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Erythema nodosum, blood test for lupus and lyme done but negative, joint pains severe, course of steroids completed, bit depressed, - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Lupus
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   Hi Doctor
User :   Just now i have been diagnosed with Arthemia nodosum
Doctor :   Ok
User :   I went to all blood test ( Lyme test, Lupus ) and all came negative
User :   and also did chest xray
Doctor :   Ok
User :   that is also fine
User :   Initally doctor game me Naproxin for 2 days..until blood test result came
User :   i was in severe joints paints
User :   especially at knee, anke, wrists
Doctor :   Ok
User :   then they gave me streoid
Doctor :   Ok
User :   and antibiotics
User :   I did complete course for streoid for 6 days...and as soon as my pain started coming back very next day
Doctor :   Ok
User :   then i again back to doctor...they did again blood test etc and everthing came negative
Doctor :   Ok
User :   now again put me on higher doses of streoid ...which i 'll finsh till friday
User :   i am the pains and all this condition will come back
User :   they are not able to find the cause
User :   this is Idiopathic
User :   this is my 5th week going on
Doctor :   Right.
User :   I read on internet..this goes automatically after 4- 6 weeks
Doctor :   That's right.
User :   My questions is whether i'll be all right within this time period
Doctor :   May I know your age?
User :   36
Doctor :   Ok
Doctor :   Let me explain to you.
User :   there are mark on my shines and ankles..which now faded
User :   yes please
Doctor :   Ok
User :   My stomack is good, i never had pain
Doctor :   Ok
User :   My throat is also fine..i did not have any problem
Doctor :   FIne, Let me explain.
User :   yea
Doctor :   Erythema nodosum as you might have read is an hypersensitivity (allergic) condition.
Doctor :   This can happen in about 30% of times with no apparent cause.
Doctor :   The rest of the time usually is accompanied by infection.
Doctor :   It is good that no infective cause is found.
User :   okay
Doctor :   And as you have read, the symptoms is self limiting lasting for few weeks.
User :   yea...i am already in 5 th weeks now... Initally i thought it is chickengunia
Doctor :   However in some people depending on the severity of the condition, the symptoms can last upto 6-8 months.
Doctor :   The medications that are correctly given
User :   i am afraid...pain is so took me one minute to move my foot
Doctor :   Steroids and other group of medications help in reducing the severity of the symptoms and thus controlling the symptoms.
Doctor :   The joint pains are usually secondary to inflammation changes that occur due to hypersensitivity reaction.
Doctor :   And steroids are most often effective in controlling this inflammation.
User :   Initally i did not have started pain in my heel
User :   One day before i played Cricket...i thought this might be playing after long gap
User :   then i did not care...
User :   but it kept moving up
Doctor :   If the pain is severe, report back to your doctor, perhaps modifying the doses or use of injectable medications (if required) can be effective.
User :   i had problem then sitting on chain in car...
Doctor :   Ok
User :   then i started having fever daily....but mild atleast once in 24 hours..i took Combiflame
User :   and then i was okay for almost 10 hours
User :   so i took two times a day...
Doctor :   Ok
User :   and by the friday i had swelling and all my feet
User :   Then i went to see the i am in i do not want to see the doctor immediately for samll reason
Doctor :   Ok
User :   Now ...i am seeing doctor all this medication is going on
User :   Is this disese comman...cos in my lifetime or my near one never heard of it
Doctor :   This is not a very common condition.
User :   Here doctor did not give me suggestaion on food ? Is there anything should i take care on food ?
User :   Beacuse here Doctor does not know what we Indian eat generally
Doctor :   There are no evidence to show that food or food allergies affect the symptoms significantly.
Doctor :   No strict food restrictions are necessary.
Doctor :   However
Doctor :   as you are on steroids,
Doctor :   they can induce symptoms of gastritis and calcium deficiencies.
Doctor :   Hence avoid food that is extra on spices,
Doctor :   restrict caffeine and other beverages.
Doctor :   Also restrict consuming deep fried food.
Doctor :   All these can worsen gastritis.
User :   okay...i am also taking Omiprozol empty stmoch in morning
User :   Thanks Doctor
Doctor :   On the other hand, consider use of calcium rich food such as milk and milk products, nuts, fruits,
Doctor :   and so on.
User :   sure
Doctor :   Do you have any other query?
User :   Just was fast i'll recover
Doctor :   The recovery is often gradual and slow.
User :   I did depress me bit
Doctor :   Keep positive and continue the steroid medications as suggested.
User :   i wanted to enjoy my life in US as come for 3 months and now i am sitting duck in my home most of the time
Doctor :   If you feel the pain is affecting your day to day activities,
Doctor :   discuss with your doctors, perhaps a dose of NSAID's (prescription medication)
User :   once streoid started pain went within 24 hours
Doctor :   can be beneficial along with the steroids.
User :   yea..they gave me that also..but i never had pain after i di dnot took that
Doctor :   If the symptoms are slowly reducing, then it is a sign of recovery.
Doctor :   I would be very happy, if you feel that no new symptoms have occurred after steroid medications.
User : new symptoms
Doctor :   You seem on the course of recovery.
Doctor :   So you need not be depressed.
Doctor :   You should be fine in few more weeks.
Doctor :   Hope I have answered all your queries.
Doctor :   Do you have any more query?
User :   yes Doctor
User :   Would you like to know the name of streoid i am taking
Doctor :   Depending on the duration of actions, different steroids are used.
User :   Predinsone 10 MG 4 tabs for 5 days then 2 tabs for 3 days and then 1 tabs for 2 days
Doctor :   You probably may be on prednisolone pill.
Doctor :   as they act longer.
User :   and when i went to Hospital that day they gave me injection
User :   yea
Doctor :   Usually doctors prefer to start of injectable steroids
Doctor :   as they act fasters.
User :   okay
User :   that was all from my side Doctor
Doctor :   once the condition has come on control, medications are changed to oral medications.
Doctor :   You are currently managed rightly.
Doctor :   So do not worry.
User :   Thanks Doctor
Doctor :   Do you have any other query?
User :   No
User :   thanks for your time
Doctor :   Thanks for consulting me.
Doctor :   Have a nice day!!
Doctor :   Bye for now.
User :   you too ! Bye Bye
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