Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

147 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Have severe kidney, UTI infection and tested positive for hla-b27. What do you recommend?

Answered by
Dr.
Dr. Shruti Rijhwani

Rheumatologist

Practicing since :2008

Answered : 2366 Questions

default
Posted on Mon, 2 Dec 2013 in Lupus
Question: For almost 3 years had a very low immune system. Several kidney and uti infections. My vitamin D is always low even with supplements. I have severe pain in my spine, upper neck, lower back., knees, wrists, front of foot. i tested positive for hla-b27. It's a gene, but I don't have any family history. Lately my legs from my knee up will swell with fluid so I keep my feet elevated to help. My insurance has expired and won't have any until the first of the year. My stress and anxiety is high even with medication.
doctor
Answered by Dr. Shruti Rijhwani 5 hours later
Brief Answer: Follows. Detailed Answer: Dear Madam, Thank you for posting your query on XXXXXXX Well looking into your problem it is possible that you are suffering from the condition known as seronegative spondyloarthropathy ( ankylosing spondylitis ) since you are HLA B 27 positive also . It seems that you have both axial as well as peripheral manifestation as you have pain in back along with swelling in joints . I will advise you to see a rheumatologist and get your disease activity assessed . You need to get a CBC , ESR , CRP , X Ray pelvis and possible MRI pelvis to look for sacroillitis . Only after assessment of your disease activity proper treatment will be initiated . Please do not ignore the problem . Physical examination is very important in this disease as various tests like schobers test , figure of 4 test is needed for disease assessment . So , seek medical advise as soon as possible . Take care. Dr. Shruti
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,   ,  
Lab Tests ,  

Recent questions on  Arthritis

doctor1 MD

My 62 year old mother had a heart attack requiring by-pass surgery and valve replacement. She was in good physical shape except for r. arthritis and hypothyroidism for which she was on meds for. She did not make it out of surgery. Any reasons her arthritis/hypothyroidism had anything to do with it?

doctor1 MD

my mom 84 has both arthritis's..through out her body...in the last year she has developed sinus infections....red and black green matter ......her sinus cavity wall has deteriated.....doctors are not sure what it the cause...could it be arthritis....mom has had it in here lungs and extremities.....any answers?

doctor1 MD

I have aches and pains all over, but no temperature. It feels like a viral thing. Pains in the soft tissue in my nose as well as pains and aches in my larger muscle groups, also hurts to pass urine .... I have a little arthritis and the joints that are particularly vulnerable are sore and tender. Like my soft tissues are all inflamed. Flu??

doctor1 MD

Please direct this question to an ortopedic surgeon and/or an alternative medicine specialist. i m a 57 y.o. male, outta shape and overweight with two dislocated shoulders - one worse than the other (supposedly 3rd degree seperation/subluxation) but both give me chronic pain. the worst one has the classic hump where the bone has popped up out of the joint it s the worst but, the other one gives me quite a bit of pain too. all i have for pain is ibuproffen(handfulls) acetaminofen, and alcohol. My Dr. had breifly prescribed Gabbapentin which like Tylenol wasn t much help, essentially negligible. Some years back i had convinced a VA surgeon to do the standard operation but, upon researching it, i learned that only 50% of the time was it effective and of those, 50% developed arthritis in the shoulder. I need some real options/alternatives Doc. Been living with chronic pain for 15 years - not to mention the lack of funtionality. Any suggestions?

doctor1 MD

why would hypermedia show up in bone scan- it was for a shoulder doctor but hyperaemia showed up in the plevis- the ortho doctor did not comment because he was looking for shoulder so what does hypermedia mean in a bone scan -

doctor1 MD

Hi I have been having extremely sore joints, My left hand is in constant pain, my right arm hurts when I try to lifts it up. My knees are extremely paintful even when I'm resting trying to sit down and get up is extremely painful. This morning my...

doctor1 MD

i have numbness in the balls of my feet and pain and discomfort. the pain gets really bad when i elevate my feet when i go to bed at night. this has been going on for two years plus. I have been to several pediatrist and neurologist and no one can...