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Real members of MGteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

How to recognize that an mg crisis is pending?

A MGteam Member asked a question 💭
Lakeland, FL

I had a near crisis in April after a surgery (also got diagnosed then). Had paralysis in my legs, hard to pick up arms and was difficult to breathe. Now I’m having a flare, arms and legs weaker than normal, hard to chew, double vision, choking on nothing and the muscles between my ribs get tired/ sore. Was scared to go to sleep last night as I worry about stop breathing in my sleep. My husband said I was gasping in my sleep the night before. How do I know when this is getting out of control and… read more

October 19, 2025
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MGteam

Based on your symptoms, you should seek immediate medical attention. The warning signs of a pending myasthenic crisis that you're experiencing include:

• Increased difficulty breathing
• Sleep apnea (gasping during sleep)
• Increased muscle weakness
• Difficulty swallowing
• Worsening of overall symptoms

These are serious Show Full Answer

Based on your symptoms, you should seek immediate medical attention. The warning signs of a pending myasthenic crisis that you're experiencing include:

• Increased difficulty breathing
• Sleep apnea (gasping during sleep)
• Increased muscle weakness
• Difficulty swallowing
• Worsening of overall symptoms

These are serious indicators that require urgent evaluation, especially given your recent surgical history and current sleep concerns. Several factors can trigger a myasthenic crisis, including:

• Surgery (which you recently had)
• Sleep deprivation (which you may be experiencing due to anxiety)
• Emotional distress
• Pain
• Temperature extremes

Given that 10-20% of MG patients experience at least one crisis in their lifetime, and your symptoms are progressing, it's better to err on the side of caution and seek emergency care. Don't wait until breathing becomes severely compromised - early intervention is crucial.

October 19, 2025

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