Doctor insights on:
What Does Folic Acid Do For Juvenile Rheumatoid Arthritis
See below: He/she may experience a flare in his/her symptoms. Let the doctor know what's going on. ...Read more
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
Get proper treatment: Be sure to see a board certified pediatric rheumatologist.General pediatricians and family medicine docs are not familiar or comfortable with using weekly low dose Methotrexate and TNF inhibitors that are needed to control 99% of kids with correctly diagnosed JIA/JRA.It's worth traveling some distance to see a pediatric rheumatologist since most adult rheumatologists do not treat it as effectively ...Read moreSee 3 more doctor answers
Caution tetracyline: In children tetracycline can stain the bone. We are fortunate that we can use most of the medications we use in adults in children, but some are not approved for children. We can use Methotrexate and some of the biologics are approved for treatment of jia children such as Etanercept and adalimumab. Iv Infliximab is approved for childhood ibd, IV tocilizumab and Abatacept for jia. Others not yet. ...Read moreSee 1 more doctor answer
See below: There is no specific blood test to diagnose jra. ...Read more
See details: It really depends on the specific manifestation and the severity of the involvement. Is one joint involved or are many involved? Is it more systemic with fevers, rashes and heart involvement. These answers determine the treatment options. A rheumatologist can guide you. Options include nsaids, prednisone, Methotrexate and tnf agents among others. ...Read more
Could you tell me what are alternative treatments for juvenile rheumatoid arthritis besides medication?
Let the buyer beware: I don't know a lot about alternative treatments for jra, but i see lots of patients that missed their opportunity to prevent permanent joint damage when very effective medications are available. That's very sad, especially for young patients. ...Read moreSee 1 more doctor answer
Get proper treatment: Be sure to see a board certified pediatric rheumatologist.There is no reason to suffer with this disease considering how highly effective the medications now available.General pediatricians and family medicine docs are not familiar or comfortable with using weekly low dose Methotrexate and tnf inhibitors that are needed to control 99% of kids with correctly diagnosed jra. Nsaids are not enough rx. ...Read moreSee 1 more doctor answer
Autoimmune: Jra (also called jia) for juvenille idiopathic arthritis is a disease of unknown etiology. There are many theories for why it happens, many believe there is a virus responsible. The damage to the joints, pain and stiffness is due to an inappropriate immune response which results in the immune system attacking tissues of the host (patient). Rheumatologists can provide appropriate DX and rx. ...Read moreSee 1 more doctor answer
Medication : Pediatric rheumatologists specialize in these issues and can prescribe medications or groups of medications to address the underlying pathology. ...Read more
Yes, but see doctor: All exercise is good for preserving joint motion. The danger would be if there were to be strong physical contact with a damaged joint that had lost range of motion. In juvenile rheumatoid arthritis, some joints become immobile and cannot bend normally. Also, the cervical spine should be examined for prior damage and the bone density should be assessed for osteoporosis. Needs doctor clearance. ...Read more
My daughter's doctor thinks she has juvenile rheumatoid arthritis. What should she do to cure it?
There is no cure: Unfortunately there is no cure for rheumatoid arthritis. There are continuing advancements in treatment. Medications considered disease modifying agents can made a big difference in the progression of the disease process. First make an appointment with a pediatric rheumatologist for the appropriate testing to see if your daughter truly has the disease. The rheumatologist will guide you further. ...Read more
Medications for..: Medications for spondylitis are used successfully. Iritis or anterior uveitis is not a feature of rheumatoid arthritis. Jia has iritis as a major extra-articular feature. Topical steroids will help most patient. Other drugs used include Cyclosporine and tnf-alpha inhibitors. They do very well. ...Read more
Consider Birmingham: I don't know any of the pediatric rheumatologists in person who practice in Memphis or other places in Tennessee so I can't recommend them myself.It's quite a long drive to Birmingham, Alabama to Children's of Alabama (3hrs 47min) so it may not be possible for you to travel that far.However, I can guarantee your child will receive the best treatment anywhere in the U.S. if you see any of us 6 docs ...Read moreSee 1 more doctor answer
Folic acid, AKA folate (folic acid) (vit B9), is recommended for all women wanting to get pregnant -- 0.4mg (400mcg) daily, which is important for preventing birth defects like spina bifida. Women w/ a hx these disorders should take 10x that amt daily -- 4mg (4000mcg) through the 3rd month of pregnancy. It won't affect fertility, chances of conception/twins, or periods. ...Read more
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