Doctor insights on:
What Is The Difference Between Lupus And Crohns
These are three totally different conditions.
Lupus (systemic lupus erythematosus) is an autoimmune connective tissue disorder.
Ibd (inflammatory bowel disease, refers to ulcerative colitis, crohns disease, and indeterminate colitis)
ibs refers to syndromes of abdominal pain, and irregular bowel habits that occurs in the absence of other diseease not found on routine evaluation. ...Read more
Crohns: One of the best places for information is www. Gikids. Org. Look under digestive diseases. Great info by the pediatric gastroenterology group (they are the experts in kids with crohns). ...Read more
I think I have had many symptoms of lupus, Crohn's or a mixed connective tissue disorder for over a year. Can I have one if all tests have been neg.?
Health psychologist: Most lab tests have some degree of error, but they are probably correct. In any case, it might really help to have sessions w/ a therapist specializing in challenging, elusive physical symptoms and medical diagnosis problems. There are many patients who have difficulty finding DX and tx - learning to deal with it is often helpful. ...Read more
Hi, I'm concerned about my wife who has lupus and crohns. Despite years of immuno suppressant therapy and steroids she has more days of pain and fatig?
Teasing out the pain: Sometimes the sx are not from the sle or ibd. Fibromyalgia (fms) afflicts 20% of lupus patients. This is a non-inflamatory pain syndrome. Primary symptoms of fibromyalgia are pain and fatigue. Fms is not treated with steroids or immunosuppressant medication. Fms requires a multidisciplinary approach and is not easy to treat. Fms is treated with certain meds (lyrica, cymbalta, (duloxetine) savella) and exercise. ...Read more
Fat malabsorption- what are the possible causes- we know I do not have gastro disease (crohns, divert, celiec, pancreatitus, or gall bladder prob, no surgery/ new diagnosed lupus. And I have pots?
Steatorrhea: Many causes: pancreatic (exocrine insufficiency); celiac disease; sbbo/sibo; bowel resection/short bowel syndrome; bile acid malabsorption; certain medications; history of chemo/xrrt; systemic disease such as scleroderma & pbc have also been associated with fat malabsorption. Because each of these conditions can have specific and different treatments, determining the exact etiology is important. ...Read more
At age 30 dxd w/narcolepsy. At 31 got Lyme and parvovirus at same time. In 4 yrs since diagnosis w/raynauds, crohns, psa, as and lupus. Could Lyme cause all?
Does not make sense: No one could have that many diagnoses. Something is grossly wrong. Start from the beginning and get another opinion. See a rheumatologist (or another rheumatologist). ...Read more
I've been having a fever (99.7-100.9) every night for 4 months, I've been on Humira (adalimumab) over a year for Crohn's, in complete remission. Negative to Lupus or RA. The only other symptom I have is night sweats, and fatigue and back pain.
CROHNS ON HUMIRA (adalimumab): That is good news the CROHNS is in remission. I would recommend an exam and retesting of labs. Recheck autoimmune panel/Thyroid screen/sarcoidosis screen/Immunoglobulin levels. HUMIRA (adalimumab) can sometimes weaken the immune system and cause diseases to reactivate (TB/Fungal Infection). Discuss tapering HUMIRA (adalimumab), it rarely has been linked to Lymphoma. If SX. Persist CT OF CHEST/ABD/PELVIS IS WARRANTED. ...Read more
Hx of crohns, kidney failure, enlarged liver-14cm, skin issues, ^ in alt, ast, crp, extreme fatigue for 10yrs and unexplained fevers. Maybe lupus?
