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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Grey Matter Disease?

For years I as treated for MS. My case was considered mild. Eventually the diagnosis was changed to transverse myelitis. My doctor ordered an MRI with tensor diffuser. Now the new neurologist{ my plan changes doctors frequently} says I have gray matter disease and relates it to my age. I have never heard of gray matter disease and since I have bee treated for my symptons for years I find it disconcerting with all my diagnosis. What is this disease? I am now 70.
Thu, 18 Jan 2018
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Anesthesiologist,  's  Response
hi sir/mam,I can understand your agony.both MS and transverse myelitis can be made out from an MRI and CSF analysis.as you might have undergone those tests,with no abnormality detected,neurologist have opined of grey matter disease most probably alzheimer’s disease.your age also supports the diagnosis.with medical treatment.following are the recommendations of treatment :
1)medications include cholinesterase inhibitors,NMDA antagonists.
2)mental activities like solving puzzles,teasers,crosswords etc which improve the cognitive ebility are also advised.
3)supportive care by family and friends is crucial.
4)patients are advised to have more joyous interactions with people they like,picnics to spots which they like the most.at the same time any of those activities must not be stressful to patient.
5)regular physical exercise to keep oneself active is helpful.
6)a balanced diet with more of fresh fruits,veggies and non farmed fish also helps.
7)behavioural problems like anxiety,depression,agitation etc can be dealt with the help of anxiolytics and anti depressants.
8)psychoeducational program to primary care givers of patients with Alzheimer’s is effective in better understanding of the disease symptoms and helps in providing better care.
hope my answer clarifies your doubts.any further queries are welcome with pleasure.wish you a happy,healthy and peaceful new year.thank you.take care.bye.

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What Causes Grey Matter Disease?

hi sir/mam,I can understand your agony.both MS and transverse myelitis can be made out from an MRI and CSF analysis.as you might have undergone those tests,with no abnormality detected,neurologist have opined of grey matter disease most probably alzheimer’s disease.your age also supports the diagnosis.with medical treatment.following are the recommendations of treatment : 1)medications include cholinesterase inhibitors,NMDA antagonists. 2)mental activities like solving puzzles,teasers,crosswords etc which improve the cognitive ebility are also advised. 3)supportive care by family and friends is crucial. 4)patients are advised to have more joyous interactions with people they like,picnics to spots which they like the most.at the same time any of those activities must not be stressful to patient. 5)regular physical exercise to keep oneself active is helpful. 6)a balanced diet with more of fresh fruits,veggies and non farmed fish also helps. 7)behavioural problems like anxiety,depression,agitation etc can be dealt with the help of anxiolytics and anti depressants. 8)psychoeducational program to primary care givers of patients with Alzheimer’s is effective in better understanding of the disease symptoms and helps in providing better care. hope my answer clarifies your doubts.any further queries are welcome with pleasure.wish you a happy,healthy and peaceful new year.thank you.take care.bye.