Depending on how far along you are, they may try to delay delivery or they may induce labor or recommend a cesarean section. If your water breaks before 37 weeks, it's called preterm pre-labor rupture of membranes (PPROM), and it means you may deliver your baby prematurely.Ĭall your provider whenever your water breaks. Sometimes a combination of drugs works best.If your water breaks or you're leaking amniotic fluid and you're not yet in labor, it means you have pre-labor rupture of membranes (PROM). Your health professionals should review your treatment regularly and suggest alternatives if something is not working well. In some parts of the UK, you may be referred to a pain clinic with its own specialist team of doctors and nurses. Often your neurologist and MS nurse will work with you to manage your MS hug symptoms. If the feeling is due to spasms, the first drugs to try are usually baclofen or gabapentin but there are other options if these are not working well enough. NICE (National Institute for Health and Care Excellence) has recommended that amitriptyline, duloxetine, gabapentin or pregabalin (Lyrica) are tried first. These altered sensations are known as dysaesthesia and the MS hug is often treated in the same way as other dysaesthesia symptoms. Nerve pain, also known as neuropathic pain, includes unusual feelings like pressure, tightness, aching or stabbing. If the symptoms are part of a relapse, then steroids may be prescribed too. These fall into two categories depending on whether the feelings are due to nerve pain or spasms in the small intercostal muscles between your ribs. If the MS hug is long lasting or very painful, you could ask about drug treatments. In this film, young people learn about the MS hug using elastic bands, and discuss how it might feel to experience the MS hug. It is good to say exactly what’s happening, for example, it takes you two hours to get to sleep or you can only sit still for 20 minutes at a time. Give some examples such as it’s affecting your sleep, work or ability to move freely. is stopping you doing what you’d like to do.has happened before? When? Does it feel the same?.started at the same time as other new symptoms or when previous symptoms came back quite suddenly.started suddenly or increased bit by bit.is relieved by changes you have made like tighter or looser clothing or by applying heat or cold.feels painful, aching, burning, tight or like a pressure? Or is it some other feeling Can you describe it even if it seems odd?.comes in short or long lasting bursts or is there all the time. You might like to think about whether the feeling: This means that they can understand what it feels like for you and what effect it is having on your everyday life. You can help your health professionals by describing what you are experiencing as accurately as possible. The MS hug feels different to each person. If you are at all worried about pain in your chest or if you have severe chest pain or difficulty breathing, you should go straight to the accident and emergency department of your local hospital. Your MS nurse may be available at short notice or it may be quicker to see your GP. It is best not to assume that what you are experiencing is part of your MS but to get checked out by a health professional straight away. The MS hug is not dangerous but any chest pain should be taken seriously just in case it needs immediate medical attention like heart or breathing problems. Some people find that it is painful to breathe.Īny pain in the chest needs checking by a doctor unless you are sure of the cause, for instance if you have already been diagnosed with the MS hug and the symptoms have not changed. With the MS hug, you feel as if you have a tight band around your chest or ribs or pressure on one side of your torso. The MS hug is a common symptom of multiple sclerosis that can be hard to explain, and can be mistaken for other conditions. Pharmaceutical and other industry supporters.
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