Doctor insights on:
What Is Thw Best Diet For Scleroderma Patients
refers to all the physical matter humans (like all living creatures) must take in on a recurring basis; only partially for energy. Like all life on planet humans are open systems which keep tearing down their structure & require intake of atoms/molecules from which to rebuild their structure. Intestinal lining cells replaced ~every 3 days. CaPO4 in bones ~every 6 years, ...Read more
Can be hard problem: No simple answer. Scleroderma patients can have problems with chewing (soft diet helps), esophageal issues (poor contractions, lots of reflux-avoid fried, greasy, fatty, spicy foods, large meals, lying down after eating, chocolate, minimize coffee); can have diverticula and bacterial overgrowth in small bowel-causes diarrhea-may need episodic antibiotics; probiotics may help. C doc and dietician. ...Read moreSee 1 more doctor answer
Scleroderma: Scleroderma, or systemic sclerosis, is a chronic connective tissue disease generally classified as one of the autoimmune rheumatic diseases. The word “scleroderma” comes from two greek words: “sclero” meaning hard, and “derma” meaning skin. Hardening of the skin is one of the most visible manifestations of the disease. ...Read moreSee 1 more doctor answer
Do scleroderma patients have swallowing problems abruptly? Quick onset? All the sudden i feel like water and food get stuck though it does go down.
Is crest syndrome with high centromere b antibody considered a rare disorder with rheumatologists having only a few such patients? Should i seek out a scleroderma specialty center for regular care?
I had ANA 1:160+ , ESR 29 CRP 0.1 autoantibodies show ssa of 8 (0-40 is neg) and scl-70 ENA ab of 3 (0-40 is neg) wouldn't this be scleroderma? Not lupus? Why would lupus patient have scl-70 markers?
Not just antibodies: If the scl-70 titer is 3, as you wrote, it falls within the normal range and is not positive. More importantly, scleroderma is not diagnosed on the basis of antibody studies, but rather clinical findings such as skin thickening, raynaud's phenomenon, lung fibrosis, or pulmonary hypertension. A certain percentage of scleroderma patients are even negative for ana. ...Read moreSee 1 more doctor answer
Hi, can I close les 3mmhg to 20mmhg with strict diet, medicines and rehabilitation withnout fundopli? I have GERD and dysmotility but not scleroderma.
GERD: Diet: avoid fatty foods, chocolate, peppermint, licorice, coffee, alcohol, tobacco. Do not go to bed with a full stomach. Medications: proton pump inhibitors like Omeprazole will help alleviate symptoms but do not affect les pressure. Not sure if Cisapride is available in your country but this could be helpful. ...Read more
I have Raynaud's phenomenon, and chronic constipation for 3-4 years (colonoscopy clean, high fibre diet). Should I be worried about scleroderma?
Scleroderma: Scleroderma is a connective tissue disease (ctd). The best treatment is based on treating the affected system or organ cause. For instance: ctd may be manifested as pulmonary hypertesnion, lupus, esophageal narrowing, kidney disease. Is so hard to explain on the internet, but better to understand and explain if i;m able to examine you and do the proper work up and referrals. ...Read moreSee 2 more doctor answers
Be supportive.: Most issues including raynaud's, esophogeal dysmotility, hypertension, pulmonary hyertension can be lrgely controlled. Whether drugs like Penicillamine and/or mtx affect long term prognosis is still a point of debate. ...Read more
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