Dear Dr. Roach: I am a 68-year-old woman in acceptable health. For the accomplished several days, I accept had beef twitches all over my anatomy — attenuate ones, but about about constant. This odd accident has me worried. It would assume acoustic in nature. What could be activity on? — B.P.
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Dear B.P.: Frequent beef twitches are alleged fasciculations, and they are absolutely common. As a primary-care doctor, I accept patients who agenda these frequently, and fortunately, best generally they go abroad as mysteriously as they came, alone to acknowledgment again, conceivably centered about a altered breadth of the body. This action is alleged ''benign fasciculations,'' and up to 70 percent of bodies will acquaintance this.
However, there are some acoustic diseases that can aboriginal appearance up as fasciculations. Fasciculations are archetypal of what are alleged ''lower motor neuron'' conditions. When they are accompanied by beef decline and weakness, it raises the likelihood of a austere affliction rather than amiable fasciculations. Conceivably the best feared ache with arresting lower motor neuron affection is ALS (amyotrophic crabbed sclerosis), but there are several added accompanying diseases. If your beef twitching is associated with added acoustic symptoms, you should be apparent promptly by your approved provider or a neurologist.
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Dear Dr. Roach: In a antecedent column, you declared that DNA can be damaged by chemotherapy and/or radiation. I'm analytical as to whether that accident can affect the aftereffect of DNA after-effects for ancestry information. — J.P.
Dear J.P.: No; bodies who accept had blight assay with chemotherapy or radiation still will get authentic after-effects from DNA testing for ancestry or accident agency analysis. The accident done to the DNA is mostly in the blight cells, and advantageous beef accept some agency to adjustment any accident that may happen. Unfortunately, there still is some likelihood of accident to the advantageous cells, and that's one of the affidavit why bodies who accept undergone blight assay are added acceptable to get addition cancer, and why they charge approved follow-up, alike years afterwards their blight has been cured.
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Dear Dr. Roach: I accept been diagnosed with ataxia. I had never heard of it before. My doctor said there is no cure and that I will always get worse. So far, he is right. I accept heard altered affidavit for this condition. One was that there is not abundant oxygen accepting to my brain. Addition is that there was a change in my medications. Also, that it can appear from accident from injuries to my head. Is it accurate that there is no hope? — D.F.
Dr. D.F.: Ataxia is not a diagnosis, it's a symptom. Anarchy artlessly refers to accident of beef ascendancy of the body, and there are abounding causes. Some of them are capricious with treatment: booze use, vitamin E and added vitamin/mineral deficiencies, and Wilson's ache (a ache of chestnut metabolism) generally can be absolutely antipodal with treatment.
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Your doctor is appropriate that some medications account ataxia, abnormally anti-epilepsy drugs, sedatives and lithium. Arch abrasion and achievement additionally may account ataxia.
There are a ample cardinal of accelerating ataxias, and these usually are diagnosed by an able afterwards all-encompassing evaluation, possibly including MRI appraisal and abiogenetic testing. It seems like you accept not been accustomed a complete compassionate of your condition. I would try to get a bigger compassionate of the action causing your anarchy from your doctor.
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Much added advice is accessible at the National Anarchy Foundation ataxia.org.
— Readers may email questions to ToYourGoodHealth@med.cornell.edu
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