Related Questions

I have autoimmune pouchitis if I go back to a iealostomy will the pouchitis go away. I am afraid of taking imuran (azathioprine) or 6mp.?

You may feel better. Returning an ileostomy will reduce many symptoms. Some symptoms may persist, depending on the cause of the pouchitis. Returning the ileostomy is recommended if you are not responding to the normal treatments and the symptoms are making your life difficult or impossible to live. Most patients tolerate Imuran (azathioprine) and 6mp well, so discuss fully with your physician. Read more...

Patient with a rare autoimmune disease (relapsing polychondritis) with new onset worsening cramping of muscles over body worsening over time.....?

Severe symptoms. Despite immunosuppressive your symptoms are severe. Consider Hospitalization for IV immunosuppressive. Consider adding Colchicine and follow up with Mayo clinic as planned. Read more...
Mgt. I would suggest an ultrasound of the diaphragm, and assessment of respiratory muscle strength eg MIP and MEP, cough peak flow. A muscle biopsy or re biopsy may be helpful as well, in providing additional information. Read more...
RP associated vasculitis. Certainly consider associated vasculitis with the RP. Also might cnsider a magnesium deficiency or stiff man syndrome. Read more...
Refined oils. The patient is saturated with refined oils. He has too much oil rich food in his diet such as fried foods, bread and butter. He should be on an oil free diet for 90 days which include no poultry, eggs and dairy. There should be no white flour and white sugar. Best starch will be Sweet or Purple potatoes and Brown or white rice. In two weeks, you will notice the change. Read more...
Not related. Relapsing polychondritis affects cartilage based structures like ears, trachea, part of the nose, etc. Cramping muscles, which are not typical of autoimmune diseases, would be unrelated. Read more...
Cramps all over body. First i suspect your potassium is too low and contributing to the muscle spasm. Be certain the lab draws blood correctly to get an accurate blood potassium measurement. That is draw blood after tourniquet is off. Read more...
RPC. As a rheumatologist, I have quite a few patients with relapsing polychondritis (RPC). Patient is do respond to therapy but do require routine evaluations every 3-4 months. There are multiple drugs that may be used but this depends on clinical findings as well as laboratory and imaging findings. I recommend that you be seen by a rheumatologist. Read more...
PMR? Autoimmune diseases can occur together. This could be polymyalgia rheumatica. This is muscle pain, worse with activity. Please see your primary care provider for a work-up or referral. . Read more...
Need to check electrolytes. Diffuse muscle cramping could point to a separate problem - electrolyte imbalances (specifically hypokalemia) brought on by prednisone / steroids (due to their mineralocorticoid effect). Given recent dose / trial of imuran and prednisone, I doubt this is recurrence or continuation of RP flare (that would have been knocked out by pulse of steroids). So, best to look for alternative diagnosis. Urine for electrolytes, Cr, & CMP would be a good start. A trial of heat (heating pad) would help narrow differential. If heating pad does not alleviate symptoms, then systemic condition (not muscle condition) more likely. Read more...