June is Mysathenia Gravis Awareness Month
Myasthenia gravis is an autoimmune disease affecting the nerve-muscle interface. The disease is more common in women (2:1). It typically presents between the ages of 30 and 40 in females and between the ages of 60 and 70 in males. No known risk factors exist. The typical symptoms of myasthenia gravis involve the eyes, specifically double vision and drooping eyelids. The symptoms usually arise after repetitive tasks (due to muscle fatigue) and improve with short periods of rest. Voice and speech-related symptoms include:
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- Hoarseness
- Vocal fatigue
- Difficulty with controlling the pitch of the voice
- Hypernasal voice
- Mildly slurred speech
- Monotone voice
- Swallowing difficulty
- Weakness of the jaw muscles
The most reliable method of diagnosis is a blood test that detects the abnormal antibodies to the nerve-muscle receptor. Another method is the so-called “tensilon test.” The muscle in question is fatigued by a repetitive task and edrophonium (tensilon) is given to dramatically, but temporarily, reverse the fatigue. Other tests look at the muscles’ electrical firing (EMG) during repetitive tasks and their response to tensilon. The most common pitfall is a failure to recognize the often subtle symptoms of myasthenia gravis.
Voice problems correlated with myasthenia gravis include vocal fatigue, difficulty controlling pitch, and a monotone voice. The voice problem can stem from poor breath support, or from weakness causing disordered vocal fold movement. Speech disturbances include hypernasality (caused by weak palatal muscles) and dysarthria (particularly slurred speech, caused by articulatory imprecision).
Dysarthria is more frequently seen in younger patients diagnosed with MG, whereas dysphonia is more often seen in elderly men with MG. Typically, the symptoms appear and/or worsen with continuing or extended speech.
The treatment of speech and voice disorders in MG should occur on an individualized basis, and should take into consideration the underlying cause and severity of the problem. Speech therapy should occur in conjunction with medical treatment, with the Speech-Language Pathologist (SLP) planning treatment during peak medication times. The focus of speech and voice treatment in individuals with MG should be in providing compensatory strategies and environmental modifications to help increase intelligibility. Additionally, the patient should be educated on vocal hygiene, with specific emphasis on vocal rest.
The impact of MG on swallowing may occur gradually or suddenly. Swallowing muscles may become fatigued during a meal in as little as 1-20 minutes. A FEES examination is recommended for assessment because it can be used over an extended period of time to assess laryngeal fatigue and potential progression of aspiration throughout a meal. This will help ensure that the patient’s fatigue does not overwhelm their swallowing safety, and will allow for appropriate recommendations to be made.
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I had myasthenia gravis since 2015. I got medically discharged out of the Army, a job I loved well. My heart had 5 myasthenic crises, 3 being severe enough to be ventilated or require CPAP (continuous positive airway pressure) helmet. I have had countless plasma exchanges as my veins are bad. I also needed Hickman lines inserted. I have been on azathioprine, mycophenolate (CellCept), methotrexate and none have worked. I’m currently done with my herbal remedy I purchase from totalcureherbsfoundation .com which has totally cured my condition with a surprise after almost four months of their usage, I was discouraged and never thought I would be myasthenia gravis (MG) free ,to me the best to get rid of this condition is totalcureherbsfoundation com treatment because all medications I used never worked include mycophenolate (CellCept)
ReplyAs you may have been told by your doctor; there is no conventional treatment for this disease, BUT there is a herbal approach that has worked in treating the disease. This Myasthenia gravis (MG) formula treatments is a modern-day version of this herbal approach that has worked in effectively reversing MG across Africa and China for Centuries. Read reviews from other patients who used the treatment on our website is multivitamincare org (or Call/SMS): +1 -956- 758-7882
ReplyI was diagnosed with Myasthenia Agravis (MG) in 2011 after the birth of my daughter. My symptoms included but were not limited to drooped eyelids, slurred speech and severe fatigue. It took doctor months to finally diagnose the problem. MY symptoms started as early as 2005 with fatigue. I had the Thymectomy surgery in 2009. It helped but not a cure as hoped. I started out taking Multivitamin Herbal Cure natural organic herbs that I saw on YouTube comment. The herbal products were taken 2 times daily morning and evening after meals with a teaspoon because it was liquid herbs. The herbal cured my Myasthenia gravis (MG) which surprise my doctor as well. There is no conventional treatment for this disease, but there is a herbal approach that has worked in treating the disease. This mg herbal treatment is a modern-day version of this herbal approach that has worked in effectively reversing MG across Africa and the Uk for centuries I still feel fatigued sometimes but the double vision and difficulty speaking stop totally. Overall I live a normal lifestyle now. I have been on my job in retail management for 10+ years and have never missed time off due to MG, a blessing. This is their contact info to order the herbal cure from them multivitamincare .org or (Call/SMS): +1 -956- 758-7882
ReplyMy stepdad was diagnosed with MND ALS in the summer of 2013; His initial symptoms were quite noticeable. He first experienced weakness in his right arm and his speech and swallowing abilities were profoundly affected. We all did our best to seek help for this disease no medications they prescribe worked, we were all scared we might lose him due to his condition, as he had been his brother’s caregiver a few years earlier for the same disease before he passed. The doctor recommends natural treatment from Multivitamin herbal cure for his ALS we have no choice but to give a try on natural organic treatment, this herbal cure has effectively reversed my father’s condition, losing his balance which led to stumbling and falling stopped after completing the herbal supplement which includes his weakness in his right arm and his speech. Home remedies from www. multivitamincare. org is the best although their service is a little bit expensive it is worth it, they save lives.
ReplyI had myasthenia gravis since 2017. I got medically discharged out of the Army, a job I loved well. My heart had 5 myasthenic crises, 3 being severe enough to be ventilated or require CPAP (continuous positive airway pressure) helmet. I have had countless plasma exchanges as my veins are bad. I also needed Hickman lines inserted. I have been on azathioprine, mycophenolate (CellCept), methotrexate and none have worked. I’m currently done with my herbal remedy I purchase from Multivitamin herbal cure “ which has totally cured my condition with a surprise after almost 6 months of their usage, I was discouraged and never thought I would be myasthenia gravis (MG) free ,to me the best to get rid of this condition is multivitamincare. org treatment because all medications I used never worked include mycophenolate (CellCept).
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