Doctor insights on:
Psoriatic Arthritis Can It Kill You
Is it safe to use methotrexate to treat psoriatic arthritis when you also have gallbladder stones?
Yes.: Because mtx suppresses the immune system, you would not give it to someone who has an infected gall bladder. Asymptomatic stones without infection or duct obstruction, where surgery is not recommended would be ok. Mtx can cause liver injury (chemocal hepatitis) but it doesn't affect the gall bladder. ...Read more
See your doctor.: A rheumatology referral may be necessary, but a nsaid, with sulfasalazine and Methotrexate given once weekly are my first treatments. The biologics work (enbrel, humira, (adalimumab) remicade) work, but are quite expensive, not generic, require prior authorization, and almost always require prior Methotrexate therapy. Leflunomide, azothioprine, and Cyclosporine are options, given by someone in rheumatology! ...Read more
Medication: Gout is caused by the inability of your body to eliminate waste products. When the levels get too high, crystals form and are deposited in your joints, causing the severe pain. There are medications which can help prevent the build up of waste products in your blood stream. Speak to your doctor to determine if these would work for you. ...Read moreSee 1 more doctor answer
If with fever.: Some cases of jia (it is not RA in a child. We now call it juvenile idiopathic arthritis. In some with a variant called "still's disease, " hectic high fevers can occur. Vomiting is not uncommon with high fevers. Otherwise, if your child is not having fevers, it could be medication. Other issues are then probably present! ...Read moreSee 1 more doctor answer
3-4 times/yr max: If joints require fairly frequent injections that means the disease control could be improved. Discuss adjustments in meds with your doctor. ...Read more
See a rheumatologist: You can go a long way to eliminating the pain by controlled the underlying inflammatory process. See a rheumatologist. There are several medications which can be dramatically beneficial. ...Read more
Need clarification, can rheumatoid arthritis cause lupus or does it automatically come with lupus?
Neither: Neither. They are independent diseases.Get a more detailed answer ›
Hi, is it possible for rheumatoid arthritis to affect only one joint? I know it can affect several joints, but can it affect just one?
Better control now: We have people in adulthood who have had jia also called juvenile idiopathic arthritis. It used to be called juvenile rheumatoid arthritis. We have much better ways to control the jia and our patients can have great control of their symptoms. We can use biologics which can help control a lot and some people can actually come completely off their medications and go into remission. ...Read more
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