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Suggest Treatment For Sjögren's Syndrome, RA GERD And Hypothyroidism

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Posted on Fri, 2 Jan 2015
Question: I have sjogrens, RA+, GERD, medullary sponge kidney, hypothyroid, sticky platelets, take daily sm dose aspirin, rabeprazole, risedronate. Some asthma symptoms at times. No allergies. I am currently having issues with bulging discs and an osteophyte complex impinging on thecal sac. I do not see a rheumatologist and for some unknown reason my gp will not refer me to one,......lack of specialists? Use eye drops, punctal duct plugs, and thorough dental hygiene, humidifier, skin lotion. I take a variety of supplements, too long to list. I am trying to lean towards an anti inflammatory diet. What would you recommend? Bloodwork does not need to be monitored?
doctor
Answered by Dr. Dr. Shruti Rijhwani (34 minutes later)
Brief Answer:
yes, you can take anti inflammatory diet

Detailed Answer:
Dear Madam,

Thank you so much for posting your query on HCM.

Well, looking into your query, I will like to ask you that what are the medicines you are presently taking for RA and sjogrens. Are you taking any DMARDS ?

Plus regarding the diet, you can take antiinflammtory diet. It would be good if you can mention the contents of your diet so that we can give the exact guidance as compounds will be known and their properties. If possible please send your autoimmune profile so that I can understand your problem better and help you out.

Take care.

Dr. Shruti
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Dr. Shruti Rijhwani (1 hour later)
I have a + RA factor but no diagnosis of RA. sorry for the confusion. i take thyroid 60 mg per day, rabeprazole, risedronate monthly. tramadol for the back pain. No DMARDS. I am asymptomatic as far as I know. not sure.
Beause of stomach upset from tylenol 3's for the back pain, with a history of gastritis,....lately I have been eating melons, berries, kiwi, avocado, fish, gluten free bread, eggs, fish, greens, green beans, hummus, olives, yogurt in small amts.muts. Trying to keep meat minimal. I do not have an autoimmune profile. Although I have bloodwork results from about 7 yrs ago, when first diagnosed.
doctor
Answered by Dr. Dr. Shruti Rijhwani (4 hours later)
Brief Answer:
Follows.

Detailed Answer:
Dear Madam,

Thank you for reverting back.

Well I would like to tell you that Rheumatoid factor positivity can be seen in sjogrens also . If your disease is well controlled with conservative measures its fine to go with them.

I have gone through the diet that you are mentioning and I dont think there is any harm in trying that, all the foods you mention are highly beneficial. I am quite happy with your overall treatment . For gastritis you can take pantaprazole 40 mg once a day for a week or so.

Rest any concerns please let me know.

Dr. Shruti
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Dr. Shruti Rijhwani (7 hours later)
Do you have an tips for controlling geographic tongue?
doctor
Answered by Dr. Dr. Shruti Rijhwani (7 hours later)
Brief Answer:
Follows.

Detailed Answer:
Dear Madam,

It s a benign condition and there is nothing to worry much about it .Still avoid any spicy , very hot or oily food as it may lead to the progress of the same . Plus its also recommended that you dont chew tobacco and avoid smoking .

These are all conservative measures that need to be taken that are going to halt the progress.

Dr. Shruti

Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Dr. Shruti Rijhwani

Rheumatologist

Practicing since :2008

Answered : 2366 Questions

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Suggest Treatment For Sjögren's Syndrome, RA GERD And Hypothyroidism

Brief Answer: yes, you can take anti inflammatory diet Detailed Answer: Dear Madam, Thank you so much for posting your query on HCM. Well, looking into your query, I will like to ask you that what are the medicines you are presently taking for RA and sjogrens. Are you taking any DMARDS ? Plus regarding the diet, you can take antiinflammtory diet. It would be good if you can mention the contents of your diet so that we can give the exact guidance as compounds will be known and their properties. If possible please send your autoimmune profile so that I can understand your problem better and help you out. Take care. Dr. Shruti