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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can One Cure Seizures, Swallowing Difficulty, Bladder And Bowel Incontinence And Multiple Sclerosis?

I was diagnosed with MS in 1995. I have been on the ABC drugs. They caused depression, so I was put on Tysabri. I was taken off Tysabri due to + JCVirus- I don t remember the numbers. I have had increasing left sided headaches, difficulty speaking- I have long pauses in sentences, mix up word, and have trouble understanding others. I am very dis tractable. I have low motivation. Increased fatigue. I started with a seizure in 2011 (partial complex). I have had increased frequency of seizures beginning in May. One isolated seizure, 3 seizures in one morning, then 5 seizures in another morning. I have difficulty swallowing. Some incontinence of bowel and bladder (intermittent). My walking is quick, but I bump into things. I am on Techifedra for RRMS. Just had MRI Friday. What could be going on?
Tue, 18 Jun 2019
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Neurologist 's  Response
Hello,

It is possible that you are having some additional symptoms due to the progression of the MS itself even though you are on medication. Remember, no drug STOPS the progression of MS.

It may be helpful to wait for the MRI scan to see how that compares to your last imaging study.

As far as the seizures you mention you did not really mention whether you've had EEG studies or any medications that have been administered for these episodes.

Since you've had multiple ones I would definitely recommend being treated for them unless your doctor is not in agreement that it is the type of seizure that would respond to the conventional drugs such as Keppra, Tegretol, Lamictal, or Depakote.

I would also consider ordering a NEUROPSYCHOLOGICAL EVALUATION to try and localize the problems of the speech and language which could be from the MS, the seizures, or both.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Dariush Saghafi, Neurologist
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How Can One Cure Seizures, Swallowing Difficulty, Bladder And Bowel Incontinence And Multiple Sclerosis?

Hello, It is possible that you are having some additional symptoms due to the progression of the MS itself even though you are on medication. Remember, no drug STOPS the progression of MS. It may be helpful to wait for the MRI scan to see how that compares to your last imaging study. As far as the seizures you mention you did not really mention whether you ve had EEG studies or any medications that have been administered for these episodes. Since you ve had multiple ones I would definitely recommend being treated for them unless your doctor is not in agreement that it is the type of seizure that would respond to the conventional drugs such as Keppra, Tegretol, Lamictal, or Depakote. I would also consider ordering a NEUROPSYCHOLOGICAL EVALUATION to try and localize the problems of the speech and language which could be from the MS, the seizures, or both. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist