Dr Sajjad Ali -Neuro Physician in Sialkot- Pakistan

Dr Sajjad Ali -Neuro Physician in Sialkot- Pakistan Dr. Sajjad Ali is one of top Neuro Physician in Pakistan, Assistant Professor of Neurology at Govt K

When temps rise ? remember these heatstroke prevention.Time outdoors is time well spent throughout the year, but it's es...
24/04/2025

When temps rise ? remember these heatstroke prevention.

Time outdoors is time well spent throughout the year, but it's especially enjoyable during the summer. Hiking, fishing, boating and other warm-weather activities can renew your appreciation for nature. They also are good for physical and mental health.

Summer can bring hot temperatures, and working or playing in the heat can be dangerous. As you head out this summer, remember to take precautionary measures to prevent heat-related injuries when you're far from climate-controlled environments.

Sometimes when people are having fun outside in the summer, they don't realize they're becoming overheated. If the condition reaches the level of heatstroke, it's serious and immediate medical attention is needed.

Heat exhaustion often precedes heatstroke. The signs of heat exhaustion include cool, moist skin with goose bumps when in the heat, heavy sweating, faintness, dizziness, fatigue, rapid pulse, headache and nausea. Without prompt treatment, heat exhaustion can lead to heatstroke, a life-threatening condition. Heatstroke occurs when the body reaches a temperature of 104 degrees or higher, and symptoms can include confusion, altered speech, nausea or vomiting, rapid breathing and a racing heartbeat, among other symptoms.

The good news is that you can prevent heat exhaustion and heat stroke.

Take these steps to prevent heatstroke during hot weather:

Wear loose-fitting, lightweight clothing.
Wearing excess clothing or clothing that fits tightly won't allow your body to cool properly.
Protect against sunburn.
Sunburn affects your body's ability to cool itself, so protect yourself outdoors with a wide-brimmed hat and sunglasses and use a broad-spectrum sunscreen with a sun protection factor, or SPF, of at least 30. Apply sunscreen generously and reapply every two hours, or more often if you're swimming or sweating.
Drink plenty of fluids.
Staying hydrated will help your body sweat and maintain an average body temperature.
Take extra precautions with certain medications.
Ask your health care team your medications can affect your body's ability to stay hydrated and dissipate heat.
Never leave anyone in a parked car.
This is a common cause of heat-related deaths in children. When parked in the sun, the temperature in your car can rise 20 degrees F in 10 minutes. It's unsafe to leave a person or pet in a parked car in warm or hot weather, even if the windows are cracked or the car is in the shade. Keep your car locked to prevent a child from getting inside when it is parked.
Take it easy during the hottest parts of the day.
If you can't avoid strenuous activity in hot weather, drink fluids and rest frequently in a cool spot. Try to schedule exercise or physical labor for cooler parts of the day, such as early morning or evening.
Get acclimated.
It can take several weeks for your body to adjust to hot weather. Limit time spent working or exercising in the heat until you're conditioned to it. People not used to hot weather are especially susceptible to heat-related illnesses.
Be cautious if you're at increased risk.
If you take medications or have a condition that increases your risk of heat-related problems, avoid the heat and act quickly if you notice symptoms of overheating. If you participate in a strenuous sporting event or activity in hot weather, make sure medical services are available in case of a heat emergency.
Heatstroke requires emergency treatment. Left untreated, it can quickly damage your brain, heart, kidneys and muscles. The damage worsens the longer treatment is delayed, increasing your risk of serious complications or death.

Post workout meals for diabeticsPost-workout nutrition is pivotal for anyone engaging in physical activity, as it aids i...
24/04/2025

Post workout meals for diabetics

Post-workout nutrition is pivotal for anyone engaging in physical activity, as it aids in repairing muscles, restoring energy reserves, and ensuring overall recovery. After a workout, our bodies are like a sponge, eager to absorb nutrients to replenish what was expended. For individuals with diabetes, this post-exercise window becomes even more critical due to the unique interplay between exercise, insulin, and blood sugar levels.

