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-   -   Your diagnosis, treatment & other information (https://www.neurotalk.org/myasthenia-gravis/129569-diagnosis-treatment-information.html)

Glenmeadowfarm 03-14-2016 05:54 PM

resting aggressively
 
Quote:

Originally Posted by radarmomma (Post 732700)
I am having a lot of trouble with balance, muscle sensation, brain fog, memory, exhaustion. I dont know what to do anymore

I tell my son I am "very very busy" because I am resting aggressively! You have to get flat, get gravity off your body and really rest it. Put pillows under anything where there is muscle tension until you can float like a jelly fish. Pool floating works great, too! I rebound faster if I truly, truly rest my muscles, my mind, my emotions. Have to have the quiet in the room, the lights not bothering me, truly restful. The other thing I have done with good results is just go to my primary care doctor and tell her I am having a flare. She prescribes what I call a "poison ivy pack", a ten day thing where you are tapering down, of prednisone. For me, it's often enough to just hit the reset button and pull me up.

Caprice 07-31-2016 05:03 PM

Camptocormia?
 
Quote:

Originally Posted by Stellatum (Post 682300)
My story: I have Graves' disease, which has been in and out of remission for ten years. I take PTU when it flairs up. In the fall of 2009, my five youngest kids got H1N1. I took care of them for two weeks, but never got it myself. Towards the end of the two weeks, I inexplicably collapsed--I just became too weak to hold myself up, and ended up on the floor.

After that, I started losing my balance a few times a day while walking. I also noticed occasional weakness in my arms and legs. My neck became so weak that holding up my head was at times difficult.

By about January, I was having trouble walking at times. My main symptom is a weakness in the muscles of my side and back, which makes it hard to hold myself upright from the waist up. During a bad spell, usually late in the evening, I also have weak legs.

I am not diagnosed. My MRIs are normal. My blood tests are all normal--no antibodies that they can find. My SFEMG came back slightly abnormal, but not enough to diagnose me with MG. That's because the doctor only tested muscles in my legs, which are only slightly affected. He says he can't test the weak muscles in my sides and back because he doesn't have numbers for what's normal for those.

I am on Mestinon, 60mg every three hours while awake. Sometimes I think it helps, sometimes I don't. The last time I saw my neuro, I was in the middle of a very good spell, almost a remission, that lasted a month. Since I have no diagnosis, and I was doing OK, he didn't want to start me on immunosuppressants. Now that I am getting worse--having trouble walking at all for large parts of the day--I hope he will be willing to try something more than the Mestinon.

I would love to hear from anyone who has my atypical symptom: weakness in the sides and lower back that makes them tilt back and forth from the waist up when they try to walk.

Abby

Two years ago I was diagnosed with camptocormia. I bend forwards or sideways when I walk. There is not enough strength in my lower back muscles to hold up my spine. Walking is very difficult without two sticks. In fact I now use a mobility scooter. An MRI showed wasting of the para spinal muscles, but not everyone has this show up on the MRI. I think I have myasthenia as well now, though the tests are negative. Look up this rare disease, which goes hand in hand with autoimmune diseases. I hope you find an answer soon for your health problem.

harleyearl 01-29-2017 08:05 AM

Mg second time around please help
 
26 years ago I've gone through the tyhemoctomy having much thymus glad removed to eliminate the effect of mysatinia gravis here I am 26 years later and finding myself going through it again my eye is completely closed now with no muscle at all I've been prescribed mestinon to elevate the effects of my eye muscle but to no avail they are making no difference at all catscan scheduled in few days to see if by any chance the thymus has regrow at a complete loss as what can be done if the thymus has or has not regrow my life is now at a standstill I cannot work or drive if there is anyone with some positive feedback I cold sure use it right now

vickypanda 01-29-2017 03:10 PM

Quote:

Originally Posted by Beannie (Post 807861)
I live in a major city and am going to a great medical center - that being said, they seem to be overly distressed that I have symptoms that don't fit together in a perfect neuro disease box. In addition to the weakness/fatigue, I have occasional fasciculations in my arms and legs as well as random muscle movement that I can't control. I also have sensory loss in my hands and feet (both temperature and pain).

