Hello friend!
This spasmodic episodes are because of the myesthenia gravis. it appears you have class 3 and above symptome. moderate to severe myesthenia. are you eye muscles also imvolved?
All you need is a management for your myesthenia and some tips to avoid exacerbations.
But first treatment with medicines
1-Ache inhibitors
pyridostigmine/neostigmine,
short term use of steroids
azathioprine for maintenance
cyclosporine
methotrexate if severe
2-IVIGs - Intra Venous Immunoglobulins
3-Plasmapheresis
to be used if above two cant control symptoms or plan for surgery or crisis
4-Thymectomy
if you are above 10 or below 55 years age , this is a must done procedure. we doctors recommend it prophylactically.
Now some tips
- thicken your fuids abit. too thin fluids will continue the dysphagia symptoms you currently have
-stay as active as possible.
-take a lot of breaks in activities for rest. i would say every 15 mins breaks after every 30 mins work.
-avoid sustained physical activity, as exercise induced fatiguabality will worsen your symptoms.
-watch out for complications like
osteoporosis, cataracts,
hyperglycemia, weight gain,
avascular necrosis of hip,
hypertension,
opportunistic infection because of the
immunosuppression required to manage myesthenia.
I am sure this will be a help.
i wish you good luck and get well soon.
I will be here if you need me.
Regards
Dr Shafi Ullah Khan
My Patient Is My family