Patient discussion about present

!!! The questions and answers on this page are written by patients and are not reviewed by health professionals.

Q. What are the presenting signs of ALS? Are the upper or lower extremeties affected initialilly?

AThe most common presenting sign of ALS is asymmetric limb weakness, usually starting with the hands (problems with pinching, writing, holding things etc.) shoulders (lifting arms above head etc.) or legs (problems walking).

Other presenting signs may be problems with speaking or swallowing, although these are less common.

You may read more here:
www.nlm.nih.gov/medlineplus/amyotrophiclateralsclerosis.html

Q. Iam a bipolar and presently on tegretol medication.I found this to be the best way to get my doubt clarified.

I am a bipolar and presently on tegretol medication. My doctor frequently changes the meds and he has tried variety of medicines before prescribing tegretol. He changes the meds every time when I visit him for routine check-up. I am bit confused and obviously cannot question my doctor as I repose faith and confidence in him. I found this to be the best way to get my doubt clarified.
A1Are you being treated by your GP? I would suggest if you are having trouble finding the right combinations it might be a good time to ask to be referred to a Psychaitrist. GP's will do their best but like anything specialized they only have a certain amount of knowledge and a specialist in the field could be more help. I also think that other treatments along with The medications like theropy and group theropy, excercise, good diet, plenty of sleep etc helps a lot too... Try to be patient it is a process to get everything in place that will work the best for you... everyone is different and the .mmedications and treatments that work for one may not work for another...
A2Finding a new and effective medicine for a bipolar is difficult. Every patient has different type of response to a single drug, which makes the drug and dose selection difficult for the doctor. What best can be done is to change the drug till the right combination which suits you or your bipolar symptoms are reduced aligning to his diagnosis results for you. This trial is carried on till the doctor finds the meds to suit you better. It is good that you didn’t doubt your doctor. But this is the best way in the treatment of bipolar so don’t worry. Tegretol is famous among all bipolar medicine as it has fewer side effects.
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