Answered by Dr. Puri Divya Inder

Answered by Dr. Puri Divya Inder

My friend has sacroiliitis. Will it affect her family life and pregnancy?

Hi doctor,

A friend of mine, who is a 28-year-old female, had been diagnosed with sacroiliitis for five years. She had been on painkillers (Indocap) for three years, which she was taking on a daily basis. Then for a year, her doctor advised her to have maintenance doses of Remicade infusions and she took six to seven infusions over a period of one year. After her last infusion, which she had six months, she has been doing physical exercises and maintaining a strict diet and has not taken painkillers or infusions. Kindly suggest her life after marriage, pregnancy, and others as she is planning to tie the knot soon.

19 Feb 2024 - 1 min read

Can having Cymbalta lead to no sexual drive in a patient with fibromyalgia?

Hi doctor,

My girlfriend has fibromyalgia and is currently on Cymbalta and a muscle relaxant. She said she has no desire for sex but it seems she is having sexual dreams. She does not know that she is doing it but it does not make sense to me. When she was on Tramadol, everything was fine unless she was just high from that drug. Any insight from you would be helpful.

14 Feb 2024 - 1 min read

Is it safe to take Xeljanz for rheumatoid arthritis?

Hi doctor,

I was diagnosed with rheumatoid arthritis, and my doctor advised me to take Xeljanz, as it has no side effects. Is it true? It is very expensive. I want to take a second opinion on the medicine. How safe is it to take?

19 Jan 2024 - 1 min read

I am suffering from ankylosing spondylitis. Kindly suggest new medications.

Hello doctor,

I am suffering from ankylosing spondylitis (HLA B27 positive and Rh factor negative) for 10 years, now on Saaz-DS, SI joints are fused. Movement restrictions of the neck, forward bending, and morning stiffness with sciatica. Kindly suggest new medications and NSAIDs. I have attached HLA B27 with recent blood reports.

09 Jan 2024 - 1 min read

Is it safe to take Gabapentin for back stiffness?

Hello doctor,

I am a 33-year-old unmarried male, and I have had a back stiffness problem for more than three years. Everyone gives says that my posture is not proper while walking. Two years back when I consulted a doctor, he suspected ankylosing spondylitis, but HLA-B27 was negative. After seeing the x-ray, the doctor told that there are some fusions between the bones. He recommended a few vitamin tablets for a few months, and he asked to do exercise. So, I started swimming, but for the last six months, I am not able to continue because of my job transfer. In the last two years, the condition did not worsen, but the stiffness remains the same. So, I consulted another doctor, who took an x-ray, MRI scan, blood test, ESR, etc., and I have attached my test report. The doctor told me this is neither spondylitis nor arthritis, and he asked me not to worry. If it is ankylosing spondylitis, then it would have gotten worse in the last two years. He said that there is only mild fusion at present. So, he recommended some calcium tablets and Gabapentin tablets. I read a lot of negative reviews on this tablet, in relation to nerves. I am taking this for the last month. I would like to know your opinion on the following, what is the actual condition and seriousness of this problem? Currently, I am having stiffness and posture problems. Will it affect me more in the future? Can I take a Gabapentin tablet? Is there any solution to improve my posture? I have got some suggestions to use hot and cold therapy, can I do it?

09 Jan 2024 - 1 min read

Dr. Puri Divya Inder
Rheumatology

Education

MBBS., MD MEDICINE., DNB RHEUMATOLOGY

Specialties

Rheumatology

Specialized Treatments

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