9 common types of muscular dystrophy and their symptoms

9 common types of muscular dystrophy and their symptoms

Muscular dystrophy causes the loss of muscle mass. Over time, the muscles lose their strength. Muscular dystrophy generally refers to a group of over 30 genetic conditions. Abnormal gene mutations cause these debilitating conditions. The mutations interfere with the normal production of proteins. As a result, there is a disruption in the generation and regeneration of healthy muscle mass. Each of these conditions has its own set of symptoms.

Here are some common signs to watch out for based on the type of muscular dystrophy:

1. Duchenne-type muscular dystrophy
This is one of the most common types of muscular dystrophy. It is mostly observed among children assigned male at birth (AMAB). However, those assigned female at birth (AFAB) may also be at risk. Most of these symptoms appear during childhood.

  • Finding it difficult to get up from a sitting or lying position
  • Showing signs of delayed growth
  • Falling frequently
  • Experiencing difficulty jumping or running
  • Walking on the toes
  • Waddling gait
  • Experiencing muscular stiffness and pain
  • Having enlarged calf muscles

Becker muscular dystrophy
This is another common type of muscular dystrophy. Most of the signs of this condition are nearly identical to those of Duchenne muscular dystrophy. But the severity of the symptoms is milder. Also, the progress of the symptoms is slower in Becker muscular dystrophy. In most cases, most of these symptoms start showing during the teenage years. But sometimes, symptoms only appear in adulthood, i.e., after the mid-20s. Common signs of this type of muscular dystrophy include the following:

  • Walking gets difficult over a period of time
  • Walking up the stairs gets harder
  • Having a low tolerance for exercise
  • Experiencing frequent muscle pain and spasms
  • Showing a tendency to walk on toes
  • Feeling fatigued

Myotonic muscular dystrophy
This type of muscular dystrophy is commonly diagnosed in adulthood. Men and women are both at equal risk. In myotonic muscular dystrophy, it becomes difficult to relax a muscle after contractions. In the initial stages, it usually affects the muscles of the face and neck. Some common signs of this type of muscular dystrophy include the following:

  • Cloudy eye lenses or cataracts
  • Cardiac arrhythmia or slow and irregular heartbeat
  • Slurred speech
  • Dysphagia or problems with swallowing
  • Frequent diarrhea, constipation, incontinence, and other problems with bowel movement
  • Changes in behavior and personality
  • Issues related to the endocrine system, such as thyroid disease and diabetes
  • Changes in face structure, such as a long and thin face with drooping eyelids and a swan-like neck

Facioscapulohumeral (FSHD) muscular dystrophy
In FSHD, the muscles of the face, shoulders, and hips are affected in the initial stages. There is a loss of muscle mass, and weakness sets in. Most of these symptoms are visible before the age of 20. Thus, the symptoms start during the teenage years. But there are cases when the symptoms become evident even in childhood or after the age of 50. The common signs include the following:

  • Protruding shoulder blades when the arms are raised upwards
  • Difficulty reaching above the shoulder level
  • Droopy eyelids
  • Weak cheek muscles
  • Decreased facial expression due to weakness of facial muscles
  • Backward or forward leaning
  • High steppage gait
  • Changes in posture

Limb-girdle (LGMD) muscular dystrophy
In LGMD, the muscles of the shoulders, upper arms, hips, and upper legs are affected. The muscle mass in these areas loses strength over time. This type of muscle dystrophy can occur at any age. The onset of these symptoms usually starts in childhood or the teenage years. Common symptoms include the following:

  • Wakened hip muscles and shoulders
  • Difficulty lifting the front part of the foot
  • Frequent falling and tripping
  • Difficulty in climbing stairs
  • Difficulty in getting up from the floor
  • Unable to raise arms above the head
  • Difficulty in lifting objects

Emery-Dreifuss muscular dystrophy (EDMD)
EDMD is generally observed among children and young adults, particularly men. It affects the muscles in the upper arms, shoulders, and shins. In some cases, the heart is also affected. Most of these symptoms progress slowly over a period of time.

