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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With RA, Painful Foot, WBC Increased, Have Breathing Issues. Suggest?

Hi doctor,
I was diagnoised with RA in 2009 & I hardly took medicine for 1 yr and stopped cos i was pain free but after 2 yrs again i had pain in my foot and took my blood test and it showed my CRP-22.3,RFACTOR-3.4,ESR-55 AND WBC count is 0000. Can u kindly tell me whether i still have RA and y is my wbc count increasing gradually.. it was 9500 before then it came to 0000 now its 0000. wats the reason..and am also having breathing problem.. pls help me.
Mon, 15 Apr 2013
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,



Rheumatoid arthritis is a chronic inflammatory condition.

The parameters RA factor, CRP and EXR suggest Rheumatoid arthritis.

The drugs used in the management of the disease are called disease modifying drugs.

These drugs do not halt the progrssion of the disease as it is a progressive disease.

Instead they modify the course of the disease and prevent the inflammtory damage to various organs.

In the absence of medication the disease is progressing and the inflammatory process is leading to increase in WBC count.



The pain can be controlled by NSAIDS eg aspirin. Long time use of NSAIDS can cause reflux and gastritis.

In that case proton pump inhibitors should be added.



Thanks and take care.

Dr Shailja P Wahal

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Diagnosed With RA, Painful Foot, WBC Increased, Have Breathing Issues. Suggest?

Hello and welcome to HCM, Rheumatoid arthritis is a chronic inflammatory condition. The parameters RA factor, CRP and EXR suggest Rheumatoid arthritis. The drugs used in the management of the disease are called disease modifying drugs. These drugs do not halt the progrssion of the disease as it is a progressive disease. Instead they modify the course of the disease and prevent the inflammtory damage to various organs. In the absence of medication the disease is progressing and the inflammatory process is leading to increase in WBC count. The pain can be controlled by NSAIDS eg aspirin. Long time use of NSAIDS can cause reflux and gastritis. In that case proton pump inhibitors should be added. Thanks and take care. Dr Shailja P Wahal