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Doctor insights on: Psoriatic Arthritis Stomach Problems

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I have psoriatic arthritis & fibromyalgia. I frequently have a problem with my dominant arm, left, with tingling and a very uncomfortable feel, why?

I have psoriatic arthritis & fibromyalgia. I frequently have a problem with my dominant arm, left, with tingling and a very uncomfortable feel, why?

Arm problem: Neither psoriatic arthritis or fibromyalgia don't seem to manifest with tingling as their main symptoms. Both are manifested with pain primarily, arthritis in the joints and fibromyalgia in the muscles. Tingling may not be related to these. There may be a nerve involvement or a medication side effect. You should talk to your doc about that. ...Read more

Dr. Thomas Namey
2,426 Doctors shared insights

Arthritis (Definition)

A condition where there is progressive degeneration of one or more joints. Symptoms may include joint pain, swelling, decreased motion, and stiffness. The two most common types of arthritis are osteoarthritis, which is associated first with articular cartilage breakdown with a component of inflammation, and rheumatoid arthritis, which is a systemic autoimmune disorder that affects joint linings first and secondarily ...Read more


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Can medications for psoriatic arthritis cause problems if I have ms too?

Can medications for psoriatic arthritis cause problems if I have ms too?

Please consider: Resubmitting and including the specific names of the medications that you are referring to. ...Read more

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I am being treated for psoriatic arthritis and hypothyroidism... And now they think I have sjorgens syndrome bc of mouth problems! Is that possible?

I am being treated for psoriatic arthritis and hypothyroidism... And now they think I have sjorgens syndrome bc of mouth problems! Is that possible?

Yes: It is fairly common for someone with one autoimmune disease to concurrently have one or two other autoimmune diseases. I have seen patients with hypothyroidism, psoriasis and sjogren's. This combo may not be so rare. ...Read more

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What can I do to treat psoriatic arthritis?

What can I do to treat psoriatic arthritis?

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

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What can be done to cure psoriatic arthritis?

What can be done to cure psoriatic arthritis?

Psoriatic Arthritis: There are multiple treatments for psoriatic arthritis to control symptoms. It has also been associated with higher rates in smokers. Stop smoking if you do and see a rheumatologist for discussion of the best treatment for you. ...Read more

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Is it possible to get psoriatic arthritis young?

Yes: It is more typical for psoriatic arthritis to start when you are young. Usually, around 30, but you can get it at any age. ...Read more

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I know someone with psoriatic arthritis, what is the cure?

No cure, but remitts: Few people should face significant joint issues, if this most common of rheumatic diseases was diagnosed early and treated with remitting agents once diagnosed. If you have no sx, do you have disease? ...Read more

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Psoriatic arthritis --- what can I generally expect later in life?

Psoriatic arthritis --- what can I generally expect later in life?

Depends...: ...On what you do now. Multiple treatments, ranging from oral medications to biologics like enbrel, humira, and stelara, (ustekinumab) are effective in treating psoriatic arthritis and preventing damage to joints. If you do not address the problem now, your joints will suffer damage in later life and your mobility will be compromised. See a dermatologist skilled in psoriasis treatment asap. ...Read more

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Is it possible to have psoriatic arthritis and test negative for arthritis?

Is it possible to have psoriatic arthritis and test negative for arthritis?

Psoriatic arthritis: Hi Sharon, Psoriatic arthritis is under the umbrella of spondylo-arthritis. This group of arthritis has a genetic test for Human Leukocyte Antigen B27 (HLA B27). A positive test means HLA-B27 is present. About 50% of patients with psoriatic arthritis test positive for HLA B27, therefore a negative test does not exclude the diagnosis. I hope that is helpful. Thank you, Nisha ...Read more

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If I had psoriasis does it mean I have psoriatic arthritis if I have arthritis?

If I had psoriasis does it mean I have psoriatic arthritis if I have arthritis?

See below: You are at increased risk for developing psoriatic arthritis if you have psoriasis and depending on which study you look at, 10 to 40% of all patients with psoriasis will develop psoriatic arthritis. ...Read more

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What do psoriatic arthritis nodules look like?

What do psoriatic arthritis nodules look like?

None: Psoriatic arthritis typically does not cause nodules. Skin and lung and eye nodules typically occur with rheumatoid arthritis. ...Read more

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Can alcohol cause psoriatic arthritis to flair?

Can alcohol cause psoriatic arthritis to flair?

Sometimes: There needs to be more research but there is evidence showing that those who drink alcohol regularly have a greater risk of psoriasis, and many who have psoriasis & psoriatic arthritis note that their symptoms flare with alcohol use and improve when they avoid it; but this likely is not true for everyone who has psoriasis. See http://www. Medpagetoday. Com/dermatology/psoriasis/23999. ...Read more

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Is Psoriatic Arthritis in the spine very severe a disease?