  • Tightness in muscles
  • Rigidity in spinal movements
  • Stiffness in the Achilles’ tendons in the heels, causing toe walking
  • Difficulty in bending the elbows
  • Abnormal heart rhythms or arrhythmias
  • Sensation of fluttering or pounding in the chest
  • Slow heartbeat or bradycardia
  • Frequent bouts of dizziness or fainting

Oculopharyngeal muscular dystrophy (OPMD)
OPMD is one of the rare forms of muscular dystrophy. It is known to affect about 1 in 100,000 people. It primarily affects the muscle mass in the throat and the eyelids. Most of its common symptoms start appearing in the 40s or 50s.

  • Droopy eyelids that may require special glasses to brace the eyelids open or surgery to raise the eyelids
  • Dysphagia or choking or swallowing problems, particularly for dry and solid foods
  • Shrinking of the tongue
  • Pooling of saliva
  • Facial muscle weakness
  • Leg and arm weakness

Congenital muscular dystrophies (CMD)
CMD is a group of conditions that are diagnosed at birth. In some cases, some of these conditions may be diagnosed right before birth. In general, the symptoms become apparent right before the age of two years. Some forms of CMD may progress slowly over time, with mild intensity. But in some rare cases, the condition may progress rapidly, leading to severe health issues. Some common signs of this form of muscular dystrophy include the following:

  • Muscle weakness
  • Joint stiffness or looseness
  • Scoliosis or spinal curvature
  • Breathing issues
  • Intellectual disabilities
  • Learning disabilities
  • Vision problems
  • Seizures

Distal muscular dystrophy
This type of muscular dystrophy starts in the muscles of the lower arms, hands, legs, and feet. The symptoms start appearing during middle age, that is, in the 40s or later in life, near the age of 60. Some of the common symptoms include these:

  • Progressive weakness and degeneration of the affected muscles
  • Atrophy or muscle wasting
  • Wakened and smaller muscles
  • Limited range of motion
  • Restricted mobility
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Foods to Eat and Avoid for Optimal Kidney Health