Diabetics need to be particularly cautious and informed about their post-workout meals. For those with type 1 diabetes, the risk of hypoglycemia (low blood sugar) increases post-exercise, so consuming carbohydrates becomes essential to prevent this dangerous drop. On the other hand, individuals with type 2 diabetes, who often battle with insulin resistance and overweight, should focus on a balanced meal with moderate carbohydrates from unrefined sources, paired with vegetables, protein and healthy fats. This approach will support muscle repair without causing spikes in blood sugar. As for gestational diabetes, which affects pregnant women, post-exercise nutrition should prioritize both the mother’s and the baby’s needs. A combination of complex carbohydrates and protein is typically recommended, but portion size and specific food choices should be discussed with a healthcare professional to ensure optimal maternal and fetal health. In all these scenarios, the key lies in understanding individual body responses and tailoring post-workout nutrition to suit specific diabetic needs.

the diabetic response to exercise
Understanding the Diabetic Response to Exercise
Exercise holds a transformative power in the lives of diabetics, impacting blood sugar levels in multifaceted ways. When we exercise, our muscles use sugar (glucose) for energy. As a result, moderate aerobic activities like brisk walking or cycling can generally lower blood sugar levels, due to increased glucose uptake by muscles from the bloodstream. However, more intense workouts, such as weightlifting or sprinting, can sometimes raise blood sugar temporarily by prompting the liver to release stored glucose into the bloodstream, to provide quick energy for the body.

Insulin plays a crucial role in this exercise dynamic. For those without diabetes, the body automatically adjusts the amount of insulin needed during and post-exercise. However, for diabetics, the situation is more complex. For instance, people with type 1 diabetes have to be cautious about the risk of hypoglycemia during and after exercise, as their bodies don’t produce insulin, and the insulin they inject doesn’t decrease in response to exercise like it would in a non-diabetic. Conversely, for those with type 2 diabetes, especially if they are insulin resistant, ensuring that blood sugar doesn’t spike after a workout becomes the priority. Monitoring blood sugar levels before, during, and after exercise, and understanding individual responses to different activities, becomes essential in safely leveraging the benefits of physical activity for diabetics.

Primary Goals of Post Workout Nutrition

One of the pivotal aspects of an effective exercise regimen is the nutrition that follows physical activity. The primary objective of post-workout nutrition is to ensure quick recovery. After exerting oneself, the body needs to repair worn-out tissues and muscle fibers. This not only aids in muscle growth but also ensures that they mend effectively, setting the stage for subsequent workouts.

Additionally, stabilizing blood sugar levels post-exercise is of paramount importance, especially for diabetics. Consuming appropriate nutrients helps prevent sudden drops or spikes in blood sugar, maintaining a steady metabolic rate. This is intricately linked with the need to replenish glycogen stores. Glycogen, stored primarily in the liver and muscles, is the body’s reservoir of energy. After a workout, these reserves are often depleted, and refilling them ensures that the body has ample energy for future activities and exercises. By addressing these facets through post-workout nutrition, one sets a foundation for optimal health benefits and workout outcomes.

Post-Workout Meals for Diabetics
Diabetic Considerations for Pre- and Post-Workout Nutrition

When it comes to exercise, individuals with type 2 diabetes can reap numerous health benefits. However, they must approach their pre- and post-workout nutrition differently to maximize these advantages while ensuring their blood sugar levels remain stable. For those managing their diabetes through diet and exercise alone, there might not be a necessity for a pre-workout snack. Yet, if one is on insulin or specific medications that stimulate insulin production, it’s crucial to be more deliberate about pre-exercise snacking. Blood sugar levels, the duration of the workout, the time of day, and individual responses to exercise all influence what one should consume. If you’re someone who prefers morning workouts, always ensure to have breakfast, irrespective of your blood sugar levels. This is because exercising on an empty stomach in the morning can elevate blood sugar. However, consuming food signals the pancreas to produce insulin, thus regulating blood sugar.

