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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pain, Fever, Stomach Pain With Appetite And Weight Loss?

Hi I have systemic lupus and have recently returned from a trip to Haiti . I was hospitalised for two days with general malaise and left leg pain plus severe right lower abdo pain . I have been cleared of DVT and peritonitis and have been released on 25 mg prednisone but in the last two day I have developed chest pain and low grade fevers as well as generalised stomache pain . I have lost 5 kilos in the last week and have no appetite
Tue, 9 Sep 2014
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Internal Medicine Specialist,  's  Response
Hi,

Thank you for your query. I can understand your concerns.
Fever is common in SLE (Systemic Lupus Erythematosus), either from secondary infection or the disease per s e.Fever and weight loss accompany active disease . Fever & chest pain combination point towards the possibility of
Pleuritis+/-pneumonitis. Generalised stomache pain, in addition may occur from
vasculitis of intestine,not uncommomn. Since you are already on steroid,you have to take antacid like Pantoprazole 20-40 mg orally daily.





Regards

Dr. T.K. Biswas M.D.
Mumbai
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What Causes Chest Pain, Fever, Stomach Pain With Appetite And Weight Loss?

Hi, Thank you for your query. I can understand your concerns. Fever is common in SLE (Systemic Lupus Erythematosus), either from secondary infection or the disease per s e.Fever and weight loss accompany active disease . Fever & chest pain combination point towards the possibility of Pleuritis+/-pneumonitis. Generalised stomache pain, in addition may occur from vasculitis of intestine,not uncommomn. Since you are already on steroid,you have to take antacid like Pantoprazole 20-40 mg orally daily. Regards Dr. T.K. Biswas M.D. Mumbai