Doctor insights on:
Lupus And Adrenal Function
Depends: Are your conditions under control? remission? What maintenance medications are you on? Are these safe for pregnancy? How long have you been flare free? What are your titers? Do you have any end organ such as kidney damage?? Best is to discuss first with your rheumatologist, endocrinologist and seek a perinatal specialist opinion. Best Wishes ...Read more
My lupus rheumMD has me working w/endocrineMD 2help w/prednisone taper below 5mg even tho adrenal fxn is normal.Foggy,achy,stiff. Endo or rheum issue?
Lupus? osteoporosis?: Steroids can cause severe calcium demineralization of the bones hence if you are able to tolerate the steroid taper it is good. You should be taking calcium with Vit D supplements I assume, prescribed by ur PCP/Rheumatologist. Achiness and stiffness though could be from Lupus, pl. see whether calcium supplemets if you are not on so far, are helping you in the future. Get your Vit D level checked . ...Read more
Been on 5 mg prednisone daily for 2 months. Md wants me to wean to 2.5 mg/day. If i get achy & fatigued during wean, is it the lupus or adrenal fxng?
Ask your doctor?: There maybe many reason why your doctor has you on predinsone. If the original is still present than your original symptoms will return. Get your exact diagnosis and get the exact plan of action. Sometime i will use steroids as a test to see if a patient may have a steroid dependent pain syndrome as in polymyalgia rheumatic which can look like both lupus/adrenal fatigue. Ask. ...Read more
Have lupus.Struggling with prednisone taper below 5mg (fog,muscle aches,stiff).Adrenal fxn normal.RheumMD referred me to endo to help w/ taper.Common?
Prednisone: If it's necessary to stay on 5 mgs of prednisone daily to suppress your lupus activity, this is considered a mild dose with little adverse side effects. However the least amount of prednisone needed, the better. In view of your lupus, I feel that the rheumatologist is better qualified to determine the proper prednisone dose to minimize the lupus activity and damage. ...Read moreSee 1 more doctor answer
In context of cryofibrinogenemia, lupus-type ctd and adrenal insufficiency, what could cause increase in GI symptoms, nausea, and vomiting with adrenal crisis, when estrogen/progestin drugs are taken?
Cortisol deficiency : With true adrenal insufficiency diagnosed by an endocrinologist, one would need to be taking cortisol replacement therapy. Nausea, abdominal pain, vomiting and weight loss are classic symptoms of adrenal insufficiency which estrogen and Progesterone replacement don't address. Many with primary adrenal insufficiency also look like they have a deep tan. ...Read moreSee 1 more doctor answer
Mom has high CA 19-9 (58.7), pancreatic CT scan clear. Lifelong SLE (lupus), but also new benign adrenal adenoma. Can this explain high tumor marker?
Poor nomenclature. : "high kidney function", this could mean high BUN and creatnine seen on lab testing which suggests decreased kidney function and underlying kidney disease. While most kidney doctors have come to think in terms of estimated kidney function based on routine blood testing and then subsequently applying a calculation based on the blood tests to determine function, in this case that would be a good sign. ...Read more
Waste of money: Safe or not there is nothing in this product you need to be taking. If you are eating a diet rich in fresh fruits and vegetable and lean meats you are getting all the antioxidants you need. As well this product contains a high amount of potassium, which could be dangerous for someone with kidney disease. ...Read more
Yes: Survival may be limited but careful medical management may help for a long time. The other consideration for right now is evaluation for a cardiac assist device. A number now exist and you should seek out a high volume center that also does transplants and seek evaluation and consideration for an assist device especially before heart function gets any worse. ...Read more