Myasthenia Gravis (MG)

What is it?

Myasthenia Gravis is an autoimmune disorder where the body’s immune system attacks the communication between nerves and muscles, leading to weakness in voluntary muscles. It primarily affects muscles that control movement in the eyes, face, and swallowing.

What are the symptoms?

Muscle weaknessthat worsens with activity and improves with rest
Drooping eyelids(ptosis)
Difficulty swallowing and speaking
Double vision(diplopia)
Weakness in limbs
Difficulty breathingin severe cases

What else could it be? (Differential diagnosis)

Lambert-Eaton Myasthenic Syndrome
Motor neuron diseases
Multiple sclerosis (MS)
Botulism

What are the aggravating factors?

Stress: Emotional or physical stress can worsen symptoms.
Infections: Illnesses like the flu or respiratory infections can trigger flare-ups.
Medications: Certain drugs like antibiotics and beta-blockers can worsen MG.

What types of food are helpful?

Small, frequent meals: Easier to swallow, especially if swallowing is affected.
High-protein foods: Help with muscle maintenance and strength.
Anti-inflammatory foods: Include fruits, vegetables, and omega-3-rich foods to reduce inflammation.

Sample Recipe: Egg White Omelette with Spinach and Avocado

Ingredients: Egg whites, spinach, avocado, olive oil.
Directions: Cook spinach in olive oil, add egg whites, and serve with avocado for a nutritious and easy-to-eat meal.

What are the traditional treatments?

Anticholinesterase medications (e.g., pyridostigmine) to improve nerve-to-muscle communication.
Immunosuppressive medications to reduce immune system activity.
Plasmapheresis or intravenous immunoglobulin (IVIg) in severe cases to remove antibodies.
Thymectomy: Surgical removal of the thymus gland, especially if a thymoma is present.

What are the natural and alternative treatments?

Acupuncture: Can help with muscle strength and relaxation.
Yoga and meditation: Stress reduction techniques can help manage symptoms.
Massage therapy: May aid in muscle relaxation and reduce fatigue.
Herbs: Xylopia aethiopica and some mushrooms may slow disease progress by calming the immune system.

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