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Rheumatoid arthritis and its treatment - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Arthritis
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor :   Hi
Doctor :  
How can i help you?
User :   Hello
Doctor :   hello..

User :   I'm female age 43 and have had a complete hysterectomy and was wondering if it's normal for my breast to hurt real bad when pressed on like say when my little dog or grandbaby mash or step on them
Doctor :  
please proceed with your query
Doctor :   yeah this is normal
Doctor :   as you are 43 years old and the tissue of the breast has lost the hormonal stimuli as you have undergone complete hysterectomy, it might hurt some times bad as you have describred
Doctor :  
and it takes few days to months for this problem to subside
User :   ok one other question I asked the other day but never could get the doctor back after I paid is if I have been diagnosed with GERD, Irregular Z-line, Hiatal Hernia, Gastritis in the antrum, if I were to have any type of gastrious related cancer would it show up in blood work
User :   I had my hysterectomy 6 years ago
User :   I had it done when I had colon cancer surgery
User :   also my doctor took blood to test me for rhumetuid arthritis will all types arthritis show up also
Doctor :   coming to gastric Cancer it takes endoscopy to diagnose the gastric cancer
Doctor :   all type of arthritis will not show up in the blood test
User :   isn't that when they put the thing down your throat, if so thats how I found out about the hiatal hernia and gerd and all
Doctor :  
Doctor :  
that is called upper GI endoscopy
User :   so if my knees, elbows, shoulders, and both hips are always in pain should I be tested for crippling arthritis, and yes thats what I've had done several times(upper GI) because I have these pains in the upper left side of my belly area that when it happens a knot will come up and subside kinda feels like contractions do but the pain is BAD
Doctor :   ok
User :   my doctors can't seem to find out what is causing them but you can see the knot when it comes up
Doctor :   ok

Doctor :  
it is the contraction of the stomach to propel its contents through narrow antrum
User :   so I shoudn't worry about that problem
User :   ok about the arthritis question should I ask my doctor about having different type of test run
Doctor :   as you have antral gastritis shown in endoscopy. the mucosa will be swollen and the lumen will be narrow. the normal contraction of the stomach is seen like what you have dscribed

Doctor :  
need not to worry much as the antral gastritis subsides it will also disappear
Doctor :  
about your arthritis
User :   ok thanks
Doctor :  
what has RA factor come up in the blood test?
User :   I haven't got results back yet but she said she tested me for rhumituid before and everything came back normal so I figure it probably will again, but this pain and swelling is coming from something
User :   during the night I can't sleep on either side no more than 30-45 min at a time because my hips hurt so bad and it's getting where they hurt during the day also
Doctor :   ok

User :   I've had 3 back surgeries the last one being a back fusion could that be causing some of my problem, but that still doesn't explain the pain in shoulders, knees, and elbows
User :   when sitting I have to stretch my right leg out every 10-15 min so it can pop something back into place
Doctor :   ok

User :   as for my elbows and shoulders, they get so bad at times I can't lift anything and they feel hot to the touch
Doctor :  
Doctor :  
the pain in multiple joints and back indicates it is arthritis
Doctor :  
and definitely is not infective in origin
User :   so what other types of test should I ask my doctor to do
Doctor :  
the only possibility is rheumatoid arthritis
Doctor :   in that also there is two types
Doctor :  
one is if you have the RA factor in the blood test- it is called seropositive type
Doctor :   and if the RA factor is not detected in the blood it is called Sero- negative
User :   and what does that mean
Doctor :  
yours seems to be fitting in the second type- seronegative rheumatoid arthritis
Doctor :  
it means in the blood test will not show up your rheumatoid arthritis
User :   so will my doctor need to perform another type test and if so what
Doctor :   no there is no other tests

Doctor :  
the diagnosis is clinical
Doctor :  
Doctor :  
your arthritis problem is rheumatoid arthritis and it is seronegative type and most of the blood tests will be normal
User :   what can be done for it and to ease the pain
Doctor :   are you on any medications? please provide me their details
User :   yes she has me on pain meds for my back pain, oxycodone 15mg, carisoprodol 350mg, mirapex 0.5mg for my restless leg syndrome and prilosec 20mg for my heartburn, but the pain meds are getting where they don't work, I guess because I've been taking them for a long time
Doctor :  
User :   I had my first back surgery in 2001, colon cancer surgery in 2002, a back surgery in feb. of 2004, then a back fusion in july of 2004
Doctor :  
Doctor :   in your case only pharmological measures will not be sufficient
User :   for my age I've been through alot, but I'm truly glad to be alive for my kids and grandbabies
User :   so what will
User :   I know I'll have back pain for the rest of my life and can deal with that but would just like to have alittle relief at times
Doctor :  
non pharmacological measures like massage, physiotherapy are been tried for alleviation the pain or not
User :   where do I go for that type stuff
Doctor :   ok
User :   a rehabilitation place
Doctor :  
now the focus is on pain relief
Doctor :  
so hot fomentation to the painful areas at home only daily you can try
User :   how do I do that
Doctor :  
apply luke warm water to the joints and back
Doctor :  
this can be done by sitting in the bath tub
User :   we don't have a bath tub just a shower
User :   I've been trying to get my husband to expand our bathroom but to no avail yet
Doctor :  
or by filling the water in the leather bag
Doctor :  
the water bag is available in the chemist shop
User :   I live in Boaz, AL do we have a chemist shop or would I have to obtain one from the hospital
Doctor :  
you can get it from any where either in the hospital or in the chemist shop
Doctor :   secondly

Doctor :   whole body massage
User :   if I got one from hospital would my doctor have to give me a paper of some sort
Doctor :   it is available over the counter
User :   the whole body massage sounds good, I don't guess medicare would pay for that would it
User :   so I can just go to the hospital to buy one or the pharmacy
Doctor :   yes

Doctor :   and regarding the body massage
User :   do you know about how much those leather bags are
Doctor :   i am not sure but i think it is less than 5 dollars
User :   ok
Doctor :   alternatively you can dip a cloth in the warm water and apply it on the joints and painful area
Doctor :   this is very effective than the water bags
User :   ok thanks, back to the beast pain, you said it would take a few days or months to get over that I had my hysterectomy when I had my colon cancer surgery back in 2002, they've actually only started being this way in the last 7-8 months
User :   i meant breast pain
Doctor :   ok
User :   my lower part of my stomach is the same way when pressed on
Doctor :   ok
User :   closer to my groin area
Doctor :   i got it
Doctor :   so only i am suggesting whole body massage
Doctor :   massage has the effect of relaxing the muscles
User :   ok I'll give that a try
User :   so I just need to contact and make an appointment with a massage therapist
Doctor :   it improves the blood circulation in the muscles and tissues and brings relief from pain
Doctor :   yes initially you get it done from a trained therapist

User :   under what catagory would I look that up under in phone book or does my doctor have to set it up
Doctor :   you can discuss this with your doctor
Doctor :   he will help you in this
User :   ok well I guess thats all and thank you for your help and patience and I hope you have a wonderful day
Doctor :   is there any thing else i can help you with

Doctor :   please fill the feed back form
User :   I did and again thank you
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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