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Suffering from Lupus and Diverticulitis - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Lupus
Answered by

General & Family Physician
Practicing since : 2009
Answered : 481 Questions
User :   hello
Doctor :   Hi
Doctor :   We were spking about lupus
User :   she removed a fibroid
User :   yes
Doctor :   Ok
Doctor :   Continue
Doctor :   I am waiting for your description
User :   you ask the question why she had the myomectomy
User :   then this last time
Doctor :   Ok
Doctor :   So are you trying to be pregnant
User :   blood results showed + mutation forA1298c
User :   she is
User :   we are
Doctor :   and now i believe the problem is antiphospholipid antibody syndrome
Doctor :   is this what the doctor said to you
User :   correct
Doctor :   Ok
Doctor :   Are more investigations carried out
Doctor :   to detect for other organ involvement
User :   we just got the results
Doctor :   Ok
Doctor :   Do you have any more result apart from the results of the mutational
Doctor :   change
User :   she had the embolism, she had diverticulitis
User :   no... we need to get a referral for a specialist
Doctor :   Ok
Doctor :   What are her present symptoms
Doctor :   apart from miscarriages
Doctor :   When was the embolism
User :   clotting, she was on wafrin but now she is on an asprin dosage
User :   October 2007
Doctor :   Ok
Doctor :   It is a multidisciplinary approach by doctors now
User :   details?
Doctor :   with Hematologist leading the team
Doctor :   I did not you
Doctor :   details?
User :   i was asking for you to give details
User :   but will the Hematologist do?
Doctor :   We are not a referral service in your country
Doctor :   I guess you are from US
Doctor :   The treating doctor will be the best person to help you
Doctor :   and refer
User :   were are not asking for one... we just need more information on the condition
Doctor :   to the concerned specialist
Doctor :   Ok
Doctor :   I can give you that
Doctor :   Lupus usually gets remission on its own
Doctor :   till then the symptoms are to be aggresively managed
Doctor :   by the team of specialists
Doctor :   basing on the organ system involvement
Doctor :   say if it involves the gut
Doctor :   it is managed by Gastroenterologist and hematologist
Doctor :   the duration of its regressin depends on the age of onset of the condition
Doctor :   and few other factors
User :   ok... when I met my wife she used to vomit every so often after a meal... does that have anything to do with it?
Doctor :   How was the vomitus
User :   the food she ate and stomach acid
Doctor :   Ws the vomitus bloody
Doctor :   and how many times did it happen
User :   not that she can recall
User :   very often
User :   i used to think she was bulimic
User :   she hated when I say that
Doctor :   Ok
Doctor :   When was this happened
User :   after meals
Doctor :   How long back
Doctor :   i mea
Doctor :   mean
User :   still happens
Doctor :   Ok,
Doctor :   It could be
Doctor :   but I need more blood test repors
Doctor :   reports to say exactly
Doctor :   if it is or not
User :   what about the diverticulitis?
Doctor :   Diverticulitis is the problem in the large gut and the rectum
Doctor :   it is an infection
Doctor :   of the wall of the gut
Doctor :   gut is the intestine
Doctor :   It can be treated carefully
Doctor :   and easily
Doctor :   with good diet modifications
User :   ok...
Doctor :   What are the symptoms she has now for the diverticulitis
User :   that has been symptom free for now...
User :   I am under the impression that her lupus could have been drug-induced
Doctor :   There are medicines that induce lupus
User :   she has had so many types of medicine since the embolism that I am concerned about that
Doctor :   What are they
User :   coumadin, heparin, lovenox,
Doctor :   Was she put on Phenytoin
Doctor :   any time
Doctor :   Since how long she was on Coumadin
User :   not that i know of...
User :   for 6 months
Doctor :   Ok
User :   then she went on the levenox for 3 months
User :   then now on the aspirin
Doctor :   Ok Levonox is a low wt heparin
Doctor :   and aspirin is a safe drug too
User :   correct
Doctor :   Did the doctor mention that it is a drug induced luupus
Doctor :   reaction
User :   no
Doctor :   because I cannot find a drug in her list
Doctor :   that causes the lupus
Doctor :   the common are hydralazine, procainamide, phenytoin groups
Doctor :   so you should not worry about the drug induced lupus
Doctor :   in your wife
User :   she did have any of those
Doctor :   Yes she did not have any of those
Doctor :   The most common drugs that cause DILE are hydralazine, procainamide, quinidine, isoniazid, diltiazem, and minocycline.
User :   correct
Doctor :   Even though if it is drug induced
User :   some of those are for neuropsychiatric disorders, correct
Doctor :   improvement upon withdrawal of the offending drug
Doctor :   exactly
User :   that would not be her care then...
Doctor :   I appreciate that you have known much information
Doctor :   Yes
User :   we are both scared... I know just enough to be concerned. and she is just saddened by the ordeal
Doctor :   Yeah I can understand that
Doctor :   Do you have any specific questions that I can answer yu directly
User :   we just want to know if we both can enjoy a "healthy" life together with kids.
User :   is having kids out of the question?
User :   should we give up on that?
Doctor :   I would say a difficult possibility
User :   what would reduce the difficulty?
Doctor :   I am generous to say difficult possibility as it is better to give up
User :   :(
User :   we waited until we were ready any now we must give up.
User :   and not that is
Doctor :   Yeah I can understand that
User :   no child to pass on a legacy...? is there any specialist in the WORLD that deals with this?
Doctor :   Was the coagulation profile done
User :   not yet...
Doctor :   Right now the treatment she undergoes is correct
Doctor :   I dont know whether the steroids can help her or nto
Doctor :   at this stage to treat the condition
Doctor :   If they are tried previously
User :   the OB/GYN say she should go back to the lovenox...
Doctor :   Ok
Doctor :   and there is a research on gammaglobulin treatment
Doctor :   now a days
User :   but she gave up and referred back the the primary doctor
Doctor :   I dont know whether it was tried on her or not
User :   for CVID
User :   i.e. is that not for Common Variable Immunodefiency
Doctor :   There are studies
User :   give some details...
Doctor :   Intravenous Immunoglobulins are tried these days
Doctor :   but that should be confirmed by the treating doctor
Doctor :   because it may suit some patients
Doctor :   and may not
User :   agree...
User :   she has not done any testing for her levels of serum immunoglobulins (antibodies) as yet
Doctor :   Ok
Doctor :   Where are you located
User :   i have not seen any enlarge lymph nodes
User :   USA
Doctor :   Ok
Doctor :   I want to search for you the latest updates if any
Doctor :   on its treatment
User :   thanx
Doctor :   I shall refer to the medical journals
Doctor :   and get back to you over email If I can get anything useful to you
User :   :)
Doctor :   Is it ok?
User :   yes... thanx for your help doctor.... you are well informed.
User :   thank you for your time I look forward to your
Doctor :   Ok anything else
Doctor :   I can help you
User :   eMail on the issue.
Doctor :   Ok
User :   nope u have been great.
Doctor :   Please fill the feedback form
Doctor :   Thanks for consulting Healthcaremagic. Bye for now. Please refer your friends to our service.

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