I've been on the mestinon for 2 days and it really seems to help. However, it only seems to last for about 5-6 hours and it kills my stomach (does that improve with time?). I tried taking a Bentyl this afternoon to deal with the crazy cramping and it totally spaced me out. Of course, that was when the neuro called to talk! She wants to order the SFEMG and a lumbar puncture. The SFEMG to be done first. What is a SFEMG? How do they do it? I've had 3 EMG's already and two with the exercise/rest electrocute my hand and neck parts. Both times I had some positive results but they decided it was due to movement and not a real decrement.

I was tested for MuSK, but not for LEMS. It's only been a week and apparently it can take up to 2 weeks for it to come back. I get the sense from the docs I've seen that they NEED a positive test to help them know what to think. On the other hand, I am grateful for every negative test I get :)

When I started taking mestinon it gave me awful stomach cramps I worked out if I took it with milk and do not eat food half an hour before or after taking then I was ok also try and sit still after taking don't bend down too much etc if I do it gives me acid indigestion. It works for me hopefully it might help you a little too

vickypanda 01-29-2017 03:13 PM

Quote:

Originally Posted by Beannie (Post 807861)
I live in a major city and am going to a great medical center - that being said, they seem to be overly distressed that I have symptoms that don't fit together in a perfect neuro disease box. In addition to the weakness/fatigue, I have occasional fasciculations in my arms and legs as well as random muscle movement that I can't control. I also have sensory loss in my hands and feet (both temperature and pain).

I've been on the mestinon for 2 days and it really seems to help. However, it only seems to last for about 5-6 hours and it kills my stomach (does that improve with time?). I tried taking a Bentyl this afternoon to deal with the crazy cramping and it totally spaced me out. Of course, that was when the neuro called to talk! She wants to order the SFEMG and a lumbar puncture. The SFEMG to be done first. What is a SFEMG? How do they do it? I've had 3 EMG's already and two with the exercise/rest electrocute my hand and neck parts. Both times I had some positive results but they decided it was due to movement and not a real decrement.

I was tested for MuSK, but not for LEMS. It's only been a week and apparently it can take up to 2 weeks for it to come back. I get the sense from the docs I've seen that they NEED a positive test to help them know what to think. On the other hand, I am grateful for every negative test I get :)

I find mestinon takes about half an hour to work and lasts 3 maybe 4 hours and some days it works better than others and sometimes when it wears out the fatigue hits you like a brick wall!!

Colessurfer 03-28-2018 11:02 AM

Help does this mean it is spreading
 
I have been told by neurologist they are 99% sure I have MG, it started with double vision one week ago with drooping eyelid. I have a pain over left eye and have started to feel pains going down my neck. Does this mean it is spreading to other parts?....

Any advice really welcomed

Thanks
Dave

Louise Smith 06-12-2018 03:11 AM

Quote:

Originally Posted by Stellatum (Post 727189)
I'm updating my last post to this sticky "your diagnosis" thread. I see I'm the only one here, but I think this is a good thing to do. I have found it helpful to read other people's stories, and get a sense of the variety of ways MG can affect you.

I am now diagnosed. I had three antibodies blood tests, all negative, and three SFEMGs. The first was "borderline" and the second was mildly abnormal. But what gave me the diagnosis was the third one, which was a stimulated SFEMG on my face (even though I have only very mild facial symptoms). This was done by a specialist in Boston. I am going to start Imuran soon.

Abby

Best wishes and prayers go out to you.

LeeMac 07-14-2018 07:58 PM

New to MG and How much variation is "normal"
 
Greetings,

I've recently been diagnosed with MG. Honestly my neurologist is still a bit skeptical because I tested negative for AChr antibodies and the symptoms came on after a bad concussion. However, my response to Mestinon is like night and day for resolving double vision, tension headaches, and overall fatigue.

My question is how much variability is "normal?" The double vision is fairly consistent but other muscles seem to vary greatly from day to day. Some days it's my legs, others my arms, and recently breathing which eventually passed. I understand it can vary, but I guess I expected that at least which muscles would be affected would be somewhat consistent.

Does anyone else experience MG this way or should I be considering asking the Dr. about other Dx?

Thanks, Lee

aielwen 10-29-2018 03:37 AM

Diagnosed in 2015 at 42
 
Hi. I was diagnosed as a 42 yr old woman with Ocular Myasthenia Gravis (ptosis, diplopia) in September 2015 by a neuro-ophthalmologist. I was advised based on my history of symptoms that the OMG likely started a year or so before.

