Fatigue is one of the most common symptoms of multiple sclerosis, occurring in about 80 percent of people. It can significantly interfere with a person's ability to function at home and work, and is one of the primary causes of early departure from the workforce.
My brain goes fuzzy, I can't think clearly, my speech slurs and my eyesight goes. Swallowing becomes more difficult, my balance gets worse and my legs feel heavy and clumsy. Unlike the limits of normal, everyday tiredness, which may give a little when pushed against, MS fatigue can feel like a barrier.
Fatigue is also among the most common symptoms, reported by at least 75% of MS patients at some point in the disease course. For many, fatigue is considered to be the single most debilitating symptom, surpassing pain and even physical disability.
“Other MS symptoms may come and go, but fatigue seems to be a constant, no matter what stage of MS they're in,” says neurologist Jeffrey Cohen, MD, director of the Cleveland Clinic's Mellen Center for Multiple Sclerosis Treatment and Research in Ohio.
MS dizziness and vertigo is likely to make you feel nauseous. Many people with MS experience symptoms related to digestion, including dyspepsia, which causes an uncomfortable feeling of fullness and bloating along with pain. Digestive problems can also lead to nausea. MS bowel problems can leave you feeling queasy.
Multiple sclerosis (MS) is a disease of the central nervous system that can affect the brain, spinal cord and optic nerves. Common symptoms include fatigue, bladder and bowel problems, sexual problems, pain, cognitive and mood changes such as depression, muscular changes and visual changes.
What Does MS Feels Like? A lack of feeling or a pins-and-needles sensation can be the first sign of nerve damage from MS. It usually happens in your face, arms, or legs, and on one side of your body. It tends to go away on its own.
While there are no definitive blood tests for diagnosing MS, they can rule out other conditions that may mimic MS symptoms, including Lyme disease, collagen-vascular diseases, rare hereditary disorders, and acquired immune deficiency syndrome (AIDS).
Primary fatigue is caused by MS damage in the brain and spinal cord. And lots of processes might be involved. One idea from researchers is that passing messages around nerve damage takes extra energy. Secondary fatigue is caused by living with MS symptoms like pain, or disturbed sleep.
There's conflicting evidence about which drugs, if any, ease MS-related fatigue. Some studies show that amantadine may have a moderate effect for some people. Other research found that modafinil or methylphenidate could improve wakefulness in people with excessive daytime sleepiness (EDS).
The study found that later-presenting patients often had five to 10 years of prodromal symptoms like fatigue and generalized weakness before getting a diagnosis of MS. “They had been going to doctors for years, but the diagnoses were continually missed,” Zachariah says.
Disease Course of MS Is Unpredictable
A person with benign MS will have few symptoms or loss of ability after having MS for about 15 years, while most people with MS would be expected to have some degree of disability after that amount of time, particularly if their MS went untreated.
It can be acute (lasting a month or less) or chronic (lasting from 1 to 6 months or longer). Fatigue can prevent you from functioning normally and affects your quality of life. According to the National Multiple Sclerosis Society, 80% of people with MS have fatigue.
Fatigue is more persistent, constant and lingering compared to feeling tired. Feeling fatigue usually interrupts your day-to-day activities and isn't always relieved by sleeping more. “Sometimes the differences between fatigue and being tired can be difficult for people to differentiate.
Some of the most common early signs are: fatigue (a kind of exhaustion which is out of all proportion to the task undertaken) stumbling more than before. unusual feelings in the skin (such as pins and needles or numbness)
These include fibromyalgia and vitamin B12 deficiency, muscular dystrophy (MD), amyotrophic lateral sclerosis (ALS or Lou Gehrig's disease), migraine, hypo-thyroidism, hypertension, Beçhets, Arnold-Chiari deformity, and mitochondrial disorders, although your neurologist can usually rule them out quite easily.
There are no specific tests for MS . Instead, a diagnosis of multiple sclerosis often relies on ruling out other conditions that might produce similar signs and symptoms, known as a differential diagnosis. Your doctor is likely to start with a thorough medical history and examination.
Abnormal sensations can be a common initial symptom of MS. This often takes the form of numbness or tingling in different parts of your body, such as the arms, legs or trunk, which typically spreads out over a few days.
Muscle spasms and stiffness: Movement throughout the day can help to loosen muscles and bring relief, but they get worse again during sleep when they are still. 2. Pain: Nerve and muscular pain, common types of MS pain, may worsen at night and interfere with sleep.