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Feeling stronger in the morning and weaker at night? Understanding myasthenia gravis

Muscle fatigue, difficulty exerting strength, double vision and breathlessness can be symptoms of myasthenia gravis. Early symptoms may be mild or fluctuate, making the condition difficult to recognise until it has become more serious.

Myasthenia gravis: grades 1–5 Grade 1 may involve drooping eyelids, double vision and blurred vision. Grades 2–4 may progressively involve tiredness, a heavy feeling in the head and weakness in the limbs. The original article describes severe grade 5 symptoms as difficulty swallowing and breathing.

Neurologist Dr. Lee Chi Nam recommends specific examinations to assist diagnosis. An ice-pack test can be used for patients with drooping eyelids. Other investigations include blood tests, nerve conduction studies, CT scans or MRI.

If you suspect a problem, seek medical attention promptly so that treatment can begin early. This information is for reference and cannot replace clinical medical advice; consult a doctor if you have questions.

This article retains the context of its original publication. It is for general information and does not replace professional medical advice.

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