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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Lupus Cause Lower Back Pain And Dyspnoea?

Doctor, I have had shortness of breath for two years. No one has found any reason why. I also have Hashimoto s Thyroiditis and Fibromyalgia. My D.O. found that I was anemic last year as well. He also found that I tested positive on an Anti-DNA test. He went on to test me for Anti-SM and Anti-Ro as well as for proteins in the urine. These three tests were negative. I kind of gave up on finding out what was wrong and just decided to live with it. However, I am concerned about the chronic shortness of breath as well as a new disturbing symptom. Two days ago, I woke up with severe lower back pain. It has not abated. I have made an appointment with my D.O, but it s not for another 3 weeks. I ve searched online and put the symptoms mentioned above through a Symptom Tracker. The thing that keeps coming up in response is Multiple Myeloma. This is really scaring me. I am only 43. I have two small children, ages 3 and 7. I do not want to have Multiple Myeloma. Also, The Anti-DNA result still means the jury is not out on Lupus, right? Could it be Lupus? Does Lupus cause lower back pain and Dyspnea? Does Lupus frequently occur with Multiple Myeloma? Do you think I might have Multiple Myeloma? Thanks, Andrea S.
Fri, 12 Sep 2014
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Rheumatologist,  's  Response
Dear Friend,

Thanks for sharing your question.
Following possibilities can explain your dyspnea: (1) Anemia (2) Lupus. Lupus can cause it by different mechanisms. You need to do X Ray, Lung Function Test and HRCT to diff the same. Are u hypertensive also? There is nothing in your history (except back ache) and investigations s/o Myeloma.
You should also work up for other manifestations of Lupus.
Hope I could address your queries.
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Rheumatologist,  Dr. Naval Mendiratta's  Response
good evening Andrea. well you need to relax first. acute onset low back ache is never a symptom of multiple myeloma. multiple myeloma causes back pain only when the bone is fractured. backache is the most common complaint of lot of people and the causes are mostly mechanical, that is muscle sprain or ligament sprain. lupus never causes backache. what you need to do is apply some local gel and hot water bottle over the site, avoid lifting any heavy weights, take some analgesics and if possible consult a physiotherapist. it will improve. hope the information was useful
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Does Lupus Cause Lower Back Pain And Dyspnoea?

Dear Friend, Thanks for sharing your question. Following possibilities can explain your dyspnea: (1) Anemia (2) Lupus. Lupus can cause it by different mechanisms. You need to do X Ray, Lung Function Test and HRCT to diff the same. Are u hypertensive also? There is nothing in your history (except back ache) and investigations s/o Myeloma. You should also work up for other manifestations of Lupus. Hope I could address your queries.