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Seen a Rheumatologist! Options
angel50
#1 Posted : Saturday, February 27, 2010 11:37:40 PM Quote
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Hi everyone,
Just thought I'd let you know I finally got to see a rheumatologist. I rang the rheumatology nurse to ask her about the morning nausea I'm experiencing and when she heard my story she got me to see the most lovely consultant I've ever seen that same morning (my gps request letter was already there). She listened & fully supported my desire to continue the IVF. She examined me and said I still have PA as my fingers aren't swollen and that she would inject the swelling in my right knee if it doesn't go down. She gave me the option of pain management with painkillers or steriods at 5mg. They thought the sickness when I stand up in the morning was caused by hormones from the miscarriage (STILL?!) and she said she was confident that the flare up would last 3months (I've had it about 6 weeks now getting progressively worse). So it was all really very positive.
However, I have now got a very painful stomach whenever I eat and it stopped me sleeping. I've been taking Omeprozole for 2 days, for it but am still feeling pretty ill,still feeling shivery and shakey. The stomach pain is now worse than the joint pain- it's like my body's just falling apart! I still feel hot achy and like death 'til about midday. All yet all my blood tests came back negative- which is good, but weird considering how ill I'm feeling. She said arthritis doesn't usually affect the stomach, but I am starting to wonder- it certainly feels like my body's attacking my stomach.
I just want to feel better!
Angel x
BarbieGirl
#2 Posted : Sunday, February 28, 2010 11:50:24 AM Quote
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Hi Angel, so glad you had a fast and successful appointment. It makes so much difference when you feel listened to. Its good that the IVF is continuing, and you were given the option re pain management. As for the stomach, sorry no idea. I hope you feel better soon, and can get on with preparing for the IVF. Hoopefully someone will know more about the stomach problems. Take careSmile
BARBARA
emily
#3 Posted : Sunday, February 28, 2010 11:58:30 AM Quote
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Hi Angel,
im so pleased you have managed to see the rheumatologist (and a lovely one at that), it makes all the difference to have one that cares and supports you.
Have you decided to take the low dose of steroids as this might help with calming your body down all over. Perhaps you could ask your gp for more advice about your tummy pains? I try to avoid certain foods such as cheese, chocolate, take aways etc... (all the fatty/greasy type of foods) which does help when my tummy is painful. Hopefully the omeprazole will help soon aswell.
Im assuming that you have had a scan to check all is ok?
emilyXXX.
dorat
#4 Posted : Sunday, February 28, 2010 12:05:14 PM Quote
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Hi Angel,
Glad that you got to see a rheumatologist so quickly.
I hope the flare settles down soon.
The omeprazole should kick in soon to help with the tummy pains, if it doesn't, go back to your Gp to see if more investigations are needed.
Hope you start feeling better soon.

Love, Doreen xx
jeanb
#5 Posted : Sunday, February 28, 2010 3:04:12 PM Quote
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Hi Angel

Lovelty to hear you had such a good appointment with a supportive rheummy. I think you should give your GP a ring if the tummy probs continue.

Take care and hope you soon feel much better.

Love
Jeanxxxx
LynW
#6 Posted : Sunday, February 28, 2010 4:27:38 PM Quote
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Hi Angel

Pleased to hear that you had such a positive appointment although predicting a flare up lasting 3 months I'm not at all sure about!! Flares are by their very nature unpredictable and it could go in days rather than months, occasionally they last longer. The Omeprazole is a stomach protector which doesn't stay in your system for a long period hence the reason it's taken twice daily. It doesn't heal a bad stomach but protects for the present and with continued usage for the future too. It's possible that the problems you were experiencing prior to starting the Omeprazole are continuing and as Jean suggests would be worth checking out with your GP in case of other problems such as an ongoing infection.

From my own experience I know blood tests can be unreliable and don't always give the true picture. Sometimes it's best to go with what your body is telling you and act accordingly. You have been through a very difficult and stressful time and it will take time for your body to readjust to it's normal pattern. Plenty of rest and warmth for the sore bits; hot water bottle is an excellent traetment!!

Take care Angel,

Lyn x
My son, Ian, completed the BUPA Great North Run on 15th September running for the National Rheumatoid Arthritis Society (NRAS). You can read his story at http://www.justgiving.com/ianlukewilson

amanda_lewin
#7 Posted : Sunday, February 28, 2010 7:11:33 PM Quote
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I am very pleased you are happy by the outcome of your appointment.

Flairs, like RA, have a mind of their own so i am surprised any Dr would predict how long a flair will last for!

Many prayers and love,

Amanda
Damned76
#8 Posted : Sunday, February 28, 2010 7:53:52 PM Quote
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I am glad someone is listening to you Angel, despite the fact that you have not resolved your current helath probs. Take care.

Julie
Kathleen_C
#9 Posted : Sunday, February 28, 2010 10:59:26 PM Quote
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Glad you had a nice rheumy to help you Angel - hope you feel better very soon.

Kathleen x

prioryc
#10 Posted : Monday, March 01, 2010 5:37:22 PM Quote
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Hope that you feel so much better soon.

