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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Sarcoidosis Be Treated?

I have been diagnosed with sarcoidosis and have been on prednisolone for the last 5 months now down to 10mg. I do have some fibrosis on lungs. I also have an underactive thyroid and 12 months ago I had an anterior wrap for a suspected hiatus hernia and Gerd. My question is when I exert myself or breathe deeply I get a pain deep in my throat, like a raw pain but don't think this is connected to acid reflux. Periodically I will be sitting at a computer or on the sofa and I get a sharp pain in the same sort of area I my throat which feels like something has slipped out of place and is sticking in the side of my trachea and only goes away if I sit, don't move and relax for 30mins . I have reported something similar to my GP's over the last 15 years before I had the anterior wrap which I thought was due to my hiatus hernia and the oesophagus pushing through my diaphragm but it obviously isn't this now if it ever was. Any suggestions, advice or hep you can give would be greatly appreciated
Mon, 4 Sep 2017
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Ayurveda Specialist 's  Response
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Thanks for contacting with your health concern
1. As in sarcoidosis there is an autoimmune reaction going on, thus granulomas [inflammatory cells] form in various organs for which you are prescribed prednisolone for the last 5 months and low back pain is a major side effect/complication of long term steroid therapy and initially you have to evaluate yourself with an orthopedic surgeon who will go for necessary investigation [X-ray lumbo-sacral spine] to determine the bone loss [since steroid causes calcium loss from vertebrae] predisposing to fractures.

2. Best position for you will be sleeping on your side i.e. alternating between right and left side

3. For symptoms, they depend on the part of body organ affected by the disease, but lungs are the commonly affected and since it is a chronic, long term condition thus remain under the regular supervision of your attending doctor or consult a rheumatologist or can join a sarcoidosis support group.
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How Can Sarcoidosis Be Treated?

** Thanks for contacting with your health concern 1. As in sarcoidosis there is an autoimmune reaction going on, thus granulomas [inflammatory cells] form in various organs for which you are prescribed prednisolone for the last 5 months and low back pain is a major side effect/complication of long term steroid therapy and initially you have to evaluate yourself with an orthopedic surgeon who will go for necessary investigation [X-ray lumbo-sacral spine] to determine the bone loss [since steroid causes calcium loss from vertebrae] predisposing to fractures. 2. Best position for you will be sleeping on your side i.e. alternating between right and left side 3. For symptoms, they depend on the part of body organ affected by the disease, but lungs are the commonly affected and since it is a chronic, long term condition thus remain under the regular supervision of your attending doctor or consult a rheumatologist or can join a sarcoidosis support group.