Difficult to sort out our diagnosis in this forum but also worthwhile to get a second opinion when one is not responding to therapy or the diagnosis is in question. You are in an area with many good Rheumatologists.View Thread
In my patients with moderate to severe RA, methotrexate is the standard of care. It can have some side effects related to lungs so that would need to be considered. Imuran is also a generic FFDA approved med for RA that could be discussed with your doctor.View Thread
I permit my patients over 50 with RA who are not on biologics such as Enbrel and Humira and are not on high doses of prednisone to take the Shingles shot. I make sure that wait a specified period of time after the shingles shot if they plan to start these meds. If that is the case, check with your doctor on the appropriate time you need to wait before starting a biologic.View Thread
No known cause right now.Working hypothesis is that a patient who is genetically predisposed encounters some sort of infection or other exposure that triggers the disease. Methotrexate and the biologic drugs such as Enbrel, Humira, and others have the best chance of success and are used for patients with moderate to severe disease.Other meds are used for mild disease. I discuss many of the meds to treat RA in my book ARTHRITIS WITHOUT PAIN. THE MIRACLE OF TNF BLOCKERS.View Thread
Challening symptoms. I don't have a lot to offer as it is always best to be able to speak to and examine the aptient.. I think a second opinion makes a lot of sense. I see many patients seeking their third opinion..A lot of times a diagnosis may not be apparent on the first or second visit so it is best to give your doctor some time to get to know you and your symptoms.View Thread
It is best to avoid MTX in patients with liver issues and I suspect the MTX was not the cause of this problem. Glad you are getting checked out with your GI doctor. They will be able to give you more information.View Thread
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