Kidneys help filter waste from the blood and dispose of it off the body via urine. They also help balance the electrolyte and fluid levels in the body. But, conditions like high blood pressure and diabetes may intervene with their ability to work as required. Furthermore, damage to the kidney might also result in chronic kidney disease. Hence making changes in your meal plan is a vital aspect of treatment. You can prevent damage to these organs by following a kidney-healthy meal plan. Below, we will address some foods to eat and avoid for better kidney health. Foods to eat Cauliflower Cauliflower is a nutritious vegetable. It's an excellent source of folate, Vitamins B, K, and C. It's rich in anti-inflammatory compounds like indoles, a fiber source. In addition, you can use mashed cauliflower as a replacement for potatoes. For example, a cup of cooked cauliflower has 40 mg of phosphorous, 176 mg of potassium, and 19 mg of sodium. Sweet potatoes They are relatively similar to white potatoes but have more fiber content, resulting in them breaking down more gradually. Hence, you will experience a less spike in insulin levels. Sweet potatoes are also rich in vitamins and minerals like potassium that help balance the sodium levels in the body and lower their impact on the kidneys. But, since sweet potatoes have a high potassium content, people on dialysis or those with CKD should curtail the intake of this vegetable. Red bell peppers They are rich in flavor and low in potassium, but that is not the sole reason they are considered a hit among people with kidney disease. Red bell peppers have Vitamin C and A sources and are also high in fiber, folic acid, and B6 vitamin content. In addition, red bell peppers are also suitable because they have lycopene, an antioxidant that shields against some cancers. You can eat them raw with a dip, mix them into your salad, or enjoy them as an appetizer. Some people also like roasting bell peppers and using them as a topping for lettuce salads or sandwiches. Olive oil It contains healthy fat and has anti-inflammatory properties. Since it is monosaturated fat, it stays stable even at higher temperatures as you cook. Thus, switching to extra virgin olive oil can give you more antioxidants while you still enjoy your favorite dish. Green vegetables Leafy veggies like spinach, kale, romaine, arugula, and cabbage are hydrating, low in calories, and have high antioxidant and vitamin content. If you wish to be cautious about your mineral levels, you must opt for cabbage and arugula, which are nutrient-rich and lower in sodium, potassium, phosphorous, and calcium. In addition, kale and spinach have a high potassium content, which is ok for people seeking to improve their kidney health, but best for those already dealing with chronic kidney disease. Blueberries They are called superfoods because they are rich in antioxidants and are a low-calorie Vitamin-C and fiber source. You can stock them in abundance from your local grocery store or farmer’s market. You can also shop for frozen berries in the off-season and enjoy healthy smoothies. People with kidney diseases can also eat other berries like raspberries, cranberries, and strawberries. Apples Apples are low in potassium and rich in fiber when you eat them with peel. They also have a natural anti-inflammatory effect and are ideal for your kidneys. Foods to avoid Soda Soda has zero nutritional benefits and instead has high sugar content. It only adds to the extra calories. Some studies link high soda consumption to conditions like kidney disease, osteoporosis, dental problems, and metabolic syndrome. If you opt for their lower calorie alternative like coke zero, even that will do you no good, as it has no nutritional value and contains artificial sweeteners and additives. Hence, you must omit soda and opt for healthy beverages like water. If you do not enjoy plain water, add a slice or two of fresh fruit for added flavor. Avocados Avocadoes are known for their many nutritious qualities. They are rich in antioxidants, fiber, and heart-healthy fats. Even though consuming avocado is often considered healthy, people with kidney disease must avoid it as avocados have a high potassium content. An average-sized avocado has about 690 mg of potassium. If you love the taste and do not want to eliminate it, you can reduce the portion size to only 1/4th of the avocado. In addition, it will lower potassium intake.  Salty foods Sodium or salt is one of the most prevalent inclusions in foods you consume daily. However, their density is higher in processed foods. Salt results in water retention and may cause blood pressure, lung, and heart disease. Healthy kidneys work towards maintaining the correct fluid balance in the body. So, if your kidneys do not function as desired, the fluid balance may be disturbed. Hence, you must curtail sodium-rich foods like processed foods, packaged items, and soy sauce. When cooking meals at home, opt for low-sodium alternatives. You can replace salt with spices and herbs and keep the salt shaker off the table. Dairy Dairy products like yogurt, cheese, ice cream, and milk are rich in protein, calcium, and other vital nutrients. They also contain potassium and phosphorous. People with stage three kidney disease might want to curtail their potassium, phosphorous, and protein intake, which is high in dairy. So, you can instead reach out for dairy alternatives like rice, soy, or almond milk as they have lower potassium, phosphorous, and protein content than cow’s milk. Bananas Though naturally low in sodium, bananas' potassium content is significantly high. So, to ensure your kidney disease does not aggravate, monitor your potassium intake, and it might be challenging if the banana is your staple. Conclusion Whatever you eat or drink will affect your health regardless of any health issue. Therefore, maintaining a healthy weight and following a balanced meal plan are prerequisites to staying fit and controlling blood sugar levels. A kidney-healthy meal plan is less about eliminating certain foods but following portion control and finding a balance of proteins, carbohydrates, and fats.

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12 common signs of high sugar intake

