Will neuromyelitis optica relapse?

Patient's question:

Hello, I am 26 years old. In 2007 (when I was 9 years old), I was diagnosed with neuromyelitis optica. In 2008, I had an episode of the disease, both times during treatment. Since then, I haven't had any more episodes for 14 years. Now, occasionally, I experience a situation where I can't hold my urine, but this happens infrequently and usually resolves within a few hours.
Treatment history and effectiveness: None.
What kind of help do you need: Hello, will I have another episode? What is the probability of another episode? Can I get pregnant in the future? Thank you.

Doctor's answer:

Optic neuritis refers to the inflammation of any part of the optic nerve. In clinical diagnosis, based on the location of the inflammation, optic neuritis is divided into two types: intraorbital and retrobulbar. The former refers to papillitis, while the latter is retrobulbar optic neuritis. It is essential to identify the cause and remove the focus of the disease. For cases where the cause is unclear, all hidden foci should be eliminated. Corticosteroids can also be used for treatment. Additionally, patients should develop a regular lifestyle, adhere to treatment, maintain a light diet, and engage in aerobic exercise to boost their immunity and reduce the risk of illness.

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