Is Psoriatic Arthritis in the spine very severe a disease?

Varies: It varies tremendously based upon the severity of the arthritis. Some may have minimal symptoms, or others can have cares that are quite debilitating. I would certainly be seen by a rheumatologist as well as a spinal specialist. ...Read more

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What does doctors usually presribe for psoriatic arthritis?

What does doctors usually presribe for psoriatic arthritis?

Methotrexate, TNFs: Methotrexate is usually the most common initial therapy. Tnf agents such as remicade, (infliximab) Enbrel or Humira are also extremely effective, especially if Methotrexate alone is not sufficient. ...Read more

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What is the best way to prevent psoriatic arthritis flare ups?

What is the best way to prevent psoriatic arthritis flare ups?

See below: Take your medicine and if it is not working meet with your rheumatologist to adjust your regimen. Also reduce stress in your life as this can trigger flares. ...Read more

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Has any one taken the disease modifying drug (dmards) for their psoriatic arthritis?

Has any one taken the disease modifying drug (dmards) for their psoriatic arthritis?

Most patients need a: Psoriatic arthritis can be a very inflammatory disease. We all want pain relief for our patients, but rheumatologists understand the need to reduce inflammation, because it portends coniued damge to joints, as well as much earlier cardiac disease. My personal favorites: sulfasalazine with methotrexate, the latter given sc. Some, albeit few, patients need tnf-alpha inhibitors. ...Read more

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Looking for naturopaths who could treat psoriatic arthritis?

Why?: They are no effective naturopathic therapies. See a dermatologist instead. ...Read more

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What does psoriatic arthritis in the neck feel like usually?

What does psoriatic arthritis in the neck feel like usually?

Achy: Achy pain with and without movement that produces stiffness in themorning and gradually improves overseveral hours. It is not visible on xray or normal lab tests but has been detected by mri, although that test is overused, most ofthe time. ...Read more

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I have psoriatic arthritis but no swelling. Is that possible?

I have psoriatic arthritis but no swelling. Is that possible?

Yes: Psoristic arthritis can cause pain and other symptoms before any swelling becomes evident. That said you need to make sure that nothing else is causing those symptoms ...Read more

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Is there any correlation between amyloidosis, psoriatic arthritis, and spondilitis?

Is there any correlation between amyloidosis, psoriatic arthritis, and spondilitis?

Some: Hi micheleg1,
there is some evidence of the presence of amyloidosis in patients with psoriatic arthritis and, what I'm assuming you mean to be anklylosing spondylitis.
The clinical significance of this, however, remains unclear at this point. ...Read more

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How much effective is sulfasalazine in psoriatic arthritis?

How much effective is sulfasalazine in psoriatic arthritis?

It is considered...: Sulfasalazine is one of the first-line therapies for psoriatic arthritis at doses of 1-3 grams per day. It is moderately effective in studies, but is usually combined with other drugs! ...Read more

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How exactly does a doctor go about diagnosing psoriatic arthritis?

Mostly clinical: Skin lesions and arthritis are the first step of evaluation ladder. The comes blood test, radiological evaluation. ...Read more

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Can psoriatic arthritis only cause pain in the si joint?

No: Much like rheumatoid arthritis almost any joint in the body can be affected with psoriatic arthritis - all the joints in th arms and legs as well as the cervical and lumbar spines. The si joints are typically involved in the spondylitic form of psoriatic arthritis. ...Read more

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Is water therapy effective in preventing psoriatic arthritis?

Is water therapy effective in preventing psoriatic arthritis?

Does not prevent: Water therapy is a treatment for all types of arthritis but is not a cure. Also with psoriatic arthritis, I would be careful with water therapy. The water may have the potential to irritate the psoriasis. Talk to your dermatologist about this. ...Read more

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Is there a connection between psoriatic arthritis and heart disease?

Is there a connection between psoriatic arthritis and heart disease?

Yes: People with psoriasis (including psoriatic arthritis) have higher incidence of metabolic syndrome, diabetes, hyperglycemia, hypertension and obesity, all risk factors for cardiovascular disease. Atherosclerosis, presumably due to the inflammatory nature of the condition is more common in pa. There is some evidence suggesting anti-tnf therapy lowers the cardiovascular risk in patients with pa. ...Read more

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My 18 year old daughter has Raynauds and psoriatic arthritis. Is there a connection?

My 18 year old daughter has Raynauds and psoriatic arthritis. Is there a connection?

Possibly: Raynaud phenomenon can occur in the absence of known illness. It has also been linked to more than a dozen aliments, many of which have an auto immune feature like psoriatic arthritis. ...Read more

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Is there a link between over active bladder and ankolysing spondylitis and psoriatic arthritis?

