Algis wrote:If "stress" is a trigger for MS; why then there isn't any surge of MS in South-Sudan, East Nigeria, Burma, Afghanistan, Kazakhstan (to only name few).
Or is it "stress" in the Western-world cocoon - Like some kids are "stressed" because they will not serve chocolate for dessert next week at school?
That is pretty subjective.
"My" MS came silently; no real trigger... A limp, more, second leg, then gradually fatigue, then a cane, a walker, a wheelchair.... an electric wheelchair, one arm refuse to move, second one getting tired... Waiting for its next move...
That is an observation that the neuro I see made. He said that there was not an increase in reported exacerbations in Lebanon when it was being shelled, and such. I suggested that people under siege are not likely to be going to see their neurologist. I wonder if it is that that you suggest about the Western cocoon. We are more likely to complain about our circumstances because of our circumstances. Afghans or Sudanese peasants are unlikely to report to, or be observed by competent neurologists. Most cases of any dis-ease are probably unreported.
I'm just going out on a limb, but stress causes release of adrenalin/cortisol into the blood stream, and that shite is poisonous in large, continuous dosage. I can imagine that it might disrupt the endothelium, aggravating an already underlying condition, and cascades into the first symptoms. Then the metabolic balance is so precarious, we get relapsing/remitting dis-ease.
We need "good" stress - like being surprised, or threatened in the moment - that is actually healthy, but chronic stress makes a mess of us.
I don't know about PPMS. It would be interesting to look at physical and mental constitutions before "MS", and what flavour of it develops. I was generally robust, and naturally lean and athletic, but very "high-strung". My body is now emaciated, but I'm working on the excitability thing...
My name is not really Johnson. MSed up since 1993