Has anyone felt that semaglutide made their swallowing weakness worse?

I’ve started it recently for blood sugar and weight control because steroids have made those things an issue. I am wondering whether it’s slowing everything down too much gut motility wise, including possibly not helping my throat weakness? I have oesophageal motility issues too with my Myasthenia, and it feels as though everything sits in my chest for a long time after eating sometimes. I guess yeah, I’m just wondering if this pill is making it a bit worse. I’d love to hear your experiences of this too?

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u/tinytillymouse — 11 days ago

What do you do when you travel, to keep Mestinon/Pyridostigmine cool & dry?

I’m going away and all I can really find is stuff for insulin. I won’t have access to a freezer while I’m away.

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u/tinytillymouse — 14 days ago

I’m not reading about this anywhere on any forums but wanted to ask!

Have any of you had sore lymph nodes alongside this condition? Since I got MG symptoms badly after a virus, the lymph nodes in my neck just above my clavicle are swelling intermittently, never too large, but pretty painful now. Even when I’m talking or moving my neck they’re hurting.

I have had them scanned and they’re “reactive” but since then it’s just been 🤷‍♀️ when I mention it to doctors. I was just curious if any of you who are diagnosed have experienced this too as a part of MG, perhaps in relation to your thymus? I do have hyperplasia.

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u/tinytillymouse — 16 days ago

Back in the hospital because no one is taking accountability for my care

I’m in limbo. Diagnosed at a neuro clinic where they don’t specialise in MG. Waiting for an appointment in a few months with the right team. GP won’t do anything to help because they don’t know anything about MG - fair. Neuro team won’t speak to me between appointments that are spaced weeks-months apart - not fair.

I’ve been contacting everyone weekly to say that my swallowing is getting worse and worse and I’m concerned I’ll end up back in hospital. It’s been 8 weeks of that and now, yesterday I choked on my dinner. And I choked on breakfast this morning. Full on, husband having to slap my back to save me from dying choked. And I choked on a tablet last week too.

Now I’m back in the hospital and I’m gonna have to be on the ward and have IVIG and have my steroid dose put up. All of this could’ve been avoided if someone had listened to me that it was getting bad. I feel so abandoned by them, and so upset that they’ve let it get to this point.

I hate being admitted. I hate the infection risk, the lack of sleep, the noisy wards. I just want peace while I try to recover. We were supposed to be going on holiday because my husband has just finished work for the year and now we can’t go anymore.

Can I ask - what dose of steroids got your MG under control?

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u/tinytillymouse — 26 days ago

Check out Leena Norms' new 'what's in my makeup bag' YouTube video for sustainable recommendations!

I can't post the link here. But check it out on YouTube, it's such a good video.

I'm always thinking about how much plastic I'm using with my makeup use. But I don't wanna give up makeup because I love it! Lots of makeup lasts for YEARS and years. As I'm getting to the end of old products, I'm trying to swap them for more sustainable alternatives if I can. Leena makes lots of great videos about the planet and climate change, and this is a fab one because she is showing you stuff she's tried and found is actually good quality and works. One issue I've had with trying sustainable makeup is that I'll buy it, try it, it's really bad and then I end up throwing away more than if I'd just bought something with plastic and used it all up. Like, some of it is so bad you just can't even use it, it melts off or smudges etc.

I wanted to share it here! And if you can all pile in with any amazing more sustainable products you've found too, that'd be so cool!

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u/tinytillymouse — 1 month ago

Everyone who's starting the pill today/this week, how are you feeling?

I've taken my first pill this morning. It kicked my appetite out for the first half of the day and I could barely eat breakfast, I left some of my lunch behind too. I focused so well at work this morning because I wasn't hungry the whole time!

I had a little bit of nausea at lunchtime, which was just hunger! It passed once I ate. I had some ginger beer and the fizziness didn't sit too well in my stomach.

Let me know how you're getting on out there!

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u/tinytillymouse — 1 month ago

How do you cope with the fact that this is forever?

