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What are the symptoms of bulbar myasthenia gravis?

A MGteam Member asked a question 💭
Langhorne, PA
August 27, 2025
 · 
Reactions
A MGteam Member

I have generalized MG. But I do get bulbar symptoms as well. Sometimes I can’t smile or my eyelid will droop. I get double vision. Other times I have difficulty forming words. Occasionally I have had trouble swallowing & that’s scary.

August 28, 2025
A MGteam Member

Thank you for your thoughts. My speech along with swallowing clear liquid are most concerning symptoms. Right now I'm only being treated with Mestinon. Three month wait to see a motor neuron specialist as my symptoms worsen My neurologist knows little about treating.MG

August 30, 2025
MGteam

Bulbar symptoms in myasthenia gravis affect the muscles in the head, neck, and jaw area. About 15% of people with generalized myasthenia gravis experience these symptoms, which can significantly impact daily activities.

Common bulbar symptoms include
• Difficulty chewing
• Problems with swallowing (dysphagia)
• Speech Show Full Answer

Bulbar symptoms in myasthenia gravis affect the muscles in the head, neck, and jaw area. About 15% of people with generalized myasthenia gravis experience these symptoms, which can significantly impact daily activities.

Common bulbar symptoms include:
• Difficulty chewing
• Problems with swallowing (dysphagia)
• Speech difficulties (may sound nasal or slurred)
• Trouble controlling facial expressions It's important to note that symptoms can vary throughout the day and may be triggered by factors such as:
• Stress
• Illness
• Fatigue
• Hot weather
• Infections
• Menstruation

If you experience new or worsening bulbar symptoms, it's crucial to inform your neurologist as this could indicate disease progression or the need for treatment adjustments.

August 27, 2025

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