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What causes motor neuron disease?

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Posted on Tue, 19 Jul 2016
Question: I, am XXXX
my wife is a XXXX patient. she is completely peralysed and on ventilator ( since four years).We are useing RILUTOR ( Riluzole ) tablets, Esomeprazole-40,Fludac-20,B-complex,Iron,Calcium syrups. She looks healthy. All other organs working normally. Recently, she is not able to swallow even pasty food (takes liquid diet). Whenever we give her solid food, she gets cough and flume comes out and takes time to recover.Now,She loosing clarity of speech. so, can we use LESURIDE at this time? I am EXPECTING more suggestions from you Sir.... Thank
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Answered by Dr. Neeraj Kumar (13 hours later)
Brief Answer:
Continue medication and get Ryle's tube inserted

Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Motor neuron disease is a progressive disease with loss of motor neurons, thus leading to muscle atrophy.
Bulbar involvement (muscles of oral cavity for speech and swallowing) also occurs.
Difficulty in speech and swallowing indicates disease progression.
Lisuride has some effect in parkinson's realted dysphagia but unlikely to have effect on MND associated dysphagia.
You can get a Ryle's tube inserted or feeding gastrostomy or jejunostomy done.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Above answer was peer-reviewed by : Dr. Priyanka G Raj
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Answered by
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Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2263 Questions

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What causes motor neuron disease?

Brief Answer: Continue medication and get Ryle's tube inserted Detailed Answer: Hello, I have gone through your question and understand your concerns. Motor neuron disease is a progressive disease with loss of motor neurons, thus leading to muscle atrophy. Bulbar involvement (muscles of oral cavity for speech and swallowing) also occurs. Difficulty in speech and swallowing indicates disease progression. Lisuride has some effect in parkinson's realted dysphagia but unlikely to have effect on MND associated dysphagia. You can get a Ryle's tube inserted or feeding gastrostomy or jejunostomy done. Hope you found the answer helpful. Do get back to me for further queries. Regards Dr N Kumar