Is there a link between over active bladder and ankolysing spondylitis and psoriatic arthritis?

Not known: Overactive bladder is an extremely common condition in multiparous and post menopausal women. There is no definite association known between psoriatic arthritis, ankylosing spondylitis and overactive bladder. The statistical chance of having oab with any other condition is therefore high. ...Read more

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Can a skin biopsy showing psoriasisiform dermitis confirm a suspected case of psoriatic arthritis?

Can a skin biopsy showing psoriasisiform dermitis confirm a suspected case of psoriatic arthritis?

Not for sure: The doctor might choose to perform a skin biopsy in order to rule out other possible skin conditions, sexually transmitted diseases, or infections. With a skin biopsy, the doctor may order a series of lab tests to determine whether certain bacteria, viruses, or fungi are present. ...Read more

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Should I cut out dairy&caffeine to help psoriasis/psoriatic arthritis? I eat milk, yogurt, some coffee&green tea

Diet for Psoriasis: In general, the paths that "suggestive" dietary studies have lead researchers down have typically ended in disappointment. One promising idea was that fish oil would benefit those with psoriasis. ...Read more

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Can menopause trigger autoimmune disorders? I was diagnosed with both psoriatic arthritis and celiac disease at 51.

Can menopause trigger autoimmune disorders? I was diagnosed with both psoriatic arthritis and celiac disease at 51.

Maybe: There is more autoimmune (AI) disease in older women, but it is unclear if it is related to time or hormones. Time: an AI condition is a problem in the immune system. The longer we live, the more likely a problem will develop. Hormones: women have an immune system that tolerates foreign things, that is how they have a baby. If that tolerance goes away, then there can be an issue. But exact cause? ...Read more

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I've had high liver enzymes for years which keeps me from using medication for psoriatic arthritis, what else can I do?

I've had high liver enzymes for years which keeps me from using medication for psoriatic arthritis, what else can I do?

Biologics: With high liver enzymes, you will not be able to take some oral medications that we use for psoriatic arthritis. If your symptoms are severe and demonstrate functional difficulties, your doctor may recommend one of the biologics such as Enbrel (etanercept) or humira. These medications also have significant other side effects that your doctor will review with you. These are not appropriate for everyone. ...Read more

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How effective is voltaren (diclofenac) gel in reducing inflammation in psoriatic arthritis? And how long it can be used?

How effective is voltaren (diclofenac) gel in reducing inflammation in psoriatic arthritis? And how long it can be used?

Effective: Supported by evidence based medicine. In the conclusion of this research vestn dermatol venerol. 1990; (10):55-7
" the drug is characterized by antiinflammatory, analgesic, and antipyretic effects. No side effects or complications were recorded in the course of voltaren (diclofenac) gel therapy. The drug has proved highly effective and is recommended for wide practice".
Hope it helps. ...Read more

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What do you suggest if my friend has psoriatic arthritis and his legs and ankles swell alot! What can he do to help the pain?

What do you suggest if my friend has psoriatic arthritis and his legs and ankles swell alot! What can he do to help the pain?

Psoriatic Arthritis: How about your friend sees a Rheumatologist, there are a lot of new treatment options like modifying anti-rheumatic drugs or anti-tumor necrosis factor agents such as adalimumab (Humira), etanercept (Enbrel), golimumab (Simponi) and infliximab (Remicade) which have made a lot differences recently. ...Read more

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Found out remicade (infliximab) has mice proteins in it-maybe that's why reactions lately! Can any Dr. Suggest ALL HUMAN alt. For psoriatic arthritis?

Found out remicade (infliximab) has mice proteins in it-maybe that's why reactions lately! Can any Dr. Suggest ALL HUMAN alt. For psoriatic arthritis?

Reactions to remicad: Need to be evaluated: are they true allergic reactions or adverse drug reactions? And what type of reactions were they? Your doctor will have to decide on that. As for the proteins involved, human proteins can still cause reactions, if it is the case. Kindly confer with your doctor, this a complex decision, infliximab isn't a simple drug, and has to prescribed and monitored closely, good luck ...Read more

Dr. Thomas Namey
1,031 Doctors shared insights

Psoriasis (Definition)

An autoimmune disease involving the skin, nails, and occasionally the joints. It is not contagious. There are several types of skin lesions, most common variety being large red scaly itchy plaques on extensor surfaces such as elbows and knees. Psoriasis can be controlled by a wide variety of medications, but a cure has ...Read more


Dr. Robert Lowe
1,559 Doctors shared insights

Painful Joints (Definition)

That term is not really a specific diagnosis, but rather somewhat of a general term. The medical term is arthralgias, which implies pain in multiple joint possibly coming from a single cause. Don't hesitate to be seen and evaluated for ...Read more