In June of 2016, my neurologist advised I had likely advanced to Generalized MG (fatigue, muscle weakness, albeit mild). This was confirmed with a positive SFEMG administered in November 2016 at Cedar Sinai. A prominent neurologist at Cedar Sinai asked me *before* the SFEMG "so when did you decide you had MG?". I told him I'd never heard of it before my OMG diagnosis by the neuro-ophthalmologist. I also had bloodwork done at Cedar Sinai which determined I am triple seronegative. I tested negative for the AChR, MuSK, and LRP4 antibodies and am therefore *not* a good candidate for a thymectomy. However, the clinician who administered the SFEMG test told me he knew I had MG within 5 minutes of starting the test and I do have an excellent response to Mestinon.

I have received some pressure from my care providers to start steroid therapy, but am dead-set against right now it because I fear the long-term side effects and my symptoms are still mild. My Mestinon protocol was originally 30mg (breakfast), 45mg (lunch), 45mg (supper), and 30mg (bedtime), but I've had to bump it up to 45mg for each dose this year. I use coffee and tea as "pump primers" for the mestinon, usually 1 cup (no more than 2) per day. I've found that if I take a biotin supplement at night and a B12 supplement in the morning, I have noticeably more energy during the day and less fatigue in the afternoon.

I cannot tolerate heat anymore (prior to my diagnosis, not an issue) and bright sunlight tires my eyes. I am functionally a vampire. I handle strenuous exercise well ONLY when it's *cold*. Mowing my postage stamp of a front lawn on a 75 degree morning now makes me feel as if I've run 5 miles. The hotter and sunnier it is, the more I am prone to fatigue and muscle weakness. My legs can feel like stumps and it's hard for me to hold things in my hands. But, I am able to ski and ice skate for hours. I also experience muscle pain in connection with hot days and any sort of physical activity. I've been told this isn't MG, but what else would it be since I've been tested for MS (negative)? It started with the Generalized MG.

An interesting fact about me is that I have been on continuous birth control (for an unrelated medical condition) since 2012 meaning I have no menstruation cycle. I wonder if this has something to do with why my MG is still mild as I understand menstruation can exacerbate MG symptoms for women.

I was exceptionally physically fit prior to my MG diagnosis and have been athletic my entire life. Now, I guess I'm just average, but I do wonder if this fitness has served me in a positive way with the MG. Finally, I have experienced 2 episodes in the last 2 years where I had difficulty seeing, talking, swallowing, walking, and breathing (felt like my chest was being squeezed). I didn't feel like I needed to go to the ER, but it was still frightening. These symptoms resolved after about an hour of complete cessation of physical activity. Since I've never experienced anything like this prior to my MG diagnosis, I am guessing these episodes were mild MG crises.

I'm sharing these personal details of my MG with the hope that my experience is helpful in some way to others.

aielwen 10-29-2018 03:41 AM

Quote:

Originally Posted by LeeMac (Post 1265231)
Greetings,

I've recently been diagnosed with MG. Honestly my neurologist is still a bit skeptical because I tested negative for AChr antibodies and the symptoms came on after a bad concussion. However, my response to Mestinon is like night and day for resolving double vision, tension headaches, and overall fatigue.

My question is how much variability is "normal?" The double vision is fairly consistent but other muscles seem to vary greatly from day to day. Some days it's my legs, others my arms, and recently breathing which eventually passed. I understand it can vary, but I guess I expected that at least which muscles would be affected would be somewhat consistent.

Does anyone else experience MG this way or should I be considering asking the Dr. about other Dx?

Thanks, Lee

Hi Lee, please feel free to read my introduction post on this thread. I am triple seronegative, but also find it's night and day with mestinon. Get a Single Fiber Electromyelogram (SFEMG) test done. It is considered the gold standard for MG for those who are seronegative. You should also get tested for LRP4 which is the latest antibody discovered to cause MG. Unfortunately, there are likely MANY antibodies that cause MG, but we only have tests for 3. If you are like me and test negative for LRP4, welcome to the small club.

bchgrl 11-10-2018 01:20 PM

Sudden onset of MG
 
Hi all! I just found this forum, and I'm hoping to find some answers and understanding of this rare disease I have been diagnosed with. Here is my story...

