question-icon

Suggest treatment for rheumatoid arthritis in an elderly person

default
Posted on Tue, 5 Jan 2016
Question: I am a 64 year old female. I rheumatoid arthritis. Lately my muscles in my legs feel weak, I have a dull headache, slightly light headed and off balance, and a smell of cirgarette smoke in my nose. I am concerned about what this could be.
doctor
Answered by Dr. Shruti Rijhwani (46 minutes later)
Brief Answer:
You need evaluation.

Detailed Answer:
Dear Madam,

Thank you for posting your query on HCM.

Well looking into your query I will like to tell you that , muscle weakness in rheumatoid or any other autoimmune disease comes form muscle involvement by disease or metabolic deficiencies .

So I would advise you to get CPK, LDH done , these are muscle enzymes which get raised in case of primary muscle involvement . Also get your calcium , vitamin D , Vitamin B12 levels checked .

Since you feel light headed , I would ask for your blood pressure reading in lying down position and then after standing to see for postural drop .

Dr. Shruti


Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Shruti Rijhwani

Rheumatologist

Practicing since :2008

Answered : 2366 Questions

premium_optimized

The User accepted the expert's answer

Share on
Suggest treatment for rheumatoid arthritis in an elderly person

Brief Answer: You need evaluation. Detailed Answer: Dear Madam, Thank you for posting your query on HCM. Well looking into your query I will like to tell you that , muscle weakness in rheumatoid or any other autoimmune disease comes form muscle involvement by disease or metabolic deficiencies . So I would advise you to get CPK, LDH done , these are muscle enzymes which get raised in case of primary muscle involvement . Also get your calcium , vitamin D , Vitamin B12 levels checked . Since you feel light headed , I would ask for your blood pressure reading in lying down position and then after standing to see for postural drop . Dr. Shruti