? Uncontrolled Crohn: Uncontrolled Crohn's can cause all this, either directly or indirectly, kindly revisit your Gastroenterologist for re-evaluation before considering other diagnosis, wish you wellness ...Read more
Ulcerative: Ulcerative colitis and crohn's disease are the two most common inflammatory bowel diseases we see. Even though they can seem similar, they differ in symptoms, affected populations, which parts of the digestive tract they affect, complications and treatments. Below I've linked a web page with many tables that compare the differences between the two. ...Read more
Very different: The symptoms of Chrone's disease is usually involve your bowel movements including diarrhea and blood in your bowel movements and are often associated with a lot of pain. Pregnancy can cause nausea, vomiting, and constipation. The nausea usually improves after the first trimester. Any pain is usually cramping but you can have pain from the stretching of the round ligaments. Hope this helps. ...Read more
Location for one: It can be difficult to tell between the 2 at times. Location is important. Ulcerative colitis always involves the colon starting with the rectum. Crohns can follow any distribution in the gut and often involves the small intestine, especially the terminal ileum. There are also differences when tissue specimens are viewed under the microscope. There are blood tests which can be helpful too. ...Read more
How can you tell the difference between a Crohn's flare and something more serious like food poisoning, e coli or salmonella?
Culture: A stool culture will give the answer in about 48 hours. If you are under treatment for crohn's, your gastroenterologist knows all about this. The truth is that most food poisoning is self-limited though a major nuisance while you have it; the greatest concern is the e. Coli that cause hemolytic-uremic syndrome. ...Read more
I have Crohn's disease. How can I tell the difference between an anal fistula (had one surgically removed 10 years ago) and a hemorrhoid?
You can not but: Your doctor can, due to training and experience. When crohn's disease involves anorectal area, recurrent fistulas, infections, pain, drainage, local infections are common, make the diagnosis difficult, tissue biopsy (pathology) is the only way to distinguish from other conditions. ...Read more
Similar: "lupus-like syndrome" is a term applied to illnesses that may share many features of lupus (rash, sensitivity to sun, arthritis, chest pain, fatigue) but occurs in the setting of using certain other medications, cancers, or infections. Systemic lupus erythematosus usually has no identifiable trigger and requires a certain number of features be present to make the diagnosis. ...Read more
Different medical: Granulomas are a type of inflmmation and not the type seen in lupus ...Read more
Very different: There are differences - especially less kidney involvement, different serology to name some things. It mostly resolves after stopping the drug involved. ...Read more
Deceptive likeness: Both lupus and ms are autoimmune disorders and both affect the central nervous system. Both causes apparently random, sudden and often bizarre symptoms. Treatments for ms long-term have now been primarily interferon-based. No such widely accepted treatment exists for lupus. Steroids are often helpful in both conditions in short term. Diagnostic tests can separate the 2 conditions often. ...Read more
Big difference: Rosacea tends to be a reactive process in response to various stimulants that may eventually produce long term skin changes such as rhinophyma that are commonly treated with avoidance and antibiotics whereas lupus is associated with a "butterfly" rash that is a manifestation of an underlying autoimmune disease that are commonly treated with steroids. ...Read more
Yes: A rheumatologist should be able to make this distinction fairly easily. ...Read more
Labs are coming back suggestive of Lupus or Mixed Connective Tissue Disease. What is the difference between the two?
Mystery of....: rheumatology! Lupus difficult to diagnose because of many manifestations and wide range of severity. No clear diagnostic criteria. Diagnosis made on clinical grounds with supporting labs- requires a great deal of expertise and exclusion of other causes for symptoms. If your doc cannot confidently diagnose lupus then you may be given an alternative Dx such as MCTD or undifferentiated CTD. ...Read more
How do you diagnose lupus? What is the difference between multiple sclerosis and lupus? Which disease causes tooth loss?
See details: Neither causes loss of teeth unless there is a secondary sjogren's syndrome associated with the lupus. Lupus is diagnosed by specific clinical criteria and confirmed by positive blood tests. There are numerous difference between ms and sle. ...Read more
Serious vs, not:
Systemic lupus affects multiple organs and is a serious auto-immune disorder. Discoid lupus is mostly limited to sun exposed skin areas. See the sites below for details.
http://www. Ncbi. Nlm. Nih. Gov/pubmedhealth/pmh0001471/
http://emedicine. Medscape. Com/article/1065529-overview. ...Read more
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