Suggest Treatment For Vomiting And Difficulty Focusing When Diagnosed With Psoriatic Arthritis

Posted on Thu, 10 Nov 2016

Question: Hello and thank you. I am 69 and have been diagnosed with rheumatoid and psoriatic arthritis. I take 40mg of methotrexate each week. I also take 50mcg of levothyroxin and 25 mpg of liothyroxin, and folic acid. Lately I am having bouts where I cannot focus my eyes and have to sit, close my eyes and wait it out. I also am having heart palpitations, usually at night when lying down and these bouts last up to 2 hrs. In last July I had symptoms that seemed like a stroke. Vomiting and complete loss of awareness for many hrs. I was taken to the ER and an MRI did not indicate a stroke. No real diagnosis was ever made and I have no recollection of the incident. Do you have any suggestions on what may be happening? I have considered epilepsy? MS?

I also am having balance problems, lowback pain.

Answered by Dr. Ishu Bishnoi (6 hours later)

Brief Answer:
Palpitaion and unfocusing eyes cause

Detailed Answer:
Hi XXXX, thanks for asking from HCM.

I can understand your concern. Such symptoms could be due to

: Transient ischemic attacks
: Stroke
: Anxiety and panic disorder
: Drug side effects of Methotrexate
: Increase in thyroid level due to levothyroxin

It can be confirmed by
: CT angio of brain vessels and CT head or MRI brain
: Checking level of thyroid function
: examination

You can consult it with your doctor. Hope after exclusion, you will reach at some conslcuion.
Thanks Take care.

Above answer was peer-reviewed by : Dr. Raju A.T