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Brainmaster
Brainmaster, Board Certified MD
Category: Neurology
Satisfied Customers: 58
Experience:  ABPN certified. 6 years of outpatient general neurology practice experience. No malpractice cases
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Is anyone familiar with post viral syndromes like post viral

Resolved Question:

Is anyone familiar with post viral syndromes like post viral gastroparesis and post viral dyspepsia? I have the later following a 24 hour stomach bug and am still extremely ill 9+ months later. I've been told there may be post viral nerve damage to the gut which can take a year or so to heal. Do you have any insights to this type of post viral nerve damge? Is it genetic or random? Do nerves heal? I am a 27 year old male who was very healthy before the stomach bug back in October.
Thank you.
Submitted: 3 years ago.
Category: Neurology
Expert:  Brainmaster replied 3 years ago.

hello

The only case that "springs" in my memory - is GBS - on occasions GBS can cause "autonomic" dysfunction and not only motor dysfunction.

you need to get to neurologist and discuss this case in addition to neurological exam - you may benefit from IVIG.

There was a medicine in USA called propulsid - it may still be available in Canada or Europe - it may help out.........

 

 

good health

Brainmaster



Edited by Brainmaster on 8/3/2010 at 9:31 PM EST
Customer: replied 3 years ago.
Can you please tell me what IVIG is? I have had a full neurological workup and was told to wait and see. Do nerves actually heal over time?
Expert:  Brainmaster replied 3 years ago.
IVIG is intravenous immunoglobulin - it is "pulled" plasma with antibodies from many different individuals - it is infused in you in an attempt to decrease your immune system response to a "trigger" in your case post viral exaggerated immune response which attacked and killed virus and then had nothing else to kill - so it decided to go after your nerves.........

Edited by Brainmaster on 8/3/2010 at 9:49 PM EST
Customer: replied 3 years ago.

Do the nerves ever recover?

Expert:  Brainmaster replied 3 years ago.

it really depends on the degree of damage, unfortunately, there is not objective way to evaluate it. Peripheral nerves may recover, but at the slow rate - about 1inch per month, autonomic nerves are different and I do not want you to have unrealistic expectations.....

if you look at GBS in general - if it recovers fully - it would take anywhere between 1 month to 1 year, after that the condition becomes CIDP (chronic) - and treated with above mentioned infusions.

Brainmaster, Board Certified MD
Category: Neurology
Satisfied Customers: 58
Experience: ABPN certified. 6 years of outpatient general neurology practice experience. No malpractice cases
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