Doctor insights on:
Alternative To Lasik For Lupus Patient
I'm going for a consult for Lasik in 2 days. I was diagnosed with Lupus in 1993 and symptom-free and no meds since 1996. Can I have Lasik?
LASIK: I would leave that up to the operating ophthalmologist. They will advise you about their experience with lupus patients. I would get a few opinions. Make sure urge the surgeon has a wealth of experience in these types of patients. Ask them specifically how many they have done in lupus. Good luck. Feel better! ...Read more
How will an anti-inflammatory drug regimen affect my lasik surgery outcome? I am suffering from systemic lupus and take steroid anti-inflammatory drugs daily for a few years. These have noticeable side effects for me and wonder how my medication regimen w
It: It is unlikely the anti-inflammatory will have an impact. However, having lupus might influence your recovery rate, you may need more time for healing than a person without lupus. Usually, we recommend that patient not be in an acute inflammatory state with their lupus, symptoms are minimal at the time of lasik surgery. Be sure you lasik surgeon knows you have lupus, also discuss your upcoming lasik surgery with the provider monitoring your lupus. ...Read more
Is it ok for s.l.e lupus patients to take suppliments for gym workouts such as, Karbolyn xr3, stance bcaa, gluamatic
Iam an S.l.e Lupus patient, & I want to try suppliments, With my workouts such as, Karbolyn xr3, stance bcaa, gluamatic. Will it cause harm to my body?
History/physical lab: Systemic lupus erythematosis (sle) is a multiorgan disorder. Patterns of disease, including hair loss, rash (often "butterfly" on cheeks), joint pains, seizures, chest or abdpain, anemia, low platelet count, fatigue, canker sores in mouth or vagina, rash to sunlight, protein in urine, abnormal blood tests, e.g. Ana, rf, double strand dna, ENA tests. Pcp may diag rheumatologist definitely can. ...Read more
Indoor: Lupus you need to usually avoid sun. Listen to your body and work with your doctor what is safe. I usually tell people to do a little more today than you did yesterday, for 15 minutes. Do this *every day* unless injured (then stretch), and slowly build strength, which improves immune function. Indoor swimming would be ideal in most instances. ...Read more
•Severe joint pain and muscle aches
•Skin rash on the face or body
•Extreme sun sensitivity
•Mental confusion and seizures
•Chest pain on taking a deep breath
•Nose, mouth, or throat sores
•Enlarged lymph nodes
•Poor circulation in fingers and toes
•Bald patches and hair loss ...Read more
Not necessarily: There may be restrictions with kidney disease. Certain nutritional products should be avoided such as echinacea. It may stimulate the immune response. ...Read more
Every person differs: Although lupus is a diagnosis, it is not one set of symptoms each person with lupus is like a snowflake. Each person is different just like a snowflake and no two snowflakes are the same. Some people have similar problems like those which are highlighted in the american college of rheumatology classification criteria, ie, skin, joints, labs, etc. ...Read more
Depends: It depends on what medications you are on for your lupus. Acetaminophen is good for any, but non-steroidal inflammatory drugs have to be used with caution and G.I. protection with a proton pump inhibitor if on steroids. Opiods safer on major medications for lupus such as biologics and chemotheirapy drugs. ...Read more
Bikram yoga: If any should help with joint pains, fatigue, better mobility, feeling of well being. Lupus nephritis patients and renal failure patients should consult with their doctors prior to undertaking Bikram ypga due to fluid loss and dehydrates toon as a result if heat associated with Bikram yoga. ...Read more
Lupus: ANA negative lupus is rare. Doctors use the term ANA negative lupus for a small sub set of patients who have classic features of lupus but are ANA negative. Such patients may exhibit features of lupus on a kidney biopsy or skin biopsy. Such patients may have positive lupus anti bodies for for sm antigen, double stranded anti dna anti bodies etc.. See an experienced rheumatologist. ...Read more
Fever: Sle is an inflammatory condition in which fevers are not uncommon. Would not, however, make the assumption that the fever in any given individual is due to their sle, since they are more susceptible to infection than the normal person, and the drugs they are taking may make them even more liable to infection. They should be seen by a doctor and evaluated thoroughly. ...Read more
For the most part..: If done properly, it should not harm. But does it do good. No. If someone is trying to sell you this bill of goods, run away! ...Read more
Complex but: The most likely explanation is a loss of immune regulation allowing your immune system to attack the tissues of your own body. The immune system is the pit bull in our body which tries to fend off outside invaders. When the owner can no longer control the pit bull, bad things are apt to happen. ...Read more
Interested to learn more about integrative medicine, especially how it could benefit patients with lupus.
Benefit in many ways:
For an overview see http://www. Drweil. Com/drw/u/art02054/andrew-weil-integrative-medicine. Html
integrative docs would look for underlying causes of lupus such as chronic infections (candida, lyme), environmental toxins such as mercury, food allergies, nutrient deficiencies ; stress. Along with drugs treatments might include nutrients, herbs, homeopathy, acupuncture, stress reduction, chi gong etc. ...Read more
Wat is the meaning of high Ch50 in a lupus patient? Blood counts are slighly low as usual, otherwise no problems. Thanks!
Normal or high CH 50 is not an issue. Low CH 50 may indicate disease activity.
Wish you good health!
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex.
Get HPV vaccine. ...Read more
When your a lupus patient and you haven't taken any medication is your hair supposed to fall out and if so for how longor how do I stop it?
It can, but...: There are many reasons for it to fall out, some related to lupus, and others not, which may co-exist. If you have lupus, why would you not take medication. I hope, that if this is so, it is because your disease activity is minimal. B vitamins, including biotin, can help hair loss! I did notice you are on medication. Methotrexate can cause hair loss, not ho-q. Folic acid can minimize this! ...Read more
What are the physical manifestations of anorexia, if any, that could be mistaken for lupus symptoms if a patient isn't forthright about eating bxs?
A patient with: Combined lupus and anoerexia nervosa would be challenging. I am not sure, has she had a diagnosis of lupus? Anoerexia refers to no appetite and can be a part of illness, anoerexia nervosa is a body dysmorphic disorder, a psychiatric condition. If she is very thin and eats little while being preoccupied with calories, may be that but needs a psychiatrist. If its appetite loss it's different. ...Read more
Just out of curiosity, how often do rheumatologists come across a new patient they diagnose with lupus? Is it rarely? A couple times/year on average?
Room For More Rheum:
Here's the set-up, you do the math: on average, about 5 cases per 100, 000 adult population in the U.S. get diagnosed with Lupus each year. There are about 250 million adults and 5000 rheumatologists in the U.S.
And the answer is: a)3 b)30 c)300 d)3000 e)all f)none
If you calculate (or guess) right, you win an all expenses paid trip to your favorite rheumatologist for any tests you'd like taken ...Read more
How many times does the ANA test is positive in a lupus patient? How long does it stay positive? And does the test needs to be repeated over the years
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