Get E-Book on COVID-19

Q. Is lupus causing all my symptoms?

Answered by
Dr. Anshul Varshney
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Apr 28, 2017

Hi doctor,

I am a 44 year old female, and I have been diagnosed with rheumatoid arthritis, systemic lupus, and Sjogren's syndrome, with symptoms dating back to as young as six years old. I have also been diagnosed with pulmonary hypertension, thyroiditis, Raynaud disease, right-sided heart enlargement, bronchiectasis, and a history of pneumonia. For about twelve years, I have had kidney pain that was mistaken for gallbladder disease, gastritis, etc., this past year, protein was found in my urine twice. Recently, I have been experiencing shortness of breath and wheezing. For most of my life, I was told that I had asthma and treated accordingly. Now, however, the asthma medications (Dulera and Ventolin) are not working. I also have a nebulizer, which is of little help, as well. I am under the care of a pulmonologist who is reticent to believe that I am indeed an asthmatic; so, now I am confused, breathless, and a little scared. Is this lupus doing this? I have been experiencing widespread inflammation, malar rashes, and a weight gain of approximately fifteen pounds over the past week. I have some personal problems, and the stress and fear just sank into me like poison. I could feel myself grow weak in the hours that followed. Before this, I was feeling pretty good. I am taking Enbrel and Plaquenil, both of which have been about as effective as sugar pills lately (although the Enbrel does give me a little bit more energy). My vision has also been worsening. My rheumatologist is almost a hundred miles away and nearly impossible to get an appointment. My primary care doctor is telling me to try harder to see the specialists. I am lost, and I do not know what to do. Any advice would be appreciated. 

Dr. Anshul Varshney

Critical Care Physician Diabetology General Medicine Internal Medicine Medical Gastroenterology Nephrology Pulmonology (Asthma Doctors) Rheumatology
#

Hi,

Welcome to icliniq.com.

  • The diagnosis of asthma is doubtful as pulmonary issues are seen in conditions you are already suffering from like SLE (systemic lupus erythematosus) and rheumatoid arthritis. Basically, the right term for you is MCTD (mixed connective tissue disease), which are associated with pulmonary fibrosis and restrictive lung disease.
  • Now ideally you should go for a CT chest and pulmonary function test, and we shall evaluate the cause behind this. However, the general treatment remains the same with local steroid inhalers and bronchodilators, I suggest Formoterol and Budesonide combination.
  • Adding up a diuretic will help you with reducing the congestion and shedding down water retention induced weight gain. If you have a medical insurance or if you can afford it, I suggest you go for treatment with Rituximab. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent.

I hope it helps you.

For further queries consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist


Was this answer helpful?

 | 

Related Questions:
Can allergic asthma turn into permanent asthma?
My asthmatic mother's X-ray is negative for TB. What else this could be?
How do I manage my rheumatoid arthritis until I wait for my specialist?
 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


What is the treatment for rheumatoid arthritis?

Query: Hello doctor, I am diagnosed with rheumatoid arthritis. I have swelling on ankles, elbows and some fingers along with deformity in right wrist. Currently, I am taking ayurvedic medication. I need consultation.  Read Full »

What causes weight gain, sweating, and tiredness?

Query: Hi doctor, Recently, I ordered thyrocare test. The test report shows total triiodothyronine (T3) CLIA 117 ng/dL, total thyroxine (T4) CLIA 10.9 µg/dL, thyroid stimulating hormone (TSH) CLIA 9.04 µIU/mL, FT3 - 3.03, FT4 - 1.08 and anti-microsomal antibody (AMA) - 315. My BP is 145/90 mmHg. I have s...  Read Full »

Can medicines cause sudden weight gain during pregnancy?

Query: Hello doctor, My wife is 28 weeks pregnant. I am having doubts regarding medication which she is taking. Our consultant prescribed the following three medicines from first week of her pregnancy. Tablet Promocal (calcium, vitamin D3 and magnesium). Tablet Ferofer (Sodium feredetate with vitamins and ...  Read Full »

Also Read


Can naked body to body massage spread HIV?
Hello doctor, I recently had some business trip during which I had some naked body to body massage wherein massager vag...  Read more»
Are COVID-19 Patients Infectious for up to 90 Days After Recovery?
There have been reports of recovered COVID-19 patients getting reinfected and testing positive for almost 3 months. Read...  Read more»
Crohn's Disease
Crohn's disease causes inflammation of the digestive tract, which results in symptoms like severe diarrhea, stomach pain...  Read more»

Ask your health query to a doctor online?

Ask a Rheumatologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.