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History of stroke. Difficulty sleeping, no appetite, loose stools, nausea, increased heartbeat. What is it?

I had a stroke in Feb. of 1996, told I had MS, had another spinal tap, after taking Beta Feron for three months, tap came out neg., started on warfarin in march 1966. Did great for years, then my hemoglobin dropped to 3.7 and was put in the hospital to get some blood, it took 24 hours to get my blood because I have antibodies. Was told I had autoimmune hemolytic anemia and put on prednisone, my Dr at the time started telling me I had Systemic Lupus. Then after awhile something happened and I couldn't sleep, had NO energy, racing heart, nausea, NO APPITATE, loose stools, dry mouth, lost over thirty pounds while on 80 mg of prednisone. Say a Rhumitoligest and tested for Sjogren's, which I have. Everything is starting again. What is going on?
Asked On : Mon, 15 Apr 2013
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Rheumatologist 's  Response
Thanx for asking you query.

Well you didnt mention your age when you had stroke because young age stroke can be a manifestation of connective tissue disorders You didnt give an account of which antibodies you are positive and on which grounds your diagnosis was made of sjogrens syndrome . Sudden fall in Hb can be due to autoimmune hemolytic anaemia but you didnt mention whether after starting steroids it showed an improvement and by how much .If you suffer from sjogrens syndrome as you have mentioned then disease activity should be evaluated at earliest by ESR , CRP, Schirmers test and other relevant investigation as desired by your treating doctor. Losing weight even being on steroids for the autoimmune disorder , indicates that you need an expert advise and detailed investigations at the earliest .Kindly dont ignore the issue and seek medical help at earliest.

Get well soon .
Take care.

Dr. Shruti
Answered: Tue, 30 Apr 2013
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