Doctor insights on:
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
Lupus dx. Wbc from 11 to 18. Trace blood and protein in urine-- feel weak, swollen chest nodes- chest xray/mammo/us all clear. Bronchitis & sinusitis?
White count high: With the high white count we would think of the steroid therapy or an infection. People with lupus usually have a low white count. With your smoking you have a greater risk of infection and cardiovascular comorbidities that we see with lupus. You may need to have those lymph nodes looked at an even see an infectious disease specialist. Speak with your physician about that. ...Read more
37 year-old woman with 2 years of variations in numbness, pain, weakness, and spasticity in her left hand and fingers, now also has left shoulde.....?
Cervical radiculopathy: Sounds like it could be related to a cervical radiculoapathy. Radiculopathy symptoms can wax and wane over the years causing a variety symptoms including numbness, pain, and weakness. Consider MRI of cervical spine and electrodiagnostic studies of the upper extremities. While a cervical radiculopathy can caused muscle spasms, you typically don't see 'spasticity'. Radiculopathy would be a lower motor neuron condition as opposed to upper motor neuron. Does the patient have increased reflexes and positive Hoffman's test? If so, consider MRI of the brain to rule out a lesion that may be causing these symptoms. ...Read more
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
This last 2 weeks feel so run down between p.O.T.S and lupus... I'm 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
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
Both my mom and aunt have been diagnosed with lupus, should I get checked for it as well? Since I know it’s hereditary
Rheumatologic issues: The specific diagnosis of lupus wouldn't run in families as much as the tendency towards rheumatologic conditions in general - that tendency runs in families - lupus, rheumatoid arthritis, Sjögren's syndrome, scleroderma. Can find all of these in family lineages. Have a good history/physical exam/blood testing coordinated by Rheumatologist. ...Read more
Is it ok for s.l.e lupus patients to take suppliments for gym workouts such as, Karbolyn xr3, stance bcaa, gluamatic
Augmentin (amoxicillin and clavulanate): There are a variety of antibiotics that can be used to treat sinusitis, so there isn't one best answer. My preferred choice for acute bacterial sinusits (with fever, pain and tenderness over the sinuses) is Augmentin (amoxicillin and clavulanate) for anyone who is not allergic to penicillin. A two week course of treatment is needed, because sinus infections can be difficult to cure completely. ...Read more
By History: Most sinus infections are diagnosed by the history. Typically, if you have a "cold" that lasts for more than 7-10 days... It's most likely a sinus infection. If you see your ENT he can use a camera to look in your nose to confirm the diagnosis. A ct scan can also be helpful as well. ...Read more
CAT scan: I know that a good nasal examination that demonstrates pus in the lateral wall of the nose strongly suggests sinusitis. The yellow material should be cultured before an antibiotic is prescribed. You will know if you have sinusitis if you have yellow-green nasal discharge and pressure in the face and between the eyes. Chronic sinusitis (greater than 90 days) is best diagnosed with a CAT scan. ...Read more
ENT consult: Recurrent sinusitis may indicate the possible need for surgical intervention beacuase after each attack scar tissue may form so sisnuses cannot f]drain normally. Sometimes a change in antibiotics may releive sinusitis. Nasal sprays, decongestants and allergy control may reduce recurrences, . ...Read more
Sinus Remedies: Sinusitis is caused by inflammation of the nose and sinus passages in almost all occasions. Antihistamines, nasal decongestants, and antibiotics, if symptoms persist beyond ten days, are helpful. If infections recur, suspect an allergy or irritant, such as acid reflux or smoke. Anatomy may also play a role. Frequent infections? Go see an ear, nose and throat doctor. ...Read more
Drainage: Sinus health is all about drainage - if they can drain, they'll be fine. When swelling associated with allergies or either a bacterial or viral infection advances enough to interfere with sinus drainage, they can get infected, and pressure can build up into a sinus headache. Once the swelling goes down to the point the sinuses can drain again, they'll heal. ...Read more
Depends: Before 4-6 m babies essentially have no sinus cavities. By a year, the maxillary & ethmoid sinuses are partially developed and inflammation can be seen as creamy nasal debris that often descends down the back of the throat like a waterfall during oral exam. Xrays < 1yr are rarely helpful as the sinus cavities are often filled by normal mucous at that age rather than trapped pus seen when older. ...Read more
Tips for sinusitis: In addition to seen an ENT doctor to get the proper antibiotics treatment, there are some things you can do at home to deal with the sinusitis. You can do the sinus irrigation twice a day. They sell some ready made sinus lavage/irrigation kits over the counter. This washes out the mucus and help the sinus drain better. You can also try a short course of nasal decongestant for about 3-5 days. ...Read more
Sinusitis: First, make sure that is what you have. Then, sinus nasal saline rinses with neti-pot, decongestant (pseudoephedrine), pain control (tylenol (acetaminophen) or ibuprofen), nasal steroid spray, and possibly antibiotics, for which you should see a doctor. Good luck and hope you feel better soon. ...Read more