Since I got diagnosed, this is what is coming up for me a lot. Just a sense of terror tbh, that I'm only 30 and the rest of my life, I will have problems swallowing food. I will have to be immunosuppressed and at risk of infections and scary side effects. That I won't be able to sing like I used to. That I can't exercise like I love to without it affecting my ability to swallow food for days afterwards. That I will be dizzy and strained and exhausted if I try to read, or work on my laptop.

I am trying to think about it day by day. Just today, just now. Breaking things into small steps. But the honest truth is that I don't want this to be my future. I'm horrified that this has happened to me. I feel so alone compared to the people around me who are living their relatively normal lives with relatively normal problems. Meanwhile I'm choking my way through breakfast and struggling to read a line on my computer without my eyes flicking about. It's exhausting and scary to think of my future. I just don't want this to be forever.

I have endometriosis too, and a bowel condition, and POTS, and it all mounts on top of me causing endless pain and discomfort. I live in fear of even more autoimmune conditions suddenly turning up now my body has gone down this path. I know people often have more than one.

I also feel enormous pressure to make my daily experience palatable for other people because I got ditched by a huge group of friends when I was young because of my bowel condition.

I should have options for different treatments by the end of the year when my referral comes through for a proper MG team to help me, I'm on a very low dose of steroids at the moment, and Pyridostigmine, that's it. But what if nothing helps much more and this is it? How do you all cope with this?

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u/tinytillymouse — 1 month ago

Do you get dizzy when you try to read for work?

It feels like my eyes don't track properly together and sort of flick about and lose where I am on the screen/page. And the blurriness and occasional double vision doesn't help. Does this go away with good treatment?

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u/tinytillymouse — 2 months ago

Advice for steroid anger/irritability/changing your personality

I’m on prednisolone (only 15mg so idk how people cope with higher doses omg) and basically, they’re dampening my sense of empathy and making me really angry when I feel threatened, by things that wouldn’t normally make me feel threatened at all.

I am feeling very ashamed of how I’ve responded to certain situations of late and I’ve been saying and doing things that are really out of character. I’m explaining to the people around me that it’s the drug and they know me and my usual character and are giving me grace but I’m in a total guilt spiral about this and terrified of what I’ll do/say next?!

Can any of you relate? My doctors categorically will not allow me to step down my dose and even want to increase it so we’re in a bit of a battle about that at the moment. I’m going to be on it for at least a year it looks like, if not longer, while other medication options are started and I can possibly be tapered.

I would really, really value any advice you have to temper this. I’ve tried L-theanine and while it does seem slightly calming it has by no means fixed things at all.

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u/tinytillymouse — 2 months ago

Can you please share your understanding of what treatment options are available to you in your country? I think it would help us to support each other well. It might give us a clearer picture of what's possible for others around the world and therefore the discrepancies in quality of life we have

For instance, I keep getting recommended Vyvgart (sp?) when I post here, but that's not available for patients in the UK. We only typically have oral steroids, and perhaps other immunosuppressants like azathioprine. We are usually only given IVIG in a crisis. We recently got Rystiggo (sp? again) approved but only if all other treatment options fail first. I'm new to this but from research I believe this is factual. Open to corrections if I'm wrong.

I think it could be really helpful for us to be able to support each other well if we have in mind that what we have access to, others might not, and vice versa! It seems to be VERY different across the world.

Really appreciative of this community and the support you all offer. I made a post about steroid side effects recently and your tips have really helped me.

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u/tinytillymouse — 2 months ago

How are you all dealing with steroids? I’m struggling.

Newly diagnosed. I’m not even on that high of a dose of pred because IVIg helped get me on the straight and narrow so we didn’t need to go all the way up.

I’m getting adrenaline surges, especially at night. I can’t sleep very often and when I wake up I’m jittery and filled with anxiety, extreme anxiety. I’m having horrible anxious thought loops and even when I put on something funny or meditations I can’t focus, the thought loops are stronger. I’m crying a lot.

