Doctor insights on:
Any Relationship Between Agent Orange And Rheumatoid Arthritis
Many Options: Rheumatoid Arthritis is an autoimmune disease primarily affecting the joints. There is a very wide range of Disease Modifying antiRheumatic Drugs (DMARDs) available for treatment. There are older, less specific, but still effective DMARDs such as plaquenil, (hydroxychloroquine) sulfasalazine, leflunomide and methotrexate. NSAIDs and prednisone to treat flares. There are many newer biologic DMARDs like Anti-TNF agents. ...Read more
A condition where there is progressive degeneration of one or more joints. Symptoms may include joint pain, swelling, decreased motion, and stiffness. The two most common types of arthritis are osteoarthritis, which is associated first with articular cartilage breakdown with a component of inflammation, and rheumatoid arthritis, which is a systemic autoimmune disorder that affects joint linings first and secondarily ...Read more
Is there a connection between rheumatoid arthritis and heart disease/heart attacks? What would it be?
Yes: Rheumatoid arthritis (and any chronic inflammatory state) accelerates formation of atherosclerotic plaques in the blood vessels, and hence is a risk factor for causing heart attacks. Moreover, chronic steroid use (if used to treat ra) may cause metabolic changes that predispose for heart attacks as well. ...Read more
Control the disease: Control the underlying inflammatory process and you control the pain and stiffness. ...Read more
I am 37 yr old lady I am suffering from rheumatoid arthritis since 10 yrs I am going with wysolone n folitrax all the joints r affected so I want some exercise also I'll b very thankful to you?
Bad: Ra is an inflammotry disorder, characterized by high levels of CRP in the body. CRP does not cause the damge, but is the best surrogate marker for inflammation in the body, particularly the blood stream. Inflammation hurts the ling of blood vessels and increases the tendency to deposit cholesterol plaques. It raises clotting factors, such as fibrinogen which makes the blood more liely to clot! ...Read more
Fatigue, stress, infxn: There are several possible causes of flares include stress, fatigue & overexertion which can trigger RA inflammatn as well as possibly food allergies vs. A chemical sensitivity. RA meds suppress the immune system, which means a higher risk for infections. Thus even the common cold or flu may trigger a flare of RA. Thus learn to recognize your triggers, get rest, work w/MD & decrease stress w/meditaiotn ...Read more
Yes but no: You will need medicationGet a more detailed answer ›
Probably not: This is a good question for your own doctor. In general, the short answer is: your arthritis may just get worse and worse without medicines. The longer answer is that studies are starting to show that improved treatment of RA lowers risk of heart attack and possibly risk of death. Medicines have various risks but most people do well when monitored appropriately. ...Read more
Older?: Since RA is an auto-immune condition, its development is not really age dependent. Often it is not recognized until later in life when the conditions start showing signs and symptoms. ...Read more
Shorter life: Untreated rheumatoid arthritis shortens lives. The effect on the lifespan depends on the severity of the disease and the amount of inflammation. Rheumatoid arthritis commonly causes joint deformities which, if they occur, can only be reversed by surgery. It is best to get prompt diagnosis and treatment. Ra is serious chronic disease like diabetes. ...Read more
Get proper treatment: Be sure to see a board certified pediatric rheumatologist. There is no reason to suffer with this disease considering how highly effective the medications now available. General pediatricians and family medicine docs are not familiar or comfortable with using weekly low dose Methotrexate and tnf inhibitors that are needed to control 99% of kids with correctly diagnosed jra. Nsaids are not enough rx. ...Read more
Autoimmune: Jra (also called jia) for juvenille idiopathic arthritis is a disease of unknown etiology. There are many theories for why it happens, many believe there is a virus responsible. The damage to the joints, pain and stiffness is due to an inappropriate immune response which results in the immune system attacking tissues of the host (patient). Rheumatologists can provide appropriate DX and rx. ...Read more
Medication: Pediatric rheumatologists specialize in these issues and can prescribe medications or groups of medications to address the underlying pathology. ...Read more
Not clear: Although there was a study suggesting that alcohol use (10 drinks a month) can reduce the pain from RA associated with inflamation, experts still feel that this is a weak association. In all likelihood, more studies on this would have to be done before anyone can advise a patient to consume alcohol to control their symptoms. ...Read more
Many options: However there are many options for treatment. Medications like anti-inflammatory options like ibuprofen, naproxen, steroid medications, methotrexate, etc. Other options include synvisc/euflexxa injections to help lubricate the knee joint or even platelet/stem cell therapies as well. Some of these options are not covered by your insurance though. Check out Regenexx. Com for stem cell therapy. ...Read more
Makes no sense: What does this have to do with RA. I have never heard of this association. The RA needs aggressive treatment, period. See a rheumatologist. ...Read more
Yes: Yes but they might have to modify the medications they are taking. This should be done in consultation with a good obgyn doctor and a good rheumatologist. ...Read more
Different conditions: Fibromyalgia and RA are very different, so the medications that work for one, may not work for the other. Antidepressants such as duloxetine (cymbalta) or others are frequently helpful for chronic pain. Exercise can also be helpful for chronic pain. See a rheumatologist if you haven't already. ...Read more
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