I was an active healthy 55 year old female. Seven weeks ago, my vision all of a sudden became jumpy and blurry. I thought something was wrong with my contacts. I went home and started messing with my contacts. The next day my eyelid was "swollen" and I thought it was because I had messed with my contacts. I realize now that was the droopy eyelid. Two days later, my face felt numb and I could not raise my eyelids to put on my mascara. Ok, better call the doctor!

She had three things she wanted to draw blood for, one being MG. Two days later it came back positive. I made an appointment with a neurologist and had a chest scan on my thymus, which showed a tumor. By the time I saw the neurologist a week later, my symptoms had rapidly progressed. Trouble chewing, holding my head up, walking, etc. At that point they scheduled me for a thymectomy. The thymectomy was scheduled for two weeks later. When I went in for the surgery, they decided I was too weak to do the surgery. They admitted me to the hospital and gave me IVIG infusions for two days.

The surgery went well, and the tumor was benign. I am now three weeks out of the thymectomy, but the MG is still awful! I am home now and have PT and OT 2-3 times a week. My arms and legs just don't want to work. After I do my PT (which is VERY minimal, like 5 minutes of leg and arm exercises with1 lb. weights) my whole body shakes and convulses for about a half hour. My symptoms seem to change daily and sometimes several times within a day. From eyes, to face, to arms, to legs, sometimes even needing a walker.

Right now I am on 80mg of steroids daily, and 120 mg of Pyridastigmine 4 times a day. I go back to my neurologist next week and I think they will start weening me off the steroid.

This MG has been very hard for me to wrap my head around. Two months ago I was on vacation in Rome climbing the Colosseum stars with no problem! Now I can't even get down my stairs at home without having to rest when I get to the bottom. I used to swim a half mile or walk 4 miles a day, bicycle, kayak, etc., UGH!

So that's my story, now here are some of my questions...

1. Have any of you heard of anyone whose symptoms came on this quickly?
2. Will it get any better once they start weening me off the steroids?
3. I've heard it can take 2 years before you go into remission after a thymectomy, but do the symptoms lessen before remission?

I'm sure I will have more questions after I post this, but any insight into this new normal of mine would be greatly appreciated!
Thanks!
Kristi

kiwi33 11-10-2018 08:38 PM

Hi Kristi

Welcome to NeuroTalk :).

I am sorry to read about your MG. I don't know much about it but I am sure that other members will be able to offer you support and good ideas.

Best wishes.

Mikanro 11-18-2018 06:56 PM

Quote:

Originally Posted by Skyler (Post 1108527)
My muscle weakness started with double vision after I had a meningitis/encephalitis during my second pregnancy. The doctors blamed it on the disease. Five years ago I was diagnosed with psoriatic arthritis and Ehlers Danlos syndrome, possibly type 3. I take plaquenil and methotrexate to control the inflammation in my joints. Three years ago - out of the blue - muscle weakness hit me really hard. I had problems with chewing, swallowing and breathing. The neurologist told me it could be MG, but the tests came back negative. I had RNS EMG and a single fiber EMG of my eye. I was dismissed.
I muddled on, but last April talking became almost impossible, and I had to start using a wheelchair since my legs became to weak. My PCP sent me to another neurologist who revised the tests that were performed earlier. Same outcome. Blood tests still negative.
Unfortunately my lung function has deteriorated rapidly and I was admitted for tests to determine if I needed nocturnal ventilation. So far, that's not necessary, but my coughing force is extremely low and I had to start air stacking.
Current situation: slurred speech, difficulties breathing, restrictive lung function disorder, difficulties swallowing and chewing. Neurologist number 3 thinks it's MG, but does not offer any treatment since the sfemg of 2012 was negative and I have no antibodies.
The pulmonologist says: neuromuscular disease, but offers no treatment because I don't have a real diagnosis.
I've lost my health, my job and a large part of my life. I think it's cruel to treat people like this. I already have another autoimmune disease plus a hereditary connective tissue disease, EDS. Why not offer me a test treatment? I have all clinical symptoms of MG. Everybody says I have MG, but they can't prove it. Sorry about the rant and thanks for listening.

