Doctor insights on:
Get to the root: The root problem of both diseases is inflammation. Disease-modifying medications (rx) must be considered before all else as inflammation control relieves many symptoms including pain. After that, anti-inflammatory rx and/or analgesic rx can be prescribed but there is no one "best" rx. ...Read more
Is it possible to have systemic manifestations of ra- problems with eyes, vasculitis, rashes before problems with joints? Ana 1:160, anti ccp igg: 63
Yes: Other systems can be involved before joint manifestations. ...Read more
How does systemic juvenile rheumatoid arthritis affect someone during adulthood if it is different from adult ra?
Autoinflammatory dis: Systemic jia/jra is actually an autoinflammatory disease rather than an autoimmune disease and is more similar to periodic fever syndromes than RA or jra. There's a problem with the innate immune system's triggering and control of inflammation, not a problem with mistakenly recognizing one's own proteins as foreign (like a virus). As such, Anakinra and steroids are most effective long term meds. ...Read more
Can gluten exposure cause systemic arthritic type flare-ups days after exposure? Lupus & RA negative labs.This has happened 3 times last year.
By Gluten "exposure:
i assume you are referring to Gastrointestinal ..ingestion and gluten intolerance (adult "coeliac" disease and other Gastro-intestinal disorders leads to GI symptoms..not arthritic flare ups as commonly associated problems!
Talk with your PCP about a referral to a Board Certified RHEUMATOLOGIST for further evaluation!
Hope this helps!
Dr z ...Read more
What's the most likely cause for systemic joint pain in a 21 year old female? I'm 21 years old and i feel like an old woman! I have had this joint pain for a full week and i don't know what to do about it! is it likely to be ra?
Well i guess everybody can feel, bad or good at some point . Last week an old woman told me she feels like a 21 year old , which is more likely . Old women remember how they felt when they were 21. ( just joking ) . Pains that are present for only one week , do not qualify for the diagnosis of RA , you need joint inflamation , several joints and at least several weeks , about six. The usual pains women that are 21 get are those related to an acute infection that should be self limited.
Of course there are docens of diseases that should be considered , but i would tell you thaat with the information we have until now , you have to wait and see, if you developed new thing , and if the pains go as they came. ...Read more
Could people with systemic autoimmune diseases like lupus/ra benefit from taking evening primrose oil? What about fish oil?
Drug interactions: Even over the counter and herbal medications can interact with other medications you may be taking. Please do not take either of these without discussing the matter with your doctor. ...Read more
Join pain all over my body - doctor says fibromyalgia? I've been seeing the on campus doctor for a while first for depression and now for systemic joint pain. Previously he thought it was ra, but my rf, ANA and sed-rate tests all came back normal. The d
Rhumatoid arthritis: One of the most common medical conditions for whic the term "ra" is used is rhuematoid arthritis, which is an inflammatory arthritic condition. Ra can stand for oher things as well, for example it is also used commonly to refer to the term "room air". Thank you for the question. ...Read more
Look for the next: Rheumatoid arthritis is an inflammatory arthritis with joint swelling, joint pain, morning stiffness, lack of mobility, stiffness. When you are evaluated these things will be looked for and then certain lab tests and imaging like x-rays, ultrasound and mris ordered. This will be how the rheumatoid arthritis is diagnosed. ...Read more
Joint pain + swellin: Joint pain + swelling are cardinal symptoms of ra. Especially small and large joints - fingers, feet, wrists, ankles and knees. Other joints can also be involved but characteristically not the back. There can also be stiffness in the morning lasting an hour or more. We sometimes see subcutaneous nodules and look at laboratory and imaging data to help make the diagnosis. ...Read more
Yes it can: Ra is now considered one of several major risk for cardiovascular disease/event such as heart attack, thus can result in death. Untreated RA can also affect lungs and kidneys, thus can shorten lifespan. Currently available treatment are getting better and helping people living better and hopefully longer life. Follow doc regularly and treat RA as well as you can. Good luck. ...Read more
This depends.: Optimal care of patients with rheumatoid arthritis requires an integrated approach of nonpharmacologic and pharmacologic therapies such as disease-modifying antirheumatic drugs (dmards), biologicals, nsaids, analgesics, glucocorticoids, and immunomodulators. The most common tumor necrosis factor-alpha inhibitor (tnfi) therapy includes adalimumab, etanercept, or infliximab. ...Read more
What do you mean?: Your question is confusing. The ANA is simply a blood test and is basically a screening test for lupus although it can be positive in numerous other diseases and in normal. Do you mean rheumatoid factor test or rheumatoid arthritis? One is a blood test and the other a systemic inflammatory arthritis that can cause joint pain, swelling and damage. ...Read more
A DMARD: There is no best one, as treatment is meant to match the disease activity and specific health issues and lifestyle of each patient. That said, Methotrexate is the best dmard by mouth, and tnf inhibitors are the most common dmard by injection. Also, a new infusion called Actemra (tocilizumab) may work better than tnf agents, at least in people who can't take methotrexate. Ask your rheumatologist for advice. ...Read more
Depends on the range: The presence of rheumatoid factor but so is not diagnostic of anything. There are many causes of a positive rheumatoid factor besides rheumatoid matters. One of the most common is malaria which is a chronic infection. It can be found among lung problems liver problems many other medical conditions. ...Read more
That is too variable: To answer. It depends on where you live, who is taking the x-ray and what and how many views that x-ray study involves. You can call around and ask what the cash price is and will the establishment match the lowest contracted fee they accept for your payment. They may offer you a cash discount as it saves them billing costs. ...Read more
Systemic inflammtory: Rheumatoid off rightists is a systemic inflammatory disease with pain and swelling in the joints, and can be associated with internal environment including lungs heart and other internal medical issues. It is characterized by a certain laboratory studies sometimes associated with nodules, requires a rheumatologist to help control the complex components ...Read more