Doctor insights on:
How 2 not take it personally when someone thinks i overexaggerate when i say I have to go home & sleep after work (lupus/dysautomia) or if I have 2 call in sick d/t pleurisy?This irritates me 2 no end
Overexaggerate?: I'm not sure who this "someone" is, but unless s/he is your supervisor or boss you really owe no explanation. Also, you cannot control what someone else thinks. If this is someone whose opinion you value you can have a discussion with him/her about the facts -- knowing that this may not change his/her opinion. You can also find more fulfilling things to do than worry about others' unkind comments. ...Read moreSee 1 more doctor answer
I have pleurisy from my lupus in the morning my mouth is so dry that my tongue gets stuck to the back of my mouth and its painful is this a side affec?
Lupus: Dry mouth is related to lupus. Involment of the salivary glands, a side effect of your meds, or systemic effects of lupus may lead to the dryness, especially breathing problems, mouth breathing at night. You should have a complete evaluation to see what might help best. Treatment may be a mouth moisturizer or a humidifer at bedside. A breathing test for sleep apnea may be needed. ...Read more
SLE pt. Bouts of pleurisy and pericarditis. Dr says I am now low on IgG and IgA. IgM on lower side of norm. Low C3 for yrs. Norm for lupus?
Lupus: Low C3 is expected in lupus due to disease activity and consuming up complement proteins cascade, which C3 is one of these proteins, the low immunoglobulins can very well be secondary to the immuosuppressants you're on, please keep a close follow up with your doctor and possibly an immnologist input would help, up to your rheumatologist ...Read more
My chest X-ray & CT (had d/t chest pain looking 4 pleurisy-i have lupus) sowed old rib fractures.Don't recall any trauma. Should i be concerned?
Yes.: At age 29, with a history of lupus and old rib fractures, one should be evaluated for osteoporosis. If steroid has been used in your treatment, it can contribute to osteoporosis. You should discuss with your doctor whether or not bone density testing might be appropriate. ...Read moreSee 1 more doctor answer
After positive Ana1:80 antism 13 then to negative Ana?Still lupus?urobilinogen 3, still sick with symptoms esp pluerisy for months
Clinical correlation: The anti-nuclear antibody titer not only fluctuates, but is also prone to lab error. The urobilinogen pad on the urine test is also fraught with pitfalls. If the anti-Sm was a tube test and the level is clearly in the lab's positive range, consider that it's most likely that you have lupus but that it may have gone quiescent. Try to exercise hard; consider distance swimming, for fibromyalgia. ...Read more
Urine urobilinogen is at a 3 and I have all these lupus signs positive Ana anti sm 13 rash horrible pluerisy low white blood count should I worry?
Rheumatologist: Please see a rheumatologist for proper treatment. Worrying is not going to help the matter. Avoid exposure to sun. ...Read more