My face is getting rounder by the day. I am eating low carb now to try to counteract any weight gain and that seems to at least temper my appetite a bit, and my mood. But it’s hard because I just want to eat comfort food now I can swallow again.

I also have acid reflux that’s burning my oesophagus and stomach even though I’m on 2 acid suppressant medications. And avoiding reflux triggers.

I already spoke to my doctor this week and he kinda said “some people are on much higher doses” 🤷‍♀️ and left it at that. I can’t live like this forever… I don’t even have a plan in place for anything else. I tried to ask for a plan but I’m being referred to another team who deal with MG. It’s a waiting game. I emailed and got the same response again.

Any tips you have for me while I deal with this would be SO appreciated, especially the anxiety stuff. I am not usually like this and some of how my mood has been has been really, really scary. Like, scary low. I fear that neither being on the meds or off the meds is good for me but they aren’t hearing me about how bad this is.

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u/tinytillymouse — 2 months ago

Seriously, how do you cope with the PTSD of being gaslit by doctors for years before your diagnosis? How do you cope with having to go back to them for care and being told it’s anxiety over and over again? I can’t sleep at night

I got diagnosed with a serious autoimmune condition that could’ve killed me while they sat back over and over again and asked me how I don’t know it’s not just some functional thing, whether it’s just because I’m anxious about my health that it’s happening, almost all of them. All men, all young. So disheartening. It breaks you and then you actually get a diagnosis and you have antibodies so there’s no refuting your symptoms anymore and suddenly they’re not all in your head but you have to go back to the same people because if you don’t you’ll actually die. How the hell do you cope with this? I’m awake at night replaying those appointments over and over, filled with rage and fear. The way you have to advocate for yourself with all health “professionals” and they hate you for it. They loathe you for asking for help. They treat you like you’re the sh*t under their shoe for asking for what you need, the stuff they’re supposed to provide you with. Why are they all working in the field? If they hate sick people so much? If they don’t actually want to help us what are they doing there? How do they get paid SO MUCH MONEY to sit there and tell 100 people a day their physical health problems are all in their head? Who do they think they are?

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u/tinytillymouse — 3 months ago

I want to come off steroids :(

I’m in a weird space where I’ve been put on them but nothing has been explained to me about them, I’ve had to do research to learn what I need to know.

I’m so grumpy all the time, I feel flat and like I’m not really experiencing any joy in anything anymore. I am snippy with my partner. I’m gaining weight SO fast even though I’m not eating much because I just don’t want to. I’m only on a relatively low dose.

I’m still having issues with swallowing even with this and a course of IVIG. I’m still having breathing issues. I still get to a point where I’m suddenly so weak that I can’t keep walking anymore. Still find talking quite tiring.

I have my first appointment since my diagnosis coming up next week, and I just want to say I want to stop this drug, I hate it.

What can I do? Will they let me come off them? I’m in the UK if that’s helpful to know.

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u/tinytillymouse — 3 months ago
▲ 4 r/AMA

I have a rare autoimmune condition called Myasthenia Gravis that sometimes leaves me unable to swallow food or water without choking, AMA

I got sick a couple of years ago and it took ages to figure out what it was, everyone told me I was just stressed. I got a virus and suddenly couldn’t eat dinner. It progressed to the point that I was choking on water and got admitted to hospital.

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u/tinytillymouse — 3 months ago

Does your tongue weakness ever feel like numbness and swelling?

Sometimes when my tongue gets weak it feels almost like I’ve had anaesthetic injected into my tongue. It feels kinda fat in my mouth lol, and like I can’t move it around like I should be able to. Does this match your feelings if you have bulbar symptoms?

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u/tinytillymouse — 3 months ago

How do you stop moralising about being sick?

How do you work on feelings like you're cursed? Like you did something wrong to bring it upon you? I feel like I can't escape the anxiety that I did this to myself. I feel so guilty all the time.

I have an autoimmune condition now on top of endo, a bowel condition and POTS. It makes me choke on food and water until I get hospitalised.

Everyone told me I was just stressed for a year and a half trying to figure out what was wrong. I can't shake the feeling that it's my fault that all of this has happened.

