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Home » Forum home » New diagnosis and before diagnosis

How is MS diagnosed - what can I expect

Tags: Emotional support, Symptoms, Not MS
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How is MS diagnosed - what can I expect
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marcuswharton1
20 Mar 2012 at 12:55AM
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After having some health problems for many years which have become progressivley worse over the past 18 months my GP has referred me onto a Neurologist, he says this is to rule out the possibility of MS, I have been experiencing many symptoms and they can vary in intensity during the day, the limbo I find myself in at the moment is really making me feel low and I am not sure what to expect.

The Neurologist sent me for an MRI scan of my head and neck last month and I recieved a letter to go for an appointment this week on Saturday the  24th of March for further testing at a Neurophysiology clinic, this was not discussed in my initial assessment and came unexpectedly, the letter further tells me that the Neurologist will discuss the results with me at a further date.

I have very little knowledge of MS and had not considered this before my GP brought it up, I do feel like a diagnosis would be a releif as I have very little support from family and friends as they consider my problems to be in my mind, I am finding it increasingly difficult to carry out basic daily needs and not been able to return to my regular job on ships as this is very physically demanding, due to this I have been out of work for over a year, I have run through all of my savings instead of signing on as unemployed in the hope that what is happening will improve and go away, instead it has continued to get worse.

If this is MS, how long can it take for a diagnosis, and how many tests will have to be conducted before they can say what is wrong, I have not had any results from the MRI just the next referral.

I would appreciate any information you can offer me 

 

 

 

Kizzydane
20 Mar 2012 at 1:24AM
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Hi Marcus!

All this worry is bound to make you feel low x I'm going through it at the moment too so you are sooooo not alone! The first thing I have learnt is that while lots of things are similar everything is different! From symptoms to length of time for tests and appointments to other people's attitudes!!

You'll find lots of support and good advice on here that will help you through x

Hang on in there! 

 

xxjennyxx

rubina
20 Mar 2012 at 8:34AM
Top

Hi Marcus and welcome happy2

There are many different conditions that carry similar symptoms to ms - not all of them necessarily serious either - on top of that there isn't any 'one' particular test for ms so it can sometimes be a long haul to receiving a diagnosis. Having said that, it varies a lot - just like ms can. For me it took 6 months from the first time I saw my neuro to the day I received my diagnosis.  

Other tests that your neuro may arrange include countless blood tests - to help rule out other things - maybe VEP tests, EMG tests and possibly a lumbar puncture. It very much depends on the results of each test as to where he goes next as well as your symptoms and relapses, so it's important that you keep him up to speed with how you feel and any new symptoms you experience etc.

A lumbar puncture isn't necessary for a diagnosis - although it can sometimes speed up the process of getting a diagnosis - so if your neuro does suggest it at any point then make sure that you're happy to have it done because it's an invasive procedure (although it's not as bad as it sounds) and you do not have to agree to it. It doesn't necessarily follow that a negative result means it's not ms either - which confuses matters even moreconfused 

If you have a look at the 'what is ms' section it gives lots more information that both you and your family may find useful. You can also download, view online or order (by post) various publications which pretty much cover all matters associated with ms - including work and financial issues too. The MS Trust is also another excellent site to look at, but please try and stay away from unofficial websites because whilst the internet is a wonderful thing, there are also a lot of people out there making wild claims of cures and the like - all for a fast buck! 

Unfortunately (generally speaking) if others cannot see with their own eyes that something is amiss then they won't necessarily believe it. But they would if we had a plaster cast on! But not everyone is the same and sometimes just learning about the kind of symptoms you're going through can help them understand. 

At the moment the very best thing you can do for yourself is to look after you, rest before you get too tired and try to keep an open mind on what could be responsible for causing your symptoms - it's not necessarily an open and shut book! 

Everyone says 'try not to worry' and 'stay positive' but unfortunately that's not so easy to do and we can't always think that way, much as we'd like too. Stress can and does make us feel worse and can exacerbate symptoms, so try to find ways to combat that by doing things that you enjoy that will help take your mind off things for a while. Even the smallest of things can make a difference.

Hopefully the mri scan results will shed a bit of light on things for you. Depending on the results, ask your neuro where he's going from here and try to take one day at a time.

Good luck - will you let us know how you get on?

Debbie xx   

 

 

ggood
20 Mar 2012 at 9:27AM
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Everyone is different but as a general idea see  http://www.mult-sclerosis.org/diagnosingms.html

 

Good luck

 

George

scoobie68
20 Mar 2012 at 10:27AM
Top

Hiya..and welcome to the site..being in limbo is not a great place to be..but hang in there..hope the next lot os tests go well for you..and that you get some answers to what is causing your synptoms..there is lots of support here.and you are amoung friends..so do keep us posted..:-)...your neuro sounds thorough and its thier job to find out what is wrong..as as the previous person says in the meantime look after you..try not to worry about those closest to you..who may seem mystified but I think its human nature..and sometimes in times such as these we dont always get the support we need from those closest or they dont know how to support you..you may haveto spell it out to them..

em x

rizzo
20 Mar 2012 at 10:36AM
Top

You've already had some great advice, so I just want to add a couple of things. Firstly, hello and welcome! Secondly, neurophysiology will probably be evoked potential tests, e.g. VEPs (visual evoked potentials) measures the speed of the signals between your eyes and your brain via electrodes stuck on your scalp while you watch some very boring black and white images - VEPs are often abnormal in MS and it's a pretty standard test these days for patients suspected of having a neurological disorder.

It sounds like your neuro is on the case, so try and be patient and have faith that he/she will work things out asap. The only other test that's likely is a lumbar puncture, but there might be enough evidence from your history, clinical exam, MRI and EPs to diagnose so you never know, you might get a diagnosis next time you see the neuro. To be on the safe side, it's best to assume it'll take a while though - nothing is predictable with neurology!

Karen x

 

marcuswharton1
20 Mar 2012 at 4:05PM
Top

Thank you all for responding, I appreciate you taking the time and feel more positive about the process of diagnosis, I have recieved an information leaflet from the hospital today explaining that the test being conducted on saturday is EMG, now I understand more about what this entails i feel more relaxed and at least I now know that this next test may not be the last, if a lumbar puncture is requested I would have to consider this carefully, a few years ago I  had a very adverse reaction to an epidural being inserted,  this would be in the front of my mind.

Once again, thank you, it is a releif to know that there is someone to talk to about what is happening, I will feel more at ease with my situation once I have seen the Neuro for the results of the MRI and EMG, at least then I will know more about what I am dealing with, MS or not.

Marcus x

 

 

DoctorGeoff
21 Mar 2012 at 9:17PM
Top

Marcus,

There is ALWAYS someone to talk to here.

Geoff

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