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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Pressure While On Enbrel And Methotrexate For Psoriatic Arthritis?

My arthritis doctor regularly has me get blood work done, as I am on Enbrel and methotrexate for my psoriatic arthritis. Yesterday, she said something to do with my liver test was up and I didn t take my methotrexate before the blood work was done because it would ve affected the test. Well, progressively over the past few months, I from time to time, I will just be watching TV or I will wake up in the night with a very uncomfortable pressure around my abdominal and it hurts a little to breath for 5 to 10 minutes. I just try to breath deeply and put pressure against my back with my arm until it goes away. Could my liver be causing these episodes? FYI--my doctor said if the liver test was elivated again in 3 months when I see her, she ll have me get an ultrasound.
Wed, 26 Feb 2020
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Addiction Medicine Specialist 's  Response
Hi,

An enlarged liver can hurt. Generally it is more constant but moving, deep breathing, cough could squish the liver and diaphragm together. basically, what your doctor said.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Matt Wachsman, Addiction Medicine Specialist
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What Causes Abdominal Pressure While On Enbrel And Methotrexate For Psoriatic Arthritis?

Hi, An enlarged liver can hurt. Generally it is more constant but moving, deep breathing, cough could squish the liver and diaphragm together. basically, what your doctor said. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist