Living with M.S.

"Living with M.S. is sort of like training for a long race. The harder you try, and the longer you keep at it, the stronger you become.
Eventually, looking back, you may be amazed at the power you possessed, even when you had no idea it was within your reach." (Linda Ann Nickerson)

Showing posts with label Uhthoff's syndrome. Show all posts
Showing posts with label Uhthoff's syndrome. Show all posts

Saturday

Hot tubs can put MSers in the soup

  

Jumping in the Jacuzzi may sound appealing when muscles spasm and joints ache. Whiling away time in a steamy whirlpool can sound soothing.

 

  Lounging in a steamy hot tub may rejuvenate some folks, but it can utterly wipe out someone with MS.

 

Not so for anyone living with multiple sclerosis.

 The hot tub can be one of our worst enemies, when it comes to managing life with MS. It’s pretty much on par with a sit in the sauna, when it comes to triggering MS troubles.

 Heat is not our friend. (Actually, extreme temperatures in either direction can set off our symptoms.  But overheating is a big baddie for us.) 

 Is a sauna soothing for someone with MS? Not so much.

 Uhthoff’s Phenomenon (aka Uhthoff’s Sign) is a classic experience among MSers. When the body temperature goes up, our neurological symptoms generally increase too. That means a cozy dip in the hot tub can invite extra balance problems, blurred vision, confusion, dizziness, fatigue, numbness, pain, tingling, weakness, and other MS woes.

Once our bodies cool down again, some of those symptoms may subside, usually within 24 hours.

 Is it worth all that, just for a short jaunt in the jetted tub?

 

Related items:

 

 

Image/s:  Public domain photos, Pixabay

 

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Thursday

Thermostat wars and MS

 

 It’s midwinter, and that means the thermostat wars are in full swing. In our house, it's one of life’s ups and downs. There may be a chill in the air, but our house is hot – way-ay too hot. And it’s turning up the heat on a daily debate.

He turns the heat up.

I turn it down. 

He turns it up. 

I turn it down.

 


You get the picture.

 I’ve explained the ins and outs of Uhthoff’s Syndrome, the medically proven perils of overheating that face those of us living with multiple sclerosis. I’ve even printed out scientific papers documenting this. I’m pretty sure I’m talking to a wall (like the wall on which our home thermostat is mounted).

 He cranks it up to the mid-70s (F). I dial it back to 68 (F). It’s endless.

 Some medical experts say 68 (F) is the ideal home temperature for someone with MS. That’s about 20 (C). 

I must admit: I’m growing a bit hot under the collar over it. (One might say it's getting out of control.)

 

Nope, I’m not nitpicking. This is a real thing.

 You could say I'm venting, and that may be true. Or possibly, I'm simply letting off steam. But MS heat intolerance is factual.

 In fact, before neurologists grew so fond of magnetic resonance imaging and lumbar punctures (spinal taps), they used to put patients into hot baths to diagnose multiple sclerosis. Those who experienced worsened symptoms in this steamy setting were tagged as MSers.

 Heat sensitivity is why MSers try not to sit near heating output vents in restaurants. It’s the reason we choose the beds farthest from the heating units in hotel rooms. It’s why we don’t find high-temperature baths, steamy saunas, and hot tubs to be particularly inviting. It also explains why we open kitchen windows while baking or cooking and why lots of us sleep with fans all year round.

 To a person with MS, a slight increase in body temperature can bring on a whole host of unpleasant symptoms. It’s a real nightmare.

 It may be difficult to help a non-MSer understand our symptoms, because these manifestations of MS frequently come and go. They are unpredictable and hard for even us to fathom sometimes.

 

We’re not making this stuff up.

 One of the curiosities of this crazy condition is the way it jumbles our own internal thermostats. We can feel hot when everyone else is cold. And vice versa. We may be peeling off sweaters, while others are reaching for their coats.

 Even so, a genuine elevation of heat (even a small one) sets the worst of MS in motion.

 


What happens when the house is too hot?

 For me (and many other MSers), my world begins to whirl (from vertigo). My vision blurs. My color perception dulls. Various body parts grow numb or pins-and-needles tingly. Fatigue attacks like a beast. Even my speech can be affected. (Some MSers experience tremors, absentmindedness or even incontinence as part of this well-known heat intolerance.)

 

It’s no fun.

 It can be a sub-zero winter day, and I’ll step outside for a moment of relief. When I cool off, the symptoms usually subside, as long as I don’t heat up again.

 

What about cold temperatures?

 Now don’t get me started about what extreme cold temperatures (or sudden temperature shifts in either direction) do to the MSer. Those days of uber-frosty air conditioning are coming, along with their own set of related MS symptoms flare-ups.

 Meanwhile, I think I’ll go check that thermostat again.

 

Related items:

·        Cooking with MS: It's all about timing

·        Life with MS: Sometimes you feel like toasting, but other times you're just toast.

·        My shower looks like a crime scene

·        Remember hot showers? Not with MS.

·        Remember when bathing didn’t make you blind?

·        With MS, a hot flash may not be a hot flash at all.

 

 Image/s: public domain photo/s

 

Feel free to follow on Twitter. Please visit my Amazon author page as well.

You are invited to join the Kicking MS to the Curb page on Facebook and the Making the Most of MS board on Pinterest.

Sunday

MS episode: Is it a relapse, a new lesion, or what?

 

“So you don’t have MS anymore?” a close friend asked, after my latest scans showed no new changes.

 Not long after that, one-eye blurriness and various limb tingling and dizziness suddenly hit me. The MonSter of multiple sclerosis reared his angry head again.

 “We’re not making this up, folks. Even if we do look too good to be sick.” (Raise your hand, if you’ve heard that one.)

 


All together now:  The absence of new lesions doesn’t mean MS has vanished.

