Doctor insights on:
Recently started 10mg methotrexate for lupus. Completed 2 doses. Began having extreme fatigue, clay colored stools, indigestion. What can cause this?
When acid and peptic juices reflux into the esophagus, one might have the sensation of burning or pain under the breast bone. It can radiate up to the throat and down to the region of the solar plexus. Some may describe it as bad 'indigestion' and others may feel like they are ...Read more
Upper rgt chest swellng & dull ache-sinusitis-reoccurring heartburn-was just sick w lupus fl, bronchitis & flu-xray/us & mammo clear-wbc18 ER senthome?
Your WBC is high: A WBC of 18 is high. This could mean bacterial or viral infection or inflammation, or maybe you are taking Prednisone for your lupus. Prednisone or other steroids cause a high wbc. It sounds like you should check in with your rheumatologist as soon as possible. The swelling you describe needs to be examined by a doctor who knows you and your chronic health history. I hope you feel better soon! ...Read more
Genes, environment: This answer will change as we know more about lupus. We believe that for a person to get lupus, from the limited genetic information we have now, about 10% is from known genetic causes and remaining 90% unknown genetic causes and environmental causes. Environmental causes are largely undefined but important. Think about this: only 30% of identical twins develop lupus together. ...Read moreSee 1 more doctor answer
No: Lupus in all its various presentations is treatable but it is not curable nor reversible. In some cases, lupus may go into remission but if it does go into remission, it does so on its own and does not go into remission as a result of treatment. ...Read more
Somewhat hereditary?: Sle (lupus) is an auto-immune disorder in which a person's immune system is reacting strongly against parts of his own body. The inflammation from the immune system reaction leads to symptoms. It is believed to be partly genetic or familial (some people may be genetically more likely to get sle) and partly environmental (something happens in a person's life that sets off the auto-immune reaction). ...Read moreSee 1 more doctor answer
Autoimmune disease: Lupus erythematosus is a chronic inflammatory disease of unknown cause. The immune system attacks the patient's own body (autoimmunity) and can inflame the skin, joints, kidneys, nervous system, lungs, mucous membranes, and other internal organs. A red rash is often but not always present. Thus, it was named lupus erythematosus meaning "red wolf.". ...Read moreSee 1 more doctor answer
Multiple factors: The diagnosis of lupus is made based on a constellation of clinical and laboratory criteria. That is there are a number of pre-determined symptoms, physical signs (things a Dr. sees when examining you), and findings on bloodwork. A minimum number of these must be present in order for the diagnosis to be made. So, you would need to have a physical exam and have blood work drawn. ...Read more