Myasthenia Gravis And Our Children

Myasthenia Gravis is a disease that causes muscle weakness, rapid fatigue in the muscles, and double vision. It is a disease affecting a person's immune system through antibodies not binding acetylcholine receptors properly. This disease can start showing signs in children and teens, but also has been known to lay dormant with many symptoms until later on in years.
Myasthenia Gravis has several main symptoms that may start showing in a child by the age of 10 years old. Up to 75% of children that carry the disease may begin to have the muscle weakness and fatigue, eyelids that begin to droop, constant tightness of the throat, making it very hard to swallow and double vision. An infant will also have feeding issues beyond normal problems and more than the usual poor head control. In the beginning weakness of muscle symptoms, the rapid fatigue of muscles becomes worse through out daily activities or by repetitiveness pertaining to opening and closing fist or blinking eyes. Also signs can show by trying to hold up arms and or holding up head for even short periods of time.

Although Myasthenia Gravis does not cause large amounts of pain except for in the prolonged inflamed main muscle area that is specifically affected. These aches and pains would be for example in the neck area if it were the neck muscles that are at the infected weak points. But there are times when these pains can be worse than others. An example of this is the lung area breathing muscles are affected and the excessive throat tightening that also obstructs the breathing of one infected. Children and teenagers that are active in one point of their lives can be affected and not yet know, but be in danger with certain activities more than other kids, because of higher susceptibility of drowning while swimming or some other type of water activity.

When it comes to infants and Myasthenia Gravis, most women who want to be mothers and have the disease well under control, will have newborns without the disease or a very mild and treatable form, which is treatable right after birth. This transient form of Myasthenia Gravis will most always be gone after days and or weeks of treatment. The only time there is the rare occasion of severe symptoms and or deformity of joints is when a mother has not taken proper precautions of care to herself during pregnancy and birth of child and the disease over takes the infant’s system. In this very rare occasion, the infant will need intensive care to overcome the disease.

When it comes to Myasthenia Gravis and our children, there is always the fear of the worst as a parent. At first diagnosis parents may tend to panic because of the unknown, but it is very important to keep in mind that this is a controllable and even curable disease. One of the first specific treatments is the anti-cholinesterase drug; Pyridostigmene or the ones like it prevent the breakdown of acetylcholine. This will temporarily improve the chemical signal at the neuromuscular junction. Since this specific drug only lasts for 3 to 4 hours, the medication has to be taken accordingly to keep taking the medication on a schedule for symptoms to stay at a minimal. There are other alternative drugs too, depending on the individual’s case of severity and other individual circumstances. No matter what a doctor is treating, individual circumstances is most always what decides any disease treatment.

During and emergency of extreme weakness or there is breathing or swallowing issues affecting the child adversely, then the child or any one with this disease, will be emitted in the hospital. Under these extreme circumstances, stronger treatments of plasma exchange or intravenous immunoglobulin very well may be done.

In the end Myasthenia Gravis is much easier today to treat and live with than recent past. This is due to better-researched treatments, earlier diagnosis and immunosuppressive therapy. Even though there is the control of this disease today compared to the recent past, most patients do have to continue muscle-controlling medication for the rest of their lives, but they will be able to live normal with out the disease returning into a de-habilitating manner.
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