Patients with myasthenia gravis should pay attention to certain things.

Written by Shi De Quan
Neurology
Updated on May 04, 2025
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People with myasthenia gravis should primarily avoid fatigue in their daily lives, as symptoms can flare up when tired. Symptoms are generally milder in the morning and become more severe in the evening or night due to fatigue. Therefore, it is important to maintain a regular routine and schedule to avoid becoming too fatigued.

Additionally, catching a cold or fever can worsen the condition, so it is crucial to try to avoid these issues. Regarding medication, it is essential to take it regularly, for example, every eight hours if taken three times a day. Proper timing and dosage control are important. If severe myasthenia gravis crises occur, they can be very problematic.

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Written by Liu Hong Mei
Neurology
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Will severe myasthenia gravis swallowing difficulties improve?

Myasthenia gravis and difficulty swallowing generally improve with medication treatment. Myasthenia gravis is a neuromuscular disease that typically presents with worsened muscle weakness and swallowing difficulties during fatigue. This condition requires targeted pharmacological treatment and further repetitive stimulation, which can involve specific medications and steroids. Swallowing difficulties associated with myasthenia gravis are typical of generalized myasthenia gravis, necessitating active pharmaceutical treatment, which usually has good outcomes. Avoid overworking, staying up too late, smoking, and excessive drinking. It is important to rest sufficiently, ensure ample sleep, eat fresh vegetables and fruits, and consume high-protein, nutritious foods.

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Written by Zhang Hui
Neurology
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Myasthenia Gravis Test Items

Myasthenia gravis is a common neurological disease, primarily an autoimmune disorder. It typically results in symptoms that are worse in the evening and fluctuate throughout the day, mainly manifesting as limb weakness, double vision, swallowing difficulties, and speech impairments. In severe cases, it can even affect respiration, leading to weakness of the respiratory muscles and necessitating the assistance of a ventilator. The key examinations for myasthenia gravis include: Firstly, a chest CT scan. Many patients with myasthenia gravis have thymic hyperplasia or thymomas, making this scan crucial. Secondly, repetitive nerve stimulation electromyography. This test can detect amplitude decrement in response to stimulation, which is significant for diagnosing the disease. Thirdly, testing for specific antibodies related to myasthenia gravis, such as acetylcholine receptor antibodies. The presence of these antibodies is very important for diagnosis. Additionally, other tests such as erythrocyte sedimentation rate and thyroid function tests are also conducted.

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Written by Zhang Hui
Neurology
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Myasthenic crisis includes

Myasthenia Gravis, a type of immune inflammatory disease of the nervous system, is mainly caused by the production of abnormal antibodies in the body. Myasthenic crisis can endanger the life safety of patients, affecting respiratory function. There are mainly three types of crises: The first type of crisis is the myasthenic crisis, which is also the most common. Generally, it is caused by the progression of the disease itself, often due to insufficient anticholinesterase drug dosage. The second type of crisis is the cholinergic crisis, caused by an overdose of anticholinesterase drugs, resulting in symptoms like muscle tremors in patients. The third type is the paradoxical crisis, which occurs due to insensitivity to anticholinesterase drugs, leading to severe respiratory difficulties. It is essential to handle a myasthenic crisis promptly, maintain the patient's airway clearance, and use a ventilator for treatment if necessary.

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Written by Liu Hong Mei
Neurology
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Can people with myasthenia gravis eat mangoes?

Patients with myasthenia gravis can eat mangoes and should consume more fresh vegetables and fruits. Mangoes are rich in flesh and fiber, and they taste sweet. They can help reduce cholesterol, quench thirst, promote blood circulation, improve circulation, and provide vitamins. Therefore, if patients with myasthenia gravis are not allergic to mangoes, they can include them in their diet. Mangoes contain a high amount of vitamins and are very nutritious. They also help facilitate bowel movements. Patients with myasthenia gravis should maintain a light diet, consuming foods that are high in protein, nutrition, and vitamins, and avoid spicy, stimulating, and exciting foods.

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Written by Shi De Quan
Neurology
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What should I do if myasthenia gravis causes difficulty swallowing?

Myasthenia gravis primarily manifests as an inability to swallow, affecting the pharyngeal muscles or the muscles involved in swallowing. Thus, difficulty in swallowing is also a symptom of myasthenia gravis. At this time, the main treatment should focus on the primary disease, administering medications such as neostigmine for myasthenia gravis, and using steroids or immunosuppressants in severe cases. If there is difficulty in swallowing, or if it persists for more than two or three days, a gastric tube can be inserted for nasal feeding to maintain nutrition. Then, as the symptoms of myasthenia gravis subside with medication, swallowing function can recover.