Cog Fog: How to Handle This Frequent MS Symptom

Cog Fog: How to Handle This Frequent MS Symptom

In case you’re managing multiple sclerosis (MS), you’ve probably lost a few minutes — or even hours — searching your house for misplaced items… only to get your keys or wallet somewhere arbitrary, just like the kitchen cabinet or drug cupboard.

You are not alone. Cog fog, or MS-related brain fog, affects many individuals coping with MS. In fact, it’s estimated that more than half of people coping with MS may establish

cognitive problems such as difficulty understanding conversations, thinking critically, or recalling memories. In addition, it is referred to as brain fog, fluctuations in cognition, or cognitive impairment.

Losing your train of thought mid-sentence, forgetting why you entered a room, or even trying hard to remember a friend’s name are all possibilities when cog snowball strikes. “The info is not there. It only takes more time to get it,” she informs Healthline.

For example, if someone asks me a question about a specific detail out of days or weeks earlier, I can not always immediately pull this up. It slowly comes home, in chunks. It’s like sifting through an old fashioned card catalog instead of merely Googling it. Analog vs. electronic.

Lucie Linder was clinically diagnosed with relapsing-remitting MS at 2007 and says cog fog has turned into a significant issue on her, as well. “The sudden memory loss, disorientation, and mental sluggishness which can hit anytime aren’t fun.”

Linder clarifies occasions when she’s unable to focus or concentrate on an activity because her brain feels as though it’s slush in thick sand.
Luckily, she’s found that cardio exercise helps her blast throughout that trapped atmosphere.

For the most part, cognitive changes will soon be mild to medium, and won’t be so acute that you aren’t able to care for your self. However, it can make what was previously simple tasks — like shopping for markets — pretty darn frustrating.

The science Supporting cog fog

MS is a disease of the central nervous system that affects the brain and back. In addition, it induces areas of inflammation and lesions within the brain.

“Consequently, [people who have MS] can have cognitive conditions that normally demand slowness of communicating, trouble multitasking, along with distractibility,” explains David Mattson, MD, a neurologist in Indiana University Health.

A number of the commonplaces of life which can be suffering from cognitive changes include things like memory, attention and concentration, verbal fluency, and information processing.

Mattson highlights that nobody MS lesion causes this, however, cog fog appears correlated with a heightened amount of MS lesions in the brain.

In addition to that, fatigue is also prevalent in people with MS, which can cause forgetfulness, lack of interest, and little energy.

“Individuals who experience fatigue can find it more challenging to complete tasks later in the day, have less ability to defy certain environments such as extreme heat, and fight with sleep disorders or melancholy,” Mattson adds.

Olivia Djouadi, with relapsing-remitting MS, ” says her cognitive issues appear to occur more with extreme fatigue, which can prevent her in her tracks. And as an instructional, ” she says the brain fog is equally awful.

“It means I get forgetful over simple details, yet can still remember complex things,” she explains. “It’s very frustrating because I know I knew the answer, however, it will not come if you ask me personally,” she stocks Healthline.

The great news: There are immediate and long-term strategies for decreasing cog fog, and sometimes even just making it somewhat more manageable.

How to Manage cog fog

Doctors and patients both believe shame in the lack of treatment choices out there to your cognitive difficulties that accompany MS.

It is essential for healthcare providers to offer validation and support with their own patients with MS who are experiencing changes in their cognition, states Dr. Victoria Leavitt, a clinical neuropsychologist at ColumbiaDoctors and assistant professor of neuropsychology, at neurology, at Columbia University clinic.

However, in the lack of remedies,” Leavitt considers that lifestyle factors may really make a huge difference. “Modifiable aspects that are in our control can greatly change the way a person with MS resides to best protect the brain,” she tells Healthline.

Leavitt states that the traditional trio of modifiable lifestyle factors that’ll assist with cognitive functioning include diet, exercise, and cognitive enrichment.


Changes to your diet — notably the addition of healthful fats can help with cog fog.
Healthy carbohydrates, or foods rich in omega-3s, are known for their role in brain health.

As Well as avocados and coconut oil, include a number of these to your diet:

  • Fish such as salmon, mackerel, sardines, and cod
  • Extra virgin olive oil
  • walnuts
  • chia seeds and flax seeds


The exercise was studied for a long time as a way to help individuals with MS manage the daily struggles of cog fog. In reality, a more 2011 analysis found that physical activity was significantly associated with the cognitive rate in people who have MS. Engaging in physical exercise can be excellent for the human body along with your emotional wellness.

A 2013 study found that people with MS who engaged in regular aerobic exercise undergone again in the mood. When you’re feeling well, you have an increased ability to process information. Any exercise is effective, but investigators seem to appear specifically at aerobic fitness exercise and the role that it plays in MS and cognitive functioning.

Additionally, a 20-16 study reported that people with MS who regularly exercised had a reduction in lesions in the brain, which shows exactly how powerful exercise might be.

Intellectual enrichment

Intellectual enrichment contains those things you do to maintain your brain contested.
Participating in activities such as word and number matches, or thought-challenging exercises such as crossword, Sudoku, and jigsaw puzzles, will help keep your brain fresh and engaged. Playing with these or other board games with family or friends can also provoke more benefits.

To acquire the biggest brain-boosting benefits, learn a new skill or speech, or pick up a brand new pastime.

Short-term strategies

When executing longterm solutions for cog fog is essential, you will also likely take advantage of some suggestions that will offer immediate relief.

Hepatica says a few additional strategies that work on her when she’s experiencing cog fog are taking good notes, writing everything down on her schedule, and multitasking less than possible. “It’s easier for me to start and finish tasks before moving on to start something new,” she says.

Mattson agrees with these strategies and says that his patients do best when they create notes, avoid distractions, and do something at one time. In addition, he urges choosing enough time of day when you’re lively and fresh and doing all of your more difficult tasks during that time.

  • In-the-moment strategies
  • Use a company technique like lists or post-it notes.
  • Concentrate on doing a single action at one time in a quiet, distraction-free space.
  • Utilize enough good time you have the energy to the most troublesome tasks.
  • Ask family and friends to speak more slowly to offer you longer hours to process details.

Long-term game Program

  • Eat brain-food packed with healthy fats or omega-3s like salmon, avocado, and walnuts.
  • Require a walk or indulge in another kind of exercise you like regularly.
  • Know something new to challenge your brain.

If you are experiencing how to fit these plans in your own life, Leavitt says to talk to your physician or healthcare team. They can help you produce a plan to produce these things function out.

One particular trick she does like to worry would be: Start small and establish very realistic goals until you feel success. “You have to do things that you want for them to turn into a habit,” she states.

Leavitt can be looking into the role sleeping, social networks, and connectedness with the community drama at how people with MS deal with changes in cognition. She considers those factors together with aerobic diet, exercise, and intellectual enrichment are all excellent methods to guard against the future reduction.

“I find this as an extremely promising area for research,” she says. “Finally, we need to interpret our signs and our findings into remedies”

While living with MS and coping with cog fog can be a real challenge, even Hepatica says she tries not to let it down here. “I simply accept my brain works in another way now and I am thankful for own strategies that help,”.


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