Thinking of you,

Eleanor x
angel50
#11 Posted : Monday, March 01, 2010 6:06:38 PM Quote
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I got an out of hours doctor out yesterday, cos my stomach was so bad, so now it turns out I have gastritis. Just when I thought things couldn't get any worse they did. He told me to double the dose of omeprezole to 40mg it still hurts like mad about an hour after I eat. I see my own GP tomorrow, but I'm just praying it starts to work 'cos at the moment it feels like all this is just too much. I expect this explains the nausea I was having, I suppose it was caused by the extreme stress and distress..... my friend came round today & said I was on the ceiling so I'm going to try to relax, but it's not easy! By the way does anyone else get burning joints in the night more than the day during a flare?
Calmwater22
#12 Posted : Monday, March 01, 2010 6:32:27 PM Quote
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sending you a cyber hug so sorryyou got gastritis glad dco saw you so soon,hope u feel much better soon.
i often get hot joints more at night than in day especially when flaring also quite uptight and feel hot.
take care hun try do relaxing things as u can the pain prob makin u more hyped up.
all best lv melly
cuddly cats make my world seem so much more fun
smith-j
#13 Posted : Monday, March 01, 2010 6:50:33 PM Quote
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Sorry to hear you are having such a rough time. You have all our sympathies. Coming to terms with RA is very difficult without feeling like hell as well. Hopefully your tummy will settle down soon. Yes my joints do seem worse at night, but then I think I may have more time to think about them. During the day I am spending all my brain power in trying to get through the day and all that it entails. Sometimes at night I just want to remove an ankle or wrist joint just to get some relief but of course the only relief available is lots of medication and the good old hot water bottle.

I do hope you start to feel a little better soon. Keep posting and asking questions as the support on this site is invaluable.

Jackie
xx
BarbieGirl
#14 Posted : Monday, March 01, 2010 7:01:20 PM Quote
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Hi Angel, so sorry you have gastritis, hopefully it will settle down quickly. Stress as we know, makes things worse. Re the joints at night, yes it does seem like a burning sensation. Take care of yourself, if no better see your GP, as it seems you may have had it a while, and maybe theres something else they can give you. x
BARBARA
LynW
#15 Posted : Monday, March 01, 2010 7:33:58 PM Quote
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Hi Angel

Good luck with your own GP tomorrow.

The gastritis (inflammation of the stomach wall) could be caused by an infection which may require an antibiotic to clear it. Alternatively you may have a sensitivity to one of the drugs you are taking which is causing the irritation. Certainly worth checking out with your GP especially if you're not getting any relief.

Hope all goes well for you.

Lyn x
My son, Ian, completed the BUPA Great North Run on 15th September running for the National Rheumatoid Arthritis Society (NRAS). You can read his story at http://www.justgiving.com/ianlukewilson

Damned76
#16 Posted : Monday, March 01, 2010 8:02:04 PM Quote
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Good luck with your GP tomorrow Angel. Please ask about the medication effect on your stomach - I hate to say this because you are relying on it but codeine really makes my stomach very gripey.

Julie
angel50
#17 Posted : Wednesday, March 03, 2010 3:43:46 PM Quote
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Hi everyone,
Had a good trip to my GP yesterday she confirmed gastritis and to give the 40mg omperazole a week to work. I can't take anything for arthritis flare at moment due to stomach which has been really tough, especially as last night just as I was able to eat my first meal without being in pain all night, I was up again from 3.30 with burning joints, head, neck, stomach and generally feeling so ill I couldn't stand it any longer. It was like my arthritis couldn't bear for even one part of me to get betterMad ! It went on until 9 am this morning until it subsided a bit. So not much sleep for about a week now. In desperation I spoke to my consultant today who is still the most lovely Dr I've ever met. She agreed with my GP no steroids yet with my gastritis, but there's always the option for shot still if I can't bear it any longer. This would screw up IVF for a few months, so so she asked if I could try to be strong for a little longer and hope I'm nearly at the bottom of this pit. I am getting very depressed, distressed, stressed and worn down now, though so we'll have to seeSad . The three month prediction was based on time for hormones to settle after miscarraiage .I'm praying it could be less, but think the raging autoimmune reaction may be worse due to all the over stimulation of my ovaries for the IVF. She said this was all on the edge of their knowledge of hormones and their effects on RA/PA. (Hurry up and discover it scientists!!)
Angel x
jenni_b
#18 Posted : Wednesday, March 03, 2010 4:04:07 PM Quote
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so pleased you have seen someone decent at last.

and that things are going in a more positive direction.

so sorry that the sicky feeling etc is continuing though

LOVE

Jenni x
how to be a velvet bulldoser
Jayne G
#19 Posted : Wednesday, March 03, 2010 4:16:12 PM Quote
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Hi,
Have been having similar problems from taking the steroids etc. Have started taking Omperazole and Mebervine which is a muscle relaxer. I take them both in the morning first thing and the mebervine half an hour before each meal. It seems to be making me feel better as every evening I used to feel awful with sickness and stomach cramps. It made getting to sleep difficult. This combination seems to be helping. It is really horrible to feel ill as well as the dreaded RA. I don't enjoy food anymore and just eat because I have to. On top of all my RA medication I have to take Beta Blockers for a heart condition which I am waiting for an operation to put right. In the morning before and with breakfast I take five different types of medication. This is somone who before these conditions didn't take any thing at all. I really hate it all.
Hope you feel better soon.

JayneBigGrin
joeyvt
#20 Posted : Wednesday, March 03, 2010 4:45:07 PM Quote
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Hi Angel,

Trying to stay strong is easier said then done especially when you're feeling as rotten as you are.

I'm sure that it will be easier to bear the RA if you could at least get a half decent night's sleep. Can the GP not prescribe some stronger pain killers as a short term measure? Failing that, how about a very relaxing hot bath with some lavendar or chamomile oil and some extra pillows to try and help you get as comfy aspoosible. I reckon, even a couple of hours of quality sleep will have a positive effect.

Hope the omeprazole works quicly so you can move onto the steroids.

Joanna
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