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Doctor insights on: Lupus And Cirrhosis

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I'm 22 months out liver transplant due to "cryptogenic cirrhosis" now have stage 3 fibrosis with bridging. No hepc. Lupus. Progression/prognosis?

I'm 22 months out liver transplant due to "cryptogenic cirrhosis" now have stage 3 fibrosis with bridging. No hepc.  Lupus. Progression/prognosis?

Impossible to say: If you have stage 3 fibrosis in the new transplanted liver, that is certainly of concern. The lack of bridging (a precursor to cirrhosis) is encouraging. I am certain you have an entire transplant team available to you - these questions must be posed to your transplant doctors - surgeons, gastroenterologists and others who know your full history to get a meaningful answer, not my guessing. ...Read more

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If I have lupus and primary billary chirrosis, will methotrexate help both?

If I have lupus and primary billary chirrosis, will methotrexate help both?

Possible, but....: If you take mtx, make sure it is prescribed subcutaneously, since avoids high-concentration-first pass through your liver. Other options are pulsing with dexamethasone, taking oral hysdroxycholoroquine, oral gold, cellcept, (mycophenolate mofetil) and benlysta. This an issue for rheumatology and gastroenterology practitioners. ...Read more

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I have a brown color in my sperm upon ejaculation been diagnosed with lupus, thrumbocytopenia and a mild case of cirrohsis

I have a brown color in my sperm upon ejaculation been diagnosed with lupus, thrumbocytopenia and a mild case of cirrohsis

BROWN : Brown color of semen is usually due to prosattic congestion but possibility of prostate infection or something more serious should be ruled out by a urologist. ...Read more

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What;s the best pain medicine for lupus patients?

What;s the best pain medicine for lupus patients?

Acetaminophen NSAIDS: For symptom relief of pain you can use Acetaminophen or NSAIDs like Ibuprofen or o Naprooxen or Cox 2 Celebrex Along wih Antimalarials (Hydroxychlroquin) and low dose steroids ...Read more

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How to tell if I have t1 diabetes, lupus and m.S at age 17?

How to tell if I have t1 diabetes, lupus and m.S at age 17?

Not likely: Why worry about 3 disorders, as you likely possess one unifying diagnosis to explain your problems. A good place to start is with an endocrinologist to deal with diabetes and the complications secondary to this. Focus on these issues, and later, if things seem peculiar look into co-morbities. Lastly, if you possess diabetes and lupus, doubt you have ms in addition. ...Read more

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My dsdna double strand reference was 3.45 and very symptomatic.. S this a positive for lupus how is it scored?

Possibly: this is one of the many blood tests used to diagnose lupus..you should consult your rheumatologist to have them run a full battery of tests ...Read more

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This last 2 weeks feel so run down between p.O.T.S and lupus... Im 27 i want to feel normal. But i don't think ill ever be "normal" again. :/?

See below: Go the lupus foundation of america's website to find a support group for lupus patients near you. I think you would find this beneficial and you would also learn how other patients cope with the disease. ...Read more

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Is it ok for s.l.e lupus patients to take suppliments for gym workouts such as, Karbolyn xr3, stance bcaa, gluamatic

Is it ok for s.l.e lupus patients to take suppliments for gym workouts such as, Karbolyn xr3, stance bcaa, gluamatic

Not sure, I don't : think anyone knows for sure if its okay for sure. No study has been done on those supplement with SLE. I would recommend stay simple supplement with multivitamin, Vit D, B complex. At the most, protein shake for post work out. ...Read more

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Can I have Lupus if my ANA is positive, tired is 1:320 homogeneous diffuse, but ENA panel is negative. I do have some s/s?

Can I have Lupus if my ANA is positive, tired is 1:320 homogeneous diffuse, but ENA panel is negative. I do have some s/s?

ANA 1:320: Not all autoimmune disease are totally differenciated into discrete diseases and also markers may appear over time, not initially . What was your double stranded DNA? Complement levels? Rheumatoid factor? Can get false positive ANA from RA, mono , Crohns, viral infection, thyroiditis(check TPO,), meds , silicon implants and 5% healthy. f/u w/ rheumatologist ...Read more

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I have vonwillebrands disease and lupus (sle). Is it to dangerouse for me to travel out of the u.S. To a disease infested, poverty sticken country?

I have vonwillebrands disease and lupus (sle).  Is it to dangerouse for me to travel out of the u.S. To a disease infested, poverty sticken country?

Maybe: Not particularly worries about von willebrands disease. You are in fact immunocompromised with lupus i suspect degree of control and current medications. Will help your rheumatologist arrive at recommendations to help you make a decision regarding risk. ...Read more