Doctor insights on:
Parathyroid Disorder In Lupus
Yes and no: Parathyroid disorder can occur in anyone but it could also be hereditary (that is if a family member has hyperparathyrodiism, you are at higher risk of developing the disease). There is also a condition called men (multiple endocrine neoplasm) that can increase your risk of parathyroid disease if someone in your family has it. ...Read more
There are several...: Symptoms are related to an elevated level of parathyroid hormone, which causes a high blood calcium level. Minimal symptoms are present until the calcium level is so high as to cause kidney stones, GI "moans" (constipation, nausea, belly pain), psychic "groans" (confusion, dementia, depression, etc.), and pain in the bones, including diffuse bone pain and fractures. ...Read more
Osteoporosis: If an adenoma on the gland develops (usually only in one of the four), there is excess absorption and mobilization of calcium, which can result in enough loss of bone to risk fragility. If there is inadequate hormone, the opposite happens and low blood calcium can result in muscle contraction issues. ...Read more
Many: If it's hyperparathyroidism, the best treatment is surgery. Medications and possibly alcohol injection can be used but these are inferior to surgery and only considered when surgery is refused or contraindicated. If it's hypoparathyroidism, the treatment is calcium and vitamin d (both inactive and active) replacement. ...Read more
Negative feedback: Sensipar (aka cinacalcet) helps the parathyroid gland respond better to calcium in the blood stream. The presence of calcium typically slows down the parathyroid gland as the gland wants to increase calcium levels in the blood. The gland will produce PTH (parathyroid hormone) to help increase calcium levels. With the drug, the gland isn't as active and PTH levels are lower. ...Read more
Overactive: An over active parathyroid gland, or hyperparathyroidism, can cause weak bones, broken bones, kidney stones, pancreatitis, stomach ulcers, abdominal pain, fatigue, depression, forgetfulness, and anxiety. A normal parathyroid gland is about the size of a grain of rice or a pea. An abnormal gland is about the size of an olive. They are nearly impossible to feel on normal examination. ...Read more
My dr. Won't check pth because my calcium levels are consistently normal. Will calcium always be elevated in parathyroid disorders?
Parathyroid test: Parathyroid levels are very closely reflected by your calcium levels my impression is you are concerned about over active and general totally normal calcium is enough there are rare cases where actual assessment by direct measurements is of value in a fair number of patients with vitamind insufficiency we see high PTH levels which is a costly way to decide all of us need calcium and vitamin d. ...Read more
I have no thyroid disease but every night I feel heavy pressure on my neck this really so so bad, could this be from lupus and how to manage?
I have systemic lupus and sj%f6gren's syndrome, no thyroid disease, many days now I feel heavy pressure on my neck this is awful how to manage & causes?
Can invasive spine surgery with lots of neck and arm pain and stress on body bring on symptoms of MS or lupus? Can is allow a disease to manifest?
VERY DIFFERENT: Both ms and lupus are immune mediated inflammatory disorders, and your neck issues most likely due to degenerative or traumatic etiologies. None of these are related to each other, and in fact, your symptoms may indeed be due to post-operative complications such as scarring. An expert neurologist can readily sort out and categorize your issues, and may be worthwhile to have a consultation. ...Read more
I have some tracts of lupus and another autoimmune disease. I've been feeling stiff neck and jaw, and my head ache. Is that symptoms of the disease?
My son-in-law has lupus and he gets extreme discomfort in the neck and head. It feels like fluid. Is there any way to relieve that pain?
Who feels fluid?: Do you mean you feel his head and neck and you feel something like fluid and swelling, or he feels like there is fluid inside his head? Lupus can cause a lot of funny symptoms--his doctor can suggest something to help. If he has actual swelling, he needs to be checked. ...Read more
I have lupus and scleroderma and now I'm being tested for osteonucrosis but it doesn't explain the pain I have everyday in my head, neck and back.
See ortho: I presume you are already under the care of a rheumatologist. If you cannot get an answer from him, either get a 2nd opinion or consult an orthopedist. Having autoimmune disorders does not preclude you from getting the usually bone issues. ...Read more
I have lupus with arthritis. Am experiencing reduced neck mobility with grinding and popping with all neck movement. Should I be concerned?
Would lymphoma cause like just one or 2 palpable nodes or like many through out neck and head? Or if all over would it be more like lupus?
Dx = biopsy or...: You cannot determine to cause of lymph nodes without a clinical context (eg, they resolve on own or are enlarged from infection) or a lymph node biopsy. The differential diagnosis spans a-to-z -- http://www. Mayoclinicproceedings. Org/article/s0025-6196 (11)64620-x/fulltext. ...Read more
I get a headache everyday. I also get some type of pain such as back, neck, etc. Someone I know just passed from lupus? I'm scared I may have it too?
Lupus: Dear Tanaya: Lupus (or SLE) is a rare disease. It is unusual to present with headaches or back pain in lupus. So, the answer is no, you don't have lupus. You need to have an evaluation for your headaches; there are many potential causes and treatments for headache and your physician will guide you. Nisha ...Read more
See response below:
Night sweats can happen with disease activity/flare or infections, you need to check your temperatures and keep a diary and tell your rheumatologist,
if it only happened once, you do not need to worry about it.
Females can have thyroid problems which lead to heat/cold intolerance, patients need at least annual thyroid testing. ...Read more