How can a man manage RA with chronic bronchitis at 36?

Question

Hi doctor,

I am a 36-year-old male. For mild chest pain, I have had my chest x-ray PA view done as suggested by my rheumatologist. My doctor said that the X-ray report shows changes of chronic bronchitis in both lungs, more in the lower zones, and old fibrotic scarring is seen in the left apex. I am suffering from arthritis for which I am on medication. I have glaucoma.

My medication at present for arthritis is Cobix 200 twice daily, HCQS 200 once daily, Pan D before breakfast, Rosuvas once at night, Tryptomer 10 at night, Espidase DP, Folvite 5 mg, and Imutrex 15 mg once a week. Kindly suggest to me the medication according to the reports attached. Please do not suggest any other doctor or any hospital to me, as I want to get treated through your medication.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

We are here to help you.

You are suffering from rheumatoid arthritis, and the findings of your chest x-ray (attachment removed to protect patient identity) can be due to the following reasons: Smoking, allergy, rheumatoid-related interstitial lung disease (ILD), and Methotrexate lung.

The treatment would be based on the symptoms that you might be experiencing. I would advise, in such a case, to first get an HRCT chest (high-resolution CT scan) along with sputum for AFB (acid-fast bacilli) done, which would rule out the evidence of tuberculosis. Rest for rheumatoid arthritis, your treatment is going in the right direction. Further treatment decisions would be based on a CT chest.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

People suffering from rheumatoid arthritis can have associated interstitial lung disease. Even though one can develop Methotrexate lung following long-term use of the Methotrexate drug, as you have been taking it once weekly.

I would like to know the symptoms that you are feeling related to lung issues. So, treatment would be based on that. As far as the remaining treatment is concerned, you need to carry on the same. I would recommend that you see a senior physician in your area or a rheumatologist for the same.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.