Will severe myasthenia gravis swallowing difficulties improve?

Written by Liu Hong Mei
Neurology
Updated on November 10, 2024
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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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Can myasthenia gravis with eyelid drooping be cured?

Myasthenia gravis with ptosis is treatable. The ptosis is a manifestation of myasthenia gravis, which is generally mild. This type of myasthenia gravis is usually treatable with Pyridostigmine. If oral medication is ineffective, using steroids or immunosuppressants can also lead to recovery. This is typically a mild form of myasthenia gravis, so oral medication generally leads to a cure.

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What should I do if myasthenia gravis is accompanied by a fever?

Patients with myasthenia gravis are most afraid of developing a fever, as a fever may indicate an infection, especially a bacterial infection. If a bacterial infection occurs, it can easily trigger a myasthenic crisis. The patient may experience weakness in breathing and even respiratory failure, which can be life-threatening. Therefore, it is essential to address the situation promptly. The recommended approach when a fever occurs is as follows: First, quickly determine the cause of the fever, complete routine blood tests, calcitonin, and other relevant assays to confirm if it is caused by a bacterial infection. Second, symptomatically manage the fever, possibly using antipyretic medications. Third, if it is a bacterial infection, it is crucial to promptly administer a significant amount of effective antibiotics to treat it. Controlling the bacterial infection can prevent the progression of myasthenia gravis to a more severe state. (Note: Medication should be used under the guidance of a doctor.)

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Written by Liu Hong Mei
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What should people with myasthenia gravis pay attention to in their daily lives?

Patients with myasthenia gravis should be careful to continue taking their medications after being discharged from the hospital and must not change the dosage or administration of their medication on their own. It is important to avoid overexertion and emotional stimuli in daily life. One should ensure to get enough rest, maintain adequate sleep, and consume fresh vegetables and fruits. Avoid spicy, stimulating, and excitatory foods. Do not be overly sad or experience excessive emotional fluctuations. Pay attention to the risk of catching a cold and upper respiratory infections. Take precautions against exposure to cold and prevent infections. Balance work and rest, maintain regular life patterns, keep in good spirits, ensure adequate sleep, and avoid excessive emotional disturbances and stimuli.

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Written by Zhang Hui
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Myasthenia gravis should not use what medicine?

Myasthenia gravis is a neuromuscular junction disease in neurology, primarily due to some synaptic dysfunction, leading to pathological fatigue and general weakness in patients. Patients with myasthenia gravis often experience exacerbation of the disease due to fatigue or infection, and certain medications can severely affect synaptic function, worsening the condition, and are therefore not to be used. The medications to avoid mainly include the following types: The first type is aminoglycoside antibiotics, which can exacerbate the transmission at the neuromuscular junction. Second, quinolone antibiotics should also be avoided as much as possible. Third, some antiarrhythmic drugs can also decrease the excitability of the fascia and are not recommended. Additionally, some drugs like morphine, benzodiazepines, and receptor blockers should also be contraindicated or used with caution.

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The difference between amyotrophic lateral sclerosis and myasthenia gravis

These two are distinctly different diseases. Amyotrophic lateral sclerosis (ALS) refers to a motor neuron disease, which is a degenerative neurological condition primarily affecting the upper and lower motor neurons. Patients may exhibit symptoms such as muscle atrophy, muscle twitching, general weakness, as well as potential difficulties in swallowing, articulation disorders, and atrophy of the tongue muscles. The mechanism of this disease is not very clear, symptoms progressively worsen, and there are no effective treatment methods. Neurogenic changes can be observed in electromyography. Myasthenia gravis, on the other hand, is a typical neuromuscular junction disease caused by immune dysfunction. It presents with skeletal muscle fatigue and weakness, typically worsening in the evening. Treatment with immunosuppressants has been shown to be effective.