Post-workout nutrition is equally crucial. After exercising, it’s essential to monitor blood sugar. If it drops below 100 mg/dl (5.6 mmol/L), it’s wise to have a snack. The nature and quantity of this snack will depend on when the next scheduled meal is. If the subsequent meal is more than an hour away, the recommendation is to consume around 15 grams of carbs along with 7 to 8 grams of protein. For example, a combination of a small banana (approx. 15g carbs) with a tablespoon of peanut butter (providing the required protein) can be an excellent post-workout choice. Another idea is to prepare a smoothie blending 150 grams strawberries, 1/3 scoop of protein powder, and 1 cup of unsweetened almond milk.

This balanced intake not only prevents drastic drops in blood sugar but also aids in muscle recovery. It’s also important to note that blood sugar levels can remain lowered for up to 24 hours post moderate to intense activity. Thus, one should remain vigilant and adapt their diet accordingly, especially if they’re on insulin or other diabetes medications.

Post-Workout Meals for Diabetics Trying to Lose Weight

When you’re aiming to shed pounds, it’s crucial to avoid consuming excess calories that aren’t necessary for your body. This involves coordinating your eating times with your exercise schedule to prevent unnecessary snacking merely due to physical activity.

Working out on an empty stomach can optimize the burning of stored fat. If you eat immediately before a workout, your body primarily uses the recent caloric intake as energy. By hitting the gym three to four hours post-eating, your body is more inclined to utilize stored fat as its energy source because immediate fuel isn’t readily available. Always ensure your glucose levels are within a safe bracket, ideally between 100 to 180 mg/dL, before any physical activity.

Adopting this strategy can be instrumental for weight reduction. It’s not just about the calories you expend during the exercise but ensuring a greater proportion of those calories come from burning stored fat.

Avoid obligating yourself to have a “recovery meal” after low-intensity workouts.

When aiming for weight loss and engaging in less intense activities like brisk walking, light jogging, or cycling for under an hour, you probably don’t need a dedicated “post-exercise meal”. Focus instead on consuming primarily whole foods approximately every four to five hours throughout the day. This ensures you meet your caloric requirements while also staying active.

Weight management involves a delicate equilibrium between consuming adequate amounts to boost metabolism and manage hunger, and cautiously reducing intake to prompt the body to utilize stored fat. Strategically timing meals and exercises can help prevent excessive calorie intake, ensuring you’re adequately nourished.

Diabetic eating
When You Need to Eat a Post-Workout Meal

For certain workout regimes, it’s pivotal to consume food (or a protein-rich beverage) within the subsequent hour post-exercise.

Workouts demanding prompt post-session nourishment include:

Strength training
Intense interval sessions
Prolonged training (marathon running, extensive cycling, etc.)
Rigorous workouts exceeding an hour
High-velocity sports (football, tennis, squash, etc.)
Failing to intake sufficient food or a recovery drink after these demanding exercises can lead to complications:

You may deny your muscles the essential amino acids they require for recovery.
You might not restore the muscle’s glucose reserves, potentially causing more muscle deterioration.
Hunger pangs might hit you later on, resulting in overconsumption during the subsequent meal.
Rigorous exercise demands adequate nourishment. Eating at intervals of three to four hours during the day, coupled with post-exercise nutrition, plays a crucial role in supporting your body.

Scheduling Meals, Insulin Dosage, and Physical Activity

Consider adjusting your insulin dosage for your meal. If you’re planning to work out right after eating, it might be beneficial to discuss with your doctor about decreasing the insulin amount for that meal. The kind of activity you engage in (be it walking, jogging, or weight training), its duration (from 15 to 45 minutes), and its intensity can all influence the modification in insulin required. For high-intensity routines, such as an intense weight training session, you may discover the need to lessen your insulin dosage for the meal you’ll have in the subsequent hours. Nevertheless, your insulin requirements related to physical activity can be influenced by multiple factors. It’s crucial to engage with a healthcare professional to discuss potential adjustments in insulin levels pre and post-workout.

