i have a weakly positive ana and positive rnp. i also have fatigue, joint pain and swelling, dry cough and gerd symptoms. no raynaud's, though. ?

Question

ana speckled +rnp 2.4. Severe fatigue, raynauds fingers + toes. Back + hip pain. Gerd, insomnia low wbc, rbc, and mag.. Is this possible autoimmune?

Answer 1

Big picture: My first concerns are whether your gerd is real -- get endoscoped, and it may be the cause of your cough and if so this is dangerous. There are several rnp's that speak either to mixed connective tissue disease or scleroderma; the latter's unlikely with no raynaud's though gerd can mimic the esophageal troubles. Just my thoughts; others will share as well.

Answer 2

Agree with Dr. F: It is not feasible to provide a meaningful opinion without additional history, physical examination and may be some tests. Your symptoms warrant evaluation by a rheumatologist. Weakly positive ANA per se is not meaningful.

Answer 3

Multi-layer dressing: Use sterile dressing and antibiotic ointment over the exposed skin to prevent infection and promote healing. Use a second layer of dressing or gauze. In between the first and second layer apply a lubricant such as vaseline or petroleum jelly. Secure those layers with a roll gauze and tape. All of this goes under your sock and should prevent pain when walking.

Answer 4

Cover the part that : Peeled with a bandage. Elbow band-aids are great for covering large areas.

Answer 5

Yes: Lyrica (pregabalin) is one type of "nerve pain" medicine. There are several different types of "nerve pain" medication. You would want to increase Lyrica (pregabalin) to the highest dose before you could say it isn't working. Naproxen is an an anti-inflammatory medication. Narcotics are the strongest medication with evidence for improving neuropathic pain.

Answer 6

Neuropathy: Maybe a multidisciplinary or multimodality approach can optimize yor treatment. Physical therapy, maybe acupuncture, proper socks and shoes and maybe opioids. Talk to your doctor.

Answer 7

Yes: When confronted with a women who could be pregnant we almost always suspect it.

Answer 8

Pelvic pain: You should see a doctor. You may be pregnant, not necessarily a normal pregnancy, but you matty have others different condition such as infection or cyst. Bottom line you need an evaluation.

Answer 9

Wrong dose: The way you are taking the zithromax is not the dosing for chlamydia - for that you need to take 4 250mg tablets at once. That's it. Call your doctor and check out why they prescribed it the way you are taking it.

Answer 10

Schedule appointment: You may have a concurrent urinary tract infection not being treated by your current antibiotic. This needs to be checked and not just assume the back pain is pid related.

Answer 11

Probably not: It may me a reaction to the sting. You should seek medical attention asap.

Answer 12

Not likely: I would give it some more time and everything should slowly get back to normal. Expect pain and swelling for the next few days.

Answer 13

No: Ice and elevation. Over the counter Ibuprofen every 6-8 hours will help with the inflammation.

Answer 14

Ouch!: Remove stinger by scraping along edge of skin with a credit card. Clean with soap & warm water. Apply ice in 10 minute. Increments; alternating 10 on & 10 off. Tylenol, (acetaminophen) Aspirin or Motrin for pain or Benadryl for swelling. Make a paste of 2 parts baking soda & 1 part water & apply. Or you can apply a meat tenderizer poultice to the area. Throat, airway or tongue swelling – call 911.

i have a weakly positive ana and positive rnp. i also have fatigue, joint pain and swelling, dry cough and gerd symptoms. no raynaud's, though. ?

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