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Suggest Treatment For Lupus
Brief Answer:
is it lupus
Detailed Answer:
Good evening
Thank you for writing on health care magic
Well ANA positivity does not mean you have lupus. Ana can be positive in. 5 to 10,percent population without causing much symptoms. To diagnose someone as lupus you need to have more than just joint pains
1. Do you experience oral ulcers/hair fall/rashes over the face/photosenstivity
2. Has your ENA profile been done
3. Do you have any other blood reports done as well, the routine ones..
4. What about rheumatoid factor and anti CCP antibody
Do let me know these queries. Would be happy to help you out further
Regards
Dr naval
is it lupus
Detailed Answer:
Good evening
Thank you for writing on health care magic
Well ANA positivity does not mean you have lupus. Ana can be positive in. 5 to 10,percent population without causing much symptoms. To diagnose someone as lupus you need to have more than just joint pains
1. Do you experience oral ulcers/hair fall/rashes over the face/photosenstivity
2. Has your ENA profile been done
3. Do you have any other blood reports done as well, the routine ones..
4. What about rheumatoid factor and anti CCP antibody
Do let me know these queries. Would be happy to help you out further
Regards
Dr naval
Above answer was peer-reviewed by :
Dr. Yogesh D
I have had intermittent mouth sores that I had assumed were related to citrus/acidic foods. nothing else. Never would have thought twice of them til now. I have some itchy sores to bilateral deltoids which is new. I scratch they bleed- weird. The blood tests were done by my neurologist on my request because I had been taking a lot of nsaid for migraines. i started noticing bruising a few weeks back after foot massage- since resolved. I did take a brief dose of steroids in early August for migraines. Could this be causing the false positive???? otherwise it's just vitamin d, mag, relafen and treximet. Hey--maybe this is just crazy and i have fibromyalgia? I hear thAT IS BETTER TO HAVE
Also, live in NYC....any recommended f/u for treatment? thx
Also, live in NYC....any recommended f/u for treatment? thx
Brief Answer:
? Is it Lupus
Detailed Answer:
Good evening
Sorry for delayed reply. The hospital duties started here
Considering your history and the symptoms, I really dont think it is lupus. For lupus to be classified, there has to be more of joint pains, rashes, oral ulcers, photosenstivity and some organ involvement as well.
To really classify it as Lupus, one needs to do a further subset of antibodies, which is done with ENA profile. It can detect upto 25 more antibodies which are of more relevance
Fibromyalgia is definitely a possibility but it is usually a diagnosis of exclusion. I would keep it last on my list, cause once you get labelled with the disease other doctors stop looking for the main reason.
If you could attach your other blood reports also, that would be more helpful.
Could you answer me few more queries regarding Fibromyalgia::
1. Do you feel irritable at times?
2. Do you feel fresh when you wake up in the mornings?
3. Do you have a tendency to forget things?
4. Is there lot of stress affecting your daily routine?
5. How about Bowel upset/increased urination/and increased urine in the nights?
Looking forward to your reply
Will try and guide you further..
Regards
Dr Naval
? Is it Lupus
Detailed Answer:
Good evening
Sorry for delayed reply. The hospital duties started here
Considering your history and the symptoms, I really dont think it is lupus. For lupus to be classified, there has to be more of joint pains, rashes, oral ulcers, photosenstivity and some organ involvement as well.
To really classify it as Lupus, one needs to do a further subset of antibodies, which is done with ENA profile. It can detect upto 25 more antibodies which are of more relevance
Fibromyalgia is definitely a possibility but it is usually a diagnosis of exclusion. I would keep it last on my list, cause once you get labelled with the disease other doctors stop looking for the main reason.
If you could attach your other blood reports also, that would be more helpful.
Could you answer me few more queries regarding Fibromyalgia::
1. Do you feel irritable at times?
2. Do you feel fresh when you wake up in the mornings?
3. Do you have a tendency to forget things?
4. Is there lot of stress affecting your daily routine?
5. How about Bowel upset/increased urination/and increased urine in the nights?
Looking forward to your reply
Will try and guide you further..
Regards
Dr Naval
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Yes to all of above except the stress part. I do not feel that this is Lupus. I just picked up lab results. ANA is 180 and speckled. Mag 4.0 everything else normal. I am going to f/u with Rheumatologist here but until then wondering what else it could be. Realize that more blood work will be done an ENA- right? What else should I expect or is an ENA going overboard?
Brief Answer:
is it Lupus
Detailed Answer:
Good evening
ENA wont be overboard at all. ANA can be falsely positive in lot of individuals, even those with thyroid patients and 5-10 % of normal population. To relate your symptoms to only ANA +ve and labeling it as Lupus aint the right approach. ENA will give us a definite answer if ANA is pathogenic or not.
What i would suggest is to get it done once and for all. So it will clear the mind if it really Lupus or not. The symptoms i had asked you do point towards Fibromyalgia and the interesting thing is , ANA can be positive in Fibromyalgia as well( almost 15 %).
you can discuss with your rheumatologist about the cause. If it is really Lupus , i wouldnt want to leave you without treatment. You will need to be on steroids and Hydroxycholoroquine at least for controlling it.
As of now, i dont think you need to worry too much. We will get it sorted out.
Hope the information was useful
Do let me know for more queries you have. I would be happy to answer it.
Regards
Dr Naval
is it Lupus
Detailed Answer:
Good evening
ENA wont be overboard at all. ANA can be falsely positive in lot of individuals, even those with thyroid patients and 5-10 % of normal population. To relate your symptoms to only ANA +ve and labeling it as Lupus aint the right approach. ENA will give us a definite answer if ANA is pathogenic or not.
What i would suggest is to get it done once and for all. So it will clear the mind if it really Lupus or not. The symptoms i had asked you do point towards Fibromyalgia and the interesting thing is , ANA can be positive in Fibromyalgia as well( almost 15 %).
you can discuss with your rheumatologist about the cause. If it is really Lupus , i wouldnt want to leave you without treatment. You will need to be on steroids and Hydroxycholoroquine at least for controlling it.
As of now, i dont think you need to worry too much. We will get it sorted out.
Hope the information was useful
Do let me know for more queries you have. I would be happy to answer it.
Regards
Dr Naval
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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