independently. Other individuals may experience long periods of remission without new symptoms, depending on the type they have.
The most common symptoms include:
- Muscle weakness: people can develop weak muscles due to lack of use or stimulation of them due to nerve damage.
- Numbness and Tingling: Tingling is one of the earliest symptoms of MS and can affect the face, body, arms, and legs.
- Lhermitt's sign: a person may experience an electric shock-like sensation when the neck is moved, known as Lhermitt's sign.
- Bowel problems: Constipation can cause a blockage in the stool, leading to bowel incontinence.
- Fatigue: this can impair human ability and productivity at work or home and is one of the most common symptoms.
- Dizziness: a common problem, along with balance and coordination problems.
- Sexual Dysfunction: Both men and women can lose interest in sex.
- Spasticity and muscle spasms: damage to nerve fibers in the spinal cord and brain can cause painful muscle spasms, including in the legs.
- Tremor: some people with MS may experience involuntary shaking.
- Vision problems: some individuals may experience double or blurred vision and partial or total vision loss - this usually affects one eye at a time.
- Changes in walking and mobility: MS can change how you walk due to muscle weakness, balance problems, dizziness, and fatigue.
- Emotional changes and depression: Demyelination and damage to nerve fibers in the brain can trigger emotional changes.
- Learning and memory problems can make it difficult to concentrate, plan, learn, prioritize, and multitask.
- Pain: Neuropathic pain is a direct result of MS, while spasticity or muscle stiffness can cause localized pain.
- Bladder problems: a person may have trouble emptying their bladder or need to urinate frequently or suddenly, known as urge incontinence.
Less common symptoms include:
- headaches
- hearing loss
- itching of the skin
- breathing problems
- epileptic seizures
- speech disorders
- swallowing problems
There is also a greater risk of urinary tract infections, reduced activity, and loss of mobility. In the later stages, people may experience changes in perception, thinking, and sensitivity to heat. MS affects individuals differently. Some start with a subtle sensation, and their symptoms do not progress for months or years.
Sometimes, symptoms get worse quickly, over weeks or months. Some people will have only mild symptoms, while others will experience significant changes that can even lead to disability, but most people's symptoms get worse and then get better.
If you or someone you know is experiencing any of these symptoms, or if you are concerned about multiple sclerosis, it is essential to seek a medical evaluation and consult with your doctor.
Early diagnosis and appropriate treatment can help manage the disease and improve the quality of life of individuals with MS. Multiple sclerosis is usually diagnosed through a combination of history, clinical evaluation, and diagnostic tests such as MRI and cerebrospinal fluid analysis.
Interesting reading: Multiple sclerosis forum