What Causes Ankylosing Spondylitis?
All we want is for him to feel better.... its very difficult to see the man that used to play baseball and hunt, run, jump and swim; be in so much pain that he can't get up to come to the dinner table or is hurting so bad that he can't hold his grandchildren like he used to. Please help......
Ankylosing Spondylitis
Detailed Answer:
Good evening
Thank you for writing on health care magic
I have gone through your history, and considering the treatment he has received there is no doubt about the diagnosis of Ankylosing spondylitis, as the HLA B 27 is positive as well. I would like to know a few more details about him before I can comment you further. I understand your agony to see him suffering, but we need to be sure where we are heading before we step up the treatment...
1. When you say the extremity is swollen, what exactly are you referring to? Is it the joint swelling or muscles?
2. What were the side effects of Enbrel/Humira he experienced?
3. Current dosage of MEthotrexate, Sulfasazline, Plauqenil and PRednisolone?
4. Does he still experience night pains and early morning stiffness affecting the back and the neck?
5. How were the last ESR and CRP results when tested??
6. Is he losing any weight or appetite?
Do let me know these queries. First thing we need to distinguish here is , is all the pains due to inflammatory arthritis or due to Fibromylagia. The treatment has to be modified accordingly.
I will try to help you out in the best way I can
Regards
Dr Naval
Sinusitis
Detailed Answer:
Good evening
Well the sinus infections can be a not specific one. As for the abdominal pain, it can very well be a part of uncontrolled Ankylosing spondylitis. AS is known to be related to inflammatory bowel disease or it can cause changes in the intestine as well which can cause intermittent pains and loose stools. Once the disease is controlled, it all responds as well..Do let me know his history about the frequency of motions/blood in stools/and how severe are the abdominal pain.
Any last blood reports if you could attach, that would be helpful too
Regards
Dr Naval