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u/tinytillymouse — 3 months ago

How to manage weight gain from long term steroids?

I have to be on them for a very long time. I’m already gaining, even with swallowing issues. Is there anything I can do to stop this?

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u/tinytillymouse — 3 months ago

For those given IVIG for swallowing crisis

How long did it take for your swallowing to improve? I’ve been given an emergency 5 days of infusions and my swallowing initially seemed to improve but feels a little worse today (day 5)

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u/tinytillymouse — 3 months ago

A rarer cause of dysphagia

Hi everyone, I thought I would share my story here as when my swallowing problems started, I used to read this subreddit a lot to see if I could figure out what was behind my dysphagia. I wanted to notice any similar patterns to other people’s symptoms to see if I could identify what was wrong with me.

I really hope this might help someone.

My swallowing issues started very suddenly last January. I got a chest infection that hit me very hard. Before this, I had been having what felt like balance issues for a while, a lot of dizziness when I was walking. Some tongue weakness when I talked sometimes. My eyes started to blur a bit and I had double vision in my right eye when I tried to read. It didn’t register that it was shut and would flick around like it didn’t know where it was in my head!

One night, I tried to eat dinner and it just wouldn’t go down. It was very odd. I assumed it was because I was quite dry from the cough, and thought nothing of it. However, the next morning I made some porridge and the oats were getting stuck immediately all round my mouth, my throat, and in my chest. I started to worry a little bit at this point. My jaw felt like it was getting exhausted by chewing. It felt exhausting and impossible to coordinate eating and breathing. Even trying to have a mouthful of food would make me short of breath.

This went on for days, and I switched to a liquid diet and contacted my doctor. I started having fainting episodes and became so fatigued I had to crawl to the bathroom. I had gone from walking 20,000 steps a day to this within weeks. I couldn’t lift my arms to do my hair or makeup without becoming short of breath. I couldn’t breathe when I lay down, and barely even when I was upright, it felt like I was always air hungry. My husband had to get a wheelchair for me so that we could go out anywhere.

I went to private doctors in the end (UK based) because no one on the NHS was helping me. I had a manometry done which showed that 9/10 swallows were failing. I had a video fluoroscopy that showed weakness in my mouth and pharyngeal muscles. No one knew why, though. I had clues but no answer.

I was repeatedly told I was just stressed and anxious everywhere I turned for help, on the NHS. My husband and I visited A&E probably more than 7 times last year. I was admitted to hospital once but then discharged and told to try harder. In spite of choking on my own saliva towards the end of the day and barely being able to take in any liquids. I was seriously dehydrated.

Previously, I had been diagnosed with POTS, and fortunately my GP agreed to prescribe me a medicine called pyridostigmine that I’d been on years ago to control my fainting episodes. Suddenly, I was able to swallow again. For a year, I gradually built up strength. I still choked on my saliva towards the end of the day, I still had to prop myself up at night to not choke or stop breathing, but I could walk again. I could eat most foods, albeit with difficulty especially towards the end of the day. Having lost over 20kg, I gained weight back and felt like I could just about get on with my life.

Then, I got an appointment with a neurologist and spoke to them about POTS. When they heard my reaction to pyridostigmine they became suspicious of a condition called Myasthenia Gravis. They ran an antibody panel and what do you know - it was positive! Finally, an answer!

I’m now on treatment and hoping to get much closer to feeling how I used to feel before this all started.

To anyone reading this, don’t give up on yourself. You know your body better than anyone else. Don’t let them fob you off, keep going in pursuit of your answer. You deserve to know what’s wrong.

There were times last year when I was terrified I would die. There were times when I wanted to, to be honest. It was absolutely dreadful. Medical misogyny is terribly dangerous. I was teetering on the edge of respiratory crisis and regularly choking for 7 months before I got prescribed the medicine that started to help me.

You have strength within you that you wouldn’t believe is possible, okay? Keep going. Don’t let them win.

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u/tinytillymouse — 3 months ago