Engage in physical activity prior to eating and administering mealtime insulin. Working out before your meal and subsequent insulin dose can decrease the likelihood of experiencing hypoglycemia. This strategy makes it easier to maintain a workout routine without the fear of low sugar levels, negating the need for additional carbohydrates during the workout. However, if you still experience hypoglycemia without rapid-acting insulin in your system, it might indicate that the dosage of your other medications or insulin is too high.

Most crucially, always monitor your blood sugar levels before commencing any physical activity. It’s advisable to have quick-acting carbohydrates on hand, such as glucose tablets, gummy sweets, or juice, in the event of a drop in blood sugar. Engage in a discussion with your physician about possible modifications to your insulin or other medications to avert hypoglycemic episodes during or post-exercise.

Diabetics training
Training Before Lunch or Dinner: Ideas for Post-Workout Meals for Diabetics
And if you are having lunch or dinner right after your exercise, here are some ideas for a healthy meals:

Grilled Chicken with Quinoa and Steamed Veggies: A perfect combination of lean protein, complex carbohydrates, and essential micronutrients. Grilled chicken assists in muscle repair and growth, quinoa provides carbohydrates for replenishing glycogen stores while also being rich in proteins and fiber, and steamed veggies offer vitamins and minerals without added fats. This meal promotes quick recovery and ensures blood sugar stability, making it an ideal post-workout option for diabetics.

Cottage Cheese with Sliced Almonds and a Sprinkle of Chia Seeds: Cottage cheese is a fantastic source of slow-releasing protein, ensuring sustained muscle repair. Almonds add healthy fats and a bit of crunch, while chia seeds are fiber-rich and provide omega-3 fatty acids. This combination supports muscle recovery and helps stabilize blood sugar levels post-exercise. While it might not offer as many carbs as some might need after an intense workout, it is in line with our discussion about providing protein and ensuring stable glucose levels.

Avocado and Tuna Lettuce Wraps: A low-carb, high-protein, and healthy fat-packed option. Tuna offers lean protein, essential for muscle repair, while avocado provides healthy fats that are beneficial for overall health. Lettuce wraps ensure the meal remains low-carb, minimizing the chances of a post-meal blood sugar spike. This meal suits those who’ve had a moderate workout and are looking to refuel without a significant carb intake, aligning with our discussions about muscle repair and blood sugar management.

Additional Tips for Active Diabetics
For active diabetics, it’s crucial to be prepared and informed to ensure a safe and effective exercise routine. Always keep a small, fast-acting carbohydrate source, such as glucose tablets or gummy candy, readily available to swiftly address potential hypoglycemic episodes. It’s also essential to recognize the distinction between aerobic and anaerobic exercises, as each can differently influence glucose levels. Aerobic exercises typically lower blood sugar, whereas anaerobic activities might cause it to rise. Given the intricacies of diabetes management, especially in conjunction with physical activity, it’s always a wise move to consult healthcare professionals who can provide personalized advice tailored to individual needs.

Diabetes diet
Post-Workout Meals for Diabetics: Conclusions
In closing, it’s paramount to underline the importance of tailored post-workout nutrition for those with diabetes. A one-size-fits-all approach simply won’t suffice; individualized strategies are the key to optimizing health benefits and managing glucose levels effectively. By fostering a balanced and well-informed perspective, diabetics can not only navigate the challenges of exercise and nutrition but also thrive, achieving better health and fitness outcomes. Remember, knowledge coupled with personalization is the pathway to a healthier, more active life for those managing diabetes.