Hey. I was just wondering if you ever got an answer. I also have EDS (which has caused POTS) and have been diagnosed with MG. I am very interested in the link between mestinon helping MG patients and people with POTS. I wonder if there is a connection...

Sent from my SM-G955U using Tapatalk

Mountaineer 06-07-2019 12:46 PM

new here
 
I am a 38 year old male, I am new to this forum.

I have struggled with a mystery illness for the last 10 years. I was diagnosed with MG last year by my nuro who specialized in rare nuro conditions.

Took mestion for the last 12 months life was great, training crossfit and Olympic weightlifting with no problems what so ever at all. Then over the period of the last month I am back to not being able to walk very good, swallowing is weak and eyes a dropping.

Life with MG I guess.

kiwi33 06-07-2019 02:49 PM

Hi Mountaineer

Welcome to NeuroTalk; I hope that you will find the community as knowledgeable and supportive as I have :).

The MG forum is very active so I am sure that you will get lots of support and good ideas from other members.

All the best.

Lala 452 10-14-2019 08:52 PM

MG crisis
 

How can I get my mom through the chronic exhaustion from the mg crisis?
My mom is not rebounding it’s almost 2 months



LeeMac 10-15-2019 09:24 PM

Quote:

Originally Posted by Lala 452 (Post 1280408)

How can I get my mom through the chronic exhaustion from the mg crisis?
My mom is not rebounding it’s almost 2 months



I need regular IVIg infusions in addition to Mestinon.

Jomar 01-09-2020 08:50 PM

Quote:

Originally Posted by Jo*mar (Post 682031)
Feel free to use this sticky thread to post your story of diagnosis, health history & treatments.

Post any questions or topics to discuss in the main discussion area..

Here is the link to make a new thread for discussion-
https://www.neurotalk.org/newthread....newthread&f=77

Bumping this info for new members---

Posting questions here in the sticky may not get noticed.

Amzingeyes 02-05-2020 02:06 PM

Can taking Keppra lead to Myasthenia gravis
 
I was put on Keppera the first of December. Within two weeks my eyelid in my left eye started drooping and I started noticing double vision. I was seen by an Optometrist and tested out to have 3 Diopters of Vertical prism. When I returned to my neurologist and complained about my double vision and eye drooping he ran teat on me thinking I had Myasthenia gravis. The blood test came back negative. He said he still believed that I had MG and put me on an additional medication to treat MG. That was three weeks ago. The new medication is not helping or improving. I went to see a Ophthalmologist and My prism is now over 6 diopters. My doctor swears it could not be the Keppra and refuses to take me off of it.. I really feel it is the Keppera. Just a feeling Any advise?

The Chef 02-11-2020 03:56 PM

Myasthenia gravis
 
I'm new on here and don't know how to start i have just been diagnosed with this rate condition Myasthenia gravis my neurologist is not much good to be honest , I have had a number of tests to find out that I MAY have this condition , I also suffer from dizziness ,feeling tired and want to sleep all the time I can have a good night sleep but wake up as I have had no sleep at all .
I also suffer from NF 1 and have had Neurendocirine cancer 2 times you can say I'm a walking medical book for doctors .

I need as much help as I can get on Myasthenia gravis so if anyone can help I would be grateful .

kiwi33 02-11-2020 05:06 PM

Hi The Chef

Welcome to NeuroTalk :).

Myasthenia Gravis is an autoimmune disease. That means that your immune system recognises normal body proteins as being foreign in a way which is similar to if you have a bacterial or viral infection.

The specific normal body proteins which are involved in Myasthenia Gravis are naturally found at neuromuscular junctions. Two of these are the acetylcholine receptor and the MuSK protein.

There is some general information about Myasthenia Gravis here Myasthenia Gravis Fact Sheet | National Institute of Neurological Disorders and Stroke .

This forum is very active. Its "Sticky" threads are worth reading and also if you share your story there you will get support and good ideas from other members.

All the best.
__________________

Jomar 02-11-2020 05:30 PM

Quote:

Originally Posted by Jo*mar (Post 682031)
Feel free to use this sticky thread to post your story of diagnosis, health history & treatments.

Post any questions or topics to discuss in the main discussion area..

Here is the link to make a new thread for discussion-
https://www.neurotalk.org/newthread....newthread&f=77

Please use the link above to make a new discussion thread in the main section..


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