Results: The most frequent symptoms were dry mouth (43.2%) and bleeding from gums (28.1%). Dry mouth was more frequent in patients with secondary-progressive MS (SPMS) than relapsing-remitting MS (65.4% vs 41.3%, p = 0.023).
MS patients are all at higher risk for dental issues because of the complications of MS. The disease itself affects the teeth and gums on a biochemical level. The medicine that is used to treat MS can also lead to problems.
Vision Problems
The first symptom of MS for many people. Optic neuritis, neuromyelitis optica, blurred vision, poor contrast or color vision, and pain on eye movement can be frightening — and should be evaluated promptly.
Inflammation secondary to MS can directly affect the nerves in the mouth and face. Inflammation can also affect the inner lining (also called mucous membranes) of the mouth. Such inflammation often results in pain, sensory changes (temperature and taste), and tongue ulcers (oral lesions) to name a few.
Multiple sclerosis (MS) is a potentially disabling disease of the brain and spinal cord (central nervous system). In MS , the immune system attacks the protective sheath (myelin) that covers nerve fibers and causes communication problems between your brain and the rest of your body.
People should consider the diagnosis of MS if they have one or more of these symptoms: vision loss in one or both eyes. acute paralysis in the legs or along one side of the body. acute numbness and tingling in a limb.
A wide range of conditions can be mistaken for MS, including: migraine, cerebral small vessel disease, fibromyalgia, functional neurological disorders, and neuromyelitis optica spectrum disorders, along with uncommon inflammatory, infectious and metabolic conditions (1, 3).
Here's where MS (typically) starts
Optic neuritis, or inflammation of the optic nerve, is usually the most common, Shoemaker says. You may experience eye pain, blurred vision and headache. It often occurs on one side and can eventually lead to partial or total vision loss.
Multiple sclerosis (MS) triggers that worsen symptoms or cause a relapse can include stress, heart disease and smoking. While some are easier to avoid than others, maintaining a healthy lifestyle and overall health and wellness can have outsized benefits for MS patients.
While there is no definitive blood test for MS, blood tests can rule out other conditions that cause symptoms similar to those of MS, including lupus erythematosis, Sjogren's, vitamin and mineral deficiencies, some infections, and rare hereditary diseases.
Multiple sclerosis is caused by your immune system mistakenly attacking the brain and nerves. It's not clear why this happens but it may be a combination of genetic and environmental factors.
Multiple sclerosis (MS) is an autoimmune condition that leads to a wide range of symptoms. Some people with MS may notice that their eyes or mouth feel unusually dry.
Trigeminal neuralgia, which is a type of chronic nerve pain in your face, is common with multiple sclerosis (MS). It may feel like a stabbing or burning sensation on the side of your face. People who don't have MS sometimes have trigeminal neuralgia, but it's more common with MS.
Numbness of the face, body or extremities (arms and legs) is one of the most common symptoms of MS. It may be the first MS symptom you experienced. The numbness may be mild or so severe that it interferes with your ability to use the affected body part.
Nail problems are common, and they are not usually serious. If a person has multiple sclerosis (MS), nail problems can cause pain or discomfort. While nail issues are not directly related to the disease, determining the cause may help prevent a person with MS from experiencing further discomfort.
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.
Neurological examination
Your neurologist will look for abnormalities, changes or weakness in your vision, eye movements, hand or leg strength, balance and co-ordination, speech and reflexes. These may show whether your nerves are damaged in a way that might suggest MS.
Although MRI is a very useful diagnostic tool, a normal MRI of the brain does not rule out the possibility of MS. About 5 percent of people who are confirmed to have MS do not initially have brain lesions evidenced by MRI.
Early signs and symptoms of MS
tingling and numbness. pains and spasms. weakness or fatigue. balance problems or dizziness.
One of these, the most common form, was relapsing-remitting MS (RRMS). Relapsing-remitting MS is defined as MS in which patients have relapses of MS and periods of stability in between relapses. Relapses are episodes of new or worsening symptoms not caused by fever or infection and that last more than 48 hours.
Clinically isolated syndrome describes a person's first episode of neurological symptoms caused by damaged myelin in the CNS. CIS is often referred to as the first stage of MS, even though it doesn't meet the MS criterion for dissemination in time (MS damage that occurs on different dates).