10/12/2024

Falij ka ilaj logo ki zabani civil hospital sialkot
Plz jald punchay agr esi koe bhe alamat ho

World stroke day 29 th Oct Khawaj Muhammad Safdar nedical collge
29/10/2024

World stroke day 29 th Oct Khawaj Muhammad Safdar nedical collge

🥳 Day 1 - Goodbye constant worry💃 Day 4 - Anxiety fades, clarity grows🤯 Day 9 - No more fear of the unknown😇 Day 12 - “I...
16/10/2024

🥳 Day 1 - Goodbye constant worry
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Spinal Muscular Atrophy (SMA)Spinal muscular atrophy (SMA) is a genetic condition that causes worsening muscle weakness....
21/09/2024

Spinal Muscular Atrophy (SMA)

Spinal muscular atrophy (SMA) is a genetic condition that causes worsening muscle weakness. There are five subtypes, which range in severity and age of onset. There’s no cure for SMA, but certain therapies and medications can help manage symptoms.

Overview
What is spinal muscular atrophy?

Spinal muscular atrophy (SMA) represents a group of genetic (inherited) neuromuscular disorders that cause certain muscles to become weak and waste away (atrophy).

SMA involves the loss of a specific type of nerve cell in your spinal cord called lower motor neurons, or anterior horn cells. These cells control muscle movement. Without these motor neurons, muscles don’t receive the nerve signals that make them move.

The weakness in SMA tends to be more severe in the muscles that are close to the center of your body (proximal muscles) than in the muscles farther away from your body’s center (distal muscles). Muscle weakness tends to worsen with time.

Types of SMA
There are five subtypes of SMA. Healthcare providers classify them based on the age of onset, as well as the severity and life expectancy. The subtypes include:

SMA type 0 (congenital SMA): This is a rare subtype that affects a fetus before birth. Pre-birth, there are typically decreased fetal movements. At birth, infants with type 0 have severe muscle weakness and typically go into respiratory failure. Death usually happens at birth or within the first month of life.
SMA type 1 (severe SMA): About 60% of SMA cases are type 1 — also called Werdnig-Hoffman disease. Symptoms arise within the first six months of life and include limited head control and decreased muscle tone (hypotonia). Infants with type 1 SMA also have difficulty swallowing and breathing. Without breathing support, children with type 1 SMA die before their second birthday.
SMA type 2 (intermediate SMA): Symptoms of type 2 SMA (also called Dubowitz disease) appear between six months and 18 months of life. Symptoms include hypotonia and worsening muscle weakness, which tends to affect their legs more than their arms. Children with type 2 SMA may be able to sit up but can’t walk. Around 70% of people with type 2 will survive until 25, with some surviving into their 30s. Respiratory issues are the major cause of death.
SMA type 3 (mild): Symptoms of type 3 SMA (also called Kugelbert-Welander disease) appear after a child’s first 18 months of life. Type 3 symptoms include lower limb muscle weakness, leading to difficulty walking. People with type 3 MSA don’t tend to develop breathing issues, and it typically doesn’t affect life expectancy.
SMA type 4 (adult): This is the mildest form of SMA. It doesn’t typically appear until after the age of 21. Muscle weakness symptoms progress slowly, so most people with type 4 remain mobile. It typically doesn’t affect life expectancy.

How common is SMA?

Although SMA is thought of as uncommon, it’s the second most common severe hereditary disease of infancy and childhood after cystic fibrosis. Researchers estimate that it affects between 1 in 6,000 to 1 in 11,000 live births. SMA is about twice as common in white and Asian people as it is in Black and Hispanic people.

Symptoms and Causes
What are the symptoms of SMA?

In general, the main symptom of SMA is muscle weakness — typically, in the muscles closest to the center of your body. But the symptoms vary based on the type.

Symptoms of SMA type 0 include:

Decreased fetal movements.
Arthrogryposis.
Decreased muscle tone (hypotonia).
Severe muscle weakness.
Severe breathing issues.
Symptoms of SMA type 1 include:

Limited head control.
Hypotonia.
Lack of reflexes (areflexia).
Inability to sit without support.
Abnormal breathing pattern and a bell-shaped chest.
Difficulty swallowing, which can lead to growth issues (failure to thrive).
Facial muscle weakness. This develops later on in the condition.
Symptoms of SMA type 2 include:

Hypotonia and areflexia.
Progressive muscle weakness that affects your child’s legs more than their arms.
Scoliosis.
Muscle weakness in your child’s chest, which can result in restrictive lung disease.
Jerky movements in your child’s hands (polyminimyoclonus).
Stiffening of your child’s jaw (mandible) joint due to bone fusion (ankylosis).
Joint contractures.
Symptoms of SMA type 3 mainly involve progressive muscle weakness that affects your child’s legs more than their arms.