Moderate sugar intake is considered safe; after all, many foods, such as fruits, naturally contain sugar. Further, the body uses sugar to produce energy. However, a persistently high intake of sugar can harm health. This excessive intake is usually brought on by heavy dependence on packaged and highly processed food, ready-to-eat meals, baked goods, and other products containing refined sugar and additives. Here are common signs indicating high sugar intake: Persistent sugar cravings Surprisingly, one of the most common signs of high sugar intake is constant cravings for sugary foods. This leads to over-indulgence in sugary snacks and desserts such as cookies, candies, packaged cakes, doughnuts, and flavored yogurt. This sign usually develops as a high intake of sugar causes an increase in the level of ghrelin, a hormone that is associated with an increase in appetite for sugar goods. Joint pain The excessive intake of sugar leads to an increase in the level of cytokines in the tissues of the body. These substances induce inflammation in the joints, and persistently high levels of inflammation can lead to chronic pain in the region. Frequent mood swings Sugar intake causes a release of certain chemicals in the brain that are related to pleasure and happiness. In addition, they can cause a sudden burst of energy. Under normal circumstances, the energy levels come down after a while without any adverse effects. But when sugar intake is high, the burst of energy is bigger, leading to a steep energy crash. This fluctuation is also responsible for the release of stress hormones, further contributing to mood swings. High blood pressure Excessive sugar consumption can also cause hypertension or high blood pressure. Those who regularly have sweetened beverages and sugary foods may experience high blood glucose levels. This can damage the blood vessels and lead to an increase in cholesterol levels. Also, the blood vessels may become thicker over time. All of these factors increase blood pressure levels. Low energy levels The body gets its energy from sugar and calories. The more sugar one has, the higher the energy levels. But the thing about sugar-induced energy bursts is that they last for a short period. So, frequent sugar crashes can make one feel tired and drained often. One may then often experience low energy levels that may interfere with their daily routine and overall productivity. Frequent headaches Eating foods that contain sugar makes the body release insulin—an essential hormone that helps the body turn sugar into energy. But, a high intake of sugar elevates the production of insulin in the body. This can cause a massive sugar crash. In addition, the body’s blood glucose starts to decline. When this happens too often, it may cause migraines and headaches in some. Those who are sensitive to sugar or have existing health conditions are at a higher risk of experiencing this sign of high sugar intake. Skin and scalp problems Those who indulge in sugary foods and beverages on a regular basis are susceptible to skin issues such as acne. For those with preexisting skin problems, their symptoms can aggravate with high sugar intake. This sign is indicative of a spike in blood glucose caused by the high glycemic index of sweet foods. The spike leads to excess production of sebum, which is an oily substance released through the pores of the skin and scalp. Excessive sebum, when combined with inflammation, may lead to acne, dry skin, rosacea, dandruff, and itchy scalp. Poor oral health Sugar is one of the major contributors to tooth decay. Eating too many sweet foods leads to plaque build-up on the surface of the teeth. Plaque develops when sugar combines with saliva and acid in the mouth to form a coating on the teeth. The plaque then becomes a breeding ground for harmful bacteria that can cause infections and decay in the gums and teeth. Moreover, the thick layer of plaque eats away the protective enamel layer of the teeth, leading to cavities. Increased hunger pangs Eating too many sugar-rich foods increases the number of calories consumed in a day. However, as these foods are often not rich in nutrients, they may not make one feel full. In addition, in the absence of fiber, protein, and healthy fats, the foods may get digested quickly, causing frequent hunger pangs and making one eat more throughout the day. Digestive issues The high intake of sugary foods disrupts the balance of healthy bacteria in the gut, causing digestive problems. This is why sugar is often considered as a gut irritant. So, common signs here include issues such as bloating, gas, diarrhea, and constipation upon eating sugary foods on a regular basis. Also, those with pre-existing conditions, such as Crohn’s disease, ulcerative colitis, and irritable bowel syndrome, may experience worsening symptoms after eating too much sugar. Trouble focusing This problem arises when one frequently chooses high amounts of foods that contain refined sugar. This type of sugar blocks membranes of the nervous system, slowing down neural communication and affecting brain function. This results in difficulty in focusing on the tasks at hand. Further, the attention span might become shorter, and short-term memory may also weaken. This can be accompanied by recurring brain fog or lack of mental clarity. Sleep-related issues Those who have too much sugar may have trouble sleeping or develop irregular sleeping patterns. This is brought on by a spike in energy levels after eating high-GI foods. The burst of energy can make it difficult to fall asleep and may also wake one up often, making them unable to get enough rest at night. So, one is likely to feel sluggish throughout the day. An excessive intake of sugar can cause several health issues. These health problems arise due to a rise in blood glucose levels. This leads to high cholesterol levels, high levels of bile, and nerve issues. Due to these factors, there is a high risk of blindness, cardiac issues, and fatty liver problems. If one experiences symptoms of any of these health conditions, it is crucial to consult a health practitioner and seek treatment.

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