 It’s probably an exacerbation. Or it might be a paroxysm. Let’s hope for that one, as it won’t likely last as long. But then, all bets are off, when it comes to the mysterious MS.

 An exacerbation of MS (also known as a relapse, attack or flare-up) is the occurrence of new symptoms or the worsening of old symptoms, according to the National MS Society. Their explanation elaborates on this definition by saying this: “To be a true exacerbation, the attack must last at least 24 hours and be separated from the previous attack by at least 30 days. It must also occur in the absence of infection, or other cause. Most exacerbations last from a few days to several weeks or even months.”

 But MSers can also experience something called paroxysms, which are sudden recurrences of spasms, seizures, or other MS symptoms. A frequent example is known as Uhthoff Phenomenon (or Uhthoff Sign or Uhthoff Syndrome), which occurs when overheating (especially a rise in the core body temperature) triggers the MSer’s symptoms, usually until that person is able to cool off. (This is why many MSers choose to wear cooling scarves or vests during hot weather.)

 

Neither an exacerbation nor a parosysmal episode necessarily points to the appearance of new lesions (scarring) in the MSer’s central nervous system.

 Sometimes that’s the case, but the conditions of living with multiple sclerosis often mean that existing damage can already cause reoccurring episodes.

 People who don’t have multiple sclerosis or who are not well-versed in the nature of this chronic condition may struggle to understand this concept.

 

My own primary care physician is a prime example of this type of misunderstanding.

 Recently, I visited my general doc for a basic routine physical, but I also expressed some (likely MS-related) symptomatic complaints. He ordered a brain MRI. It came back as stable and unchanged.

 “Your symptoms aren’t from MS,” he concluded confidently, “because you have no new lesions.” Then he ordered additional non-MS-related testing to address the symptoms.

 No MSer will be surprised to find that the additional testing led nowhere. Clearly, MS was causing the symptoms, which I’d experienced many times before during MS flare-ups.

 

Family members and friends can also be confused by the no-new-lesion concept.

 Yes, any MSer rejoices when a scan shows no new lesions. We love finding no additional CNS damage. At the same time, this doesn’t mean we no longer experience relapse-remitting or ongoing symptoms. It doesn’t promise that our proven triggers can't also set these misfires into motion.

 

 Sure, it’s confusing. Try living it.

 I’m not a doctor, but I play one in my own very-real life. If you’re an MSer, you probably know the feeling.

 

Related items:

 

 Image/s: Adapted from public domain image/s.

 

 

Feel free to follow on Twitter. Please visit my Amazon author page as well.

You are invited to join the Kicking MS to the Curb page on Facebook and the Making the Most of MS board on Pinterest.

Friday

Cooking with MS: It's all about timing

 

Out of gas. That’s often me (and many multiple sclerosis battlers) by the end of a day. Especially a busy day. Or a day when symptoms or circumstances (or both) are fighting at full volume.  Maybe that’s when I need to fuel up, but it’s frequently when actually cooking up a full meal is a tall order.

 

Maybe you’ve been there.

 It’d be simple to grab takeout, open a can of something quick, toss a pizza in the oven, or pick an instant ready-to-nuke meal out of the freezer. But I’d probably be sorry within an hour or two (or by the next morning), once the high salt content (and likely the MSG) kicked in.

 It’s OK to eat like that once in a while, and sometimes it can hardly be helped. But I’ve found it sure doesn’t help the MS life, if it becomes a routine.

 Still, it can be extremely tough to pull out pots and pans and whip up a fresh nutritious meal during the hardest part of the entire of a rough MS day.

 Let’s face it. Cooking with MS is not nearly as fun as cooking was before MS showed up. Heat is not the MSer’s friend. When we turn up the heat (on the stove or grill or in the oven) and stand there stirring or flipping our food, our worst MS symptoms can start to swirl into action. (This MS reality is called Uhthoff’s Phenomenon. When the MSer’s body heat rises, symptoms flare. It usually happens with exercise, fever, or really warm weather. It’s why we steer clear of saunas, hot-tubs, and steamy showers. And it sometimes comes up with cooking too.)

 


The spoon theory thing doesn’t help, either.

 This popularly proclaimed theory basically says that people with certain chronic health problems (such as MS, lupus, arthritis, and more) have limited, and generally unpredictable, energy reserves (and pain tolerance) on any given day. That concept might be pictured as a handful of spoons. And those spoons get used up, as the day wears on. By nightfall, there’s no telling whether a person will have any spoons left at all.

 You get the point.

 Spoons or no spoons, the dinner hour arrives, along with energy depletion and the need for nutrition.

 

A little planning and some advance preparation can save the day, if I actually do those things.

 After too many years of struggling with on-the-spot supper preparation on my worst MS days, I finally began carving out extra time (usually on weekend mornings) to do some advance meal preparation. This is when I clean and chop greens and veggies for salads and stir fry, bake a big pan of chicken, make a meatloaf, boil a bunch of eggs, crockpot some soup, and fry up a couple pounds of ground beef. Those are just examples, as the list varies from week to week.


 Then I divide the cooked items into separate containers (each containing enough for one evening), mark and date them, and stick them in the fridge and freezer.

 As the week wears on, it really helps to have the hardest part of each night’s meal prep already done. When MS burnout hits, I don’t have to sweat out supper. And it’s a whole lot easier to make healthy food choices when I’m not desperately poking around in the kitchen after having reached the MS nightmare point-of-no-return for the night.

 Because MS seems to pick up steam right about when we’re running out of it.

Related items:

 Image/s: Adapted from public domain image/s.

 

Feel free to follow on Twitter. Please visit my Amazon author page as well.

You are invited to join the Kicking MS to the Curb page on Facebook and the Making the Most of MS board on Pinterest.