The main symptom of SMA type 4 is mild leg weakness.

What causes spinal muscular atrophy (SMA)?
SMA is a genetic condition, which means you inherit genes from your biological parents that cause the condition.

Mutations (changes) in the SMN1 (survivor motor neuron 1) gene cause all types of spinal muscular atrophy. The number of copies that you have of the SMN2 gene alters the severity of the condition.

A healthy SMN1 gene produces SMN protein. Motor neurons need this protein to survive and function properly. If you have SMA, your body doesn’t make enough SMN protein, so your motor neurons shrink and die. As a result, your brain can’t control voluntary movements, especially motion in your head, neck, chest and legs.

The SMN2 gene also produces a small amount of SMN protein. A person may have up to eight copies of an SMN2 gene. Having multiple copies of the SMN2 gene typically leads to less severe SMA symptoms because the extra genes make up for the missing SMN1 protein.

Inheritance pattern of SMA
You inherit SMA in an autosomal recessive pattern, which means both of your biological parents pass on mutations in the SMN1 gene. In most cases, the biological parents of someone with an autosomal recessive condition each carry one copy of the mutated gene. But these carriers typically don’t have symptoms of the condition. In the general population, mutations of the SMN1 gene are common. Among white people, 1 in 50 may be a carrier.

In rare cases, you may inherit an SMN1 gene mutation from one parent and acquire a new mutation in the other copy of the gene during embryonic development.

Diagnosis and Tests
How is SMA diagnosed?
To start the diagnosis process, a healthcare provider will ask about your or your child’s medical history and symptoms. They’ll then do physical and neurological exams.

If your provider suspects SMA, the main test that can confirm it is genetic testing. This blood test can confirm 95% of SMA cases by identifying problems with the SMN1 gene. Each of the 50 U.S. states now routinely screens newborns for SMA.

Some SMA symptoms resemble those of other neuromuscular disorders, like muscular dystrophy. If your provider doesn’t immediately suspect SMA, they may recommend any of the following tests to find the cause:

Creatine kinase blood test: Deteriorating muscles release this enzyme into your bloodstream. But the levels are typically normal with SMA, unlike with other neuromuscular disorders.
Electromyogram (EMG) and nerve conduction study: These tests measure the electrical activity of your muscles and nerves.
Muscle biopsy: Rarely, your provider may request a muscle biopsy. This procedure involves removing a small amount of your muscle tissue and sending it to a lab for examination.
Can spinal muscular atrophy be diagnosed during pregnancy?
If you’re pregnant and have a family history of SMA, prenatal genetic testing may be able to check if the developing fetus has the condition. Prenatal tests for SMA include:

Amniocentesis: During amniocentesis, your healthcare provider inserts a thin needle into your belly to draw out a small amount of amniotic fluid. A pathologist checks the sample for SMA. This test happens after the 14th week of pregnancy.
Chorionic villus sampling (CVS): Your provider removes a small tissue sample from the placenta through your cervix or belly. A pathologist checks the sample for SMA. CVS can take place as early as the 10th week of pregnancy.
Management and Treatment
What is the treatment for SMA?
Unfortunately, there isn’t a cure for SMA. Treatment for SMA mainly seeks to manage symptoms and prevent complications. Symptom management therapies may include:

Physical therapy, which can help improve posture, prevent joint immobility and slow muscle weakness.
Occupational therapy, which can improve your ability to perform daily tasks.
Assistive devices, like orthopaedic braces, crutches, walkers and wheelchairs.
Therapy for speech and swallowing difficulties.
A feeding tube if swallowing is too difficult and/or dangerous.
Assisted ventilation for breathing issues.
Medications for SMA
Between 2016 and 2020, the U.S. Food and Drug Administration (FDA) approved treatments that can significantly improve the course of SMA. They include:

Disease-modifying therapy: These medications stimulate the production of SMN2 protein. The FDA has approved Nusinersen (Spinraza®) for both children and adults. A healthcare provider injects the medication into the space around your spinal canal. A different medication, risdiplam (Evrysdi®), helps those with SMA who are 2 months and older. You take risdiplam daily by mouth (orally).
Gene replacement therapy: Children younger than 2 may benefit from a one-time intravenous (IV) infusion of a medication called onasemnogene abeparvovec-xioi (Zolgensma®). This therapy replaces a missing or faulty SMN1 gene with a functioning gene.
These newer treatments may be particularly effective if started early, even before symptoms of SMA appear. Given the availability of these treatments, there’s now routine screening of newborns for SMA in the United States.

Your child may also be able to participate in a clinical trial for SMA. Talk with your child’s healthcare team to see if this is an option.

Prevention
Can I prevent SMA?
SMA is an inherited condition, so it’s not typically preventable. But genetic testing can help you understand your odds of having a biological child with SMA.

Carrier testing for SMA is available using a genetic test. If you or your partner carry the mutated gene that causes SMA, a genetic counselor can explain the chances of your child having SMA or being a carrier.

You may be able to take steps before pregnancy to lower the risk of passing on SMA. A process called preimplantation genetic diagnosis (PGD) identifies embryos that don’t have the mutated gene. Your healthcare provider implants healthy embryos during in vitro fertilization (IVF).

Outlook / Prognosis
What is the prognosis for someone with SMA?
The prognosis (outlook) for someone with SMA varies based on the subtype. Your healthcare team can give you a better idea of what to expect based on your or your child’s situation.

Complications of SMA
Over time, children with SMA experience progressive muscle weakness and loss of muscle control. Potential complications include:

Bone fractures, hip dislocation and scoliosis.
Malnutrition and dehydration due to problems eating and swallowing.
Chest infections, like aspiration pneumonia, due to swallowing issues.
Weak lungs and breathing problems that may require breathing support (ventilation).
People with SMA are also prone to metabolic acidosis, especially during periods of illness or fasting. Researchers aren’t sure why this happens.

What is the life expectancy of someone with SMA?
The life expectancy of someone with SMA largely depends on the type:

SMA type 0 results in death at birth or within one month of life.
SMA type 1 often results in death by the age of 2 without breathing support.
Life expectancy for SMA type 2 varies but is usually between 20 and 40 years.
SMA types 3 and 4 typically don’t affect life expectancy.
It’s important to note that disease-modifying and gene replacement therapies have been proven to substantially improve survival in SMA type 1. Your healthcare team will be able to give you a better idea of what to expect.

Living With
How do I take care of my child with SMA?
If your child has SMA, it’s important to advocate for them to ensure they get the best medical care and as much access to therapy as possible. Advocating for care can help them have the best possible quality of life.

You and your family may also want to consider joining a support group to meet others who can relate to your experiences.

What questions should I ask my healthcare provider?
If you or your child have SMA, it may be helpful to ask your healthcare provider the following questions:

What type of SMA do I or my child have?
What’s the prognosis for this type of SMA?
What’s the best treatment for this type of SMA?
What are the treatment risks and side effects?
Are other members of my family at risk for getting SMA? If so, should we get genetic tests?
What type of ongoing care will I or my child need?
What signs of complications should I look out for?
A note from Cleveland Clinic
Understanding a spinal muscular atrophy (SMA) diagnosis can feel overwhelming. Know that your healthcare team will be by your side to explain what this diagnosis means for your child’s health and future. It’s important to make sure you and your family are getting the support you need and to cope with the diagnosis.

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Dar Ul Shifa Hospital Opposite To Grace Marque Cantt , Sialkot
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