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Doctor insights on: Juvenile Rheumatoid Arthritis Methotrexate Nausea Headache

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Dr. Thomas Namey
2,350 doctors shared insights

Arthritis (Definition)

Arthritis 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


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What can be done about juvenile rheumatoid arthritis?

What can be done about juvenile rheumatoid arthritis?

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

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Why so some children get juvenile rheumatoid arthritis?

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

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What can I do to address juvenile rheumatoid arthritis?

What can I do to address juvenile rheumatoid arthritis?

Medication : Pediatric rheumatologists specialize in these issues and can prescribe medications or groups of medications to address the underlying pathology. ...Read more

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What sort of symptoms has a child with juvenile rheumatoid arthritis?

What sort of symptoms has a child with juvenile rheumatoid arthritis?

Many Sx!: Joint pain is most common, but high fevers and rash can occur, but usually in less than half. Inflammation of the eye can occur, but much less common. If a child has a hot swollen joint, see a rheumatologist! ...Read more

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Is it okay to have my niece do capoeira if she has juvenile rheumatoid arthritis?

Yes, but see doctor: All exercise is good for preserving joint motion. The danger would be if there were to be strong physical contact with a damaged joint that had lost range of motion. In juvenile rheumatoid arthritis, some joints become immobile and cannot bend normally. Also, the cervical spine should be examined for prior damage and the bone density should be assessed for osteoporosis. Needs doctor clearance. ...Read more

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What kind of doctor do I see for juvenile rheumatoid arthritis?

What kind of doctor do I see for juvenile rheumatoid arthritis?

Get proper treatment: Be sure to see a board certified pediatric rheumatologist.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 JIA/JRA.It's worth traveling some distance to see a pediatric rheumatologist since most adult rheumatologists do not treat it as effectively ...Read more

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What are alternative treatments for juvenile rheumatoid arthritis?

What are alternative treatments for juvenile rheumatoid arthritis?

Caution tetracyline: In children tetracycline can stain the bone. We are fortunate that we can use most of the medications we use in adults in children, but some are not approved for children. We can use Methotrexate and some of the biologics are approved for treatment of jia children such as Etanercept and adalimumab. Iv Infliximab is approved for childhood ibd, IV tocilizumab and Abatacept for jia. Others not yet. ...Read more

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Methotrexate (Definition)

Methotrexate was originally used in the early 1950's as a treatment for cancer but was also found to be effective in many other diseases including rheumatoid arthritis and psoriasis. It has anti inflammatory and immunosuppressive properties which make it an excellent first line therapy for RA ...Read more


Dr. Bennett Machanic
4,158 doctors shared insights

Headache (Definition)

The medical term is cephalalgia. It is a feeling of pain that can occur on either both sides or just one side of the head or neck. Headaches can be sharp, dull, or throbbing, and can radiate to different areas of the head. They typically last less than an hour but can ...Read more