Rosalyn Carson-DeWitt, MD
Poliomyelitis (polio) is viral infection. It is now extremely rare in the Western world due to very effective vaccination programs.
Polio is still a significant problem in parts of Africa and Asia. The infection can lead to paralysis.
Polio is caused by the poliovirus. You can get the virus from contact with:
The virus enters the body through the mouth and travels to the intestines. There the virus grows and spreads quickly. The virus can also travels through the blood and lymph fluid. It can then attack and destroys areas of the nervous system which leads to a loss of control of muscles and paralysis.
You have an increased chance of developing polio if you:
Symptoms can vary. Some may have the virus but never develop symptoms. Others may simply develop flu-like symptoms that last about a week or so. These symptoms may include:
If the nervous system is affected, symptoms may include:
Some people with a polio infection can experience symptoms years after the initial attack. This can include muscle weakness, fatigue, breathing and swallowing problems.
Your doctor will ask about your symptoms and medical history. A physical exam will be done.
To look for the virus you doctor may order:
Your doctor may also do blood tests to look for antibodies. Antibodies are signs that you body is aware of and fighting the virus.
Talk with your doctor about the best plan for you. There are no treatments available to get rid of the virus. Treatment will provide support while your body heals. It will also help you avoid complications.
The doctor may recommend bedrest during the initial phase of the illness.
Medication may be given to lower fever and decrease muscle pain. These may include
or nonsteroidal anti-inflammatory medication.
If the muscles you use to breathe become too weak or paralyzed, you may a ventilator. This machine will take over the work of breathing for you.
The virus can cause a tightening of tissue around a joint. A splint will help relax the joint and keep your joints from becoming too stiff. You may also receive physical therapy to keep your limbs moving and decrease muscle loss.
After your fever passes, exercises and therapy will help you regain mobility. They will also help to improve your muscle strength.
The best way to prevent polio is by completing the vaccine which is started during childhood years.
Most adults have already received this vaccine when they were children. But, if you are at high risk for getting this infection, you may need a booster vaccine. High risk includes:
The number of doses that you need depends on how many you have had in the past. Talk to your doctor if you are at high risk.
American Academy of Pediatrics
Centers for Disease Control and Prevention
World Health Organization
BC Health Guide, British Columbia Ministry of Health
Ontario March of Dimes
Poliomyelitis. World Health Organization (WHO) website. Available at:
http://www.who.int/topics/poliomyelitis/en/. Accessed May 20, 2013.
Polio. Centers for Disease Control and Prevention (CDC) website. Available at:
http://www.who.int/topics/poliomyelitis/en/. Updated January 6, 2012. Accessed May 20, 2013.
Poliomyelitis. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed/what.php. Updated May 3, 2013. Accessed May 20, 2013.
Last reviewed June 2013 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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