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What Causes Chronic Diarrhea, Joints Pain, Uveitis In Eyes And Severe Neck Pain?

Posted on Tue, 15 Sep 2015

Question: I believe I have an autoimmune that my doc's can't identify, my symptoms are as follows: chronic diarrhea, sporadic hand and foot joint pain, uveitis in both eyes, candida, upper GI bleed, occasional severe neck pain that lasts for a few hours, bouts of fever and chills, letheragy, flu like symptoms body aches. I have been prescribed many meds. Lomotil has helped with the gastrintestine symptoms. XXXX Thanks

Answered by Dr. Dr. Shruti Rijhwani (4 hours later)

Brief Answer:
I think you need further evaluation.

Detailed Answer:
Dear Madam,

Thank you for posting your query on HCM.

Yes, there is a possibility that this could be seronegative arthritis. Alternatively it can be IBD related arthritis that means enteropathic arthritis. However autoimmune conditions are diagnosed / confirmed only after investigations. I would like to see all your previous test report and also please give detailed history so that we can help you out in best possible way.

Take care.

Dr. Shruti

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Shruti Rijhwani (39 hours later)

Dear Dr. XXXXXXX thank you for your reply. I have had the basic autoimmune tests, Epstein Bar, guillian (spelling?), those types all negative. My obstatrition wanted me to get tested for quite a few autoimmunes, TB, Anglosing Spondylitis, STD's and a couple more, It was two years, I can't recall them all, I did not do the labs because it was going to cost $2,000. My sister has psyoritiac arthritis, my mother had polymialgia rhumatica. It is my understanding that autoimmunes are heriditary. I am so very frustrated that I am only getting the symptoms addressed. This week it is a mixed bladder infection for which I am taking antibodics. Through my own research I am wondering if it sounds to you like it could be Angylosing Spondylitis. Do you think that would be a good start?

Answered by Dr. Dr. Shruti Rijhwani (9 hours later)

Brief Answer:
Follows.

Detailed Answer:
Dear Madam,

By Seronegative spondyloarthropathy I mean Ankylosing spondylitis only . Psoriatic arthritis , Ankylosing spondylitis , reactive arthritis come under umbrella term of Seronegative spodyloarthropathies and in my opinion you should get yourself evaluated and not waste time .

Having such a strong family history of autoimmune disease is a very important clue and I think you should see a rheumatologist at the earliest . Any other query please feel free to ask .

Take care.

Dr. Shruti

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Shruti Rijhwani (13 minutes later)

Thanks Doctor. Also I meant to say Opthamologist and not obstatrition, lol. I think you are right I should see a rhumatologist. When they receive my medical records they will probably get a good picture of what is the best plan. Thank you so very much.

XXXXX

Answered by Dr. Dr. Shruti Rijhwani (4 minutes later)

Brief Answer:
Follows.

Detailed Answer:
Dear XXXXXXX ,

Yes , you should see rheumatologist directly as he will be able to correlate all your issues and confine them to one picture rather than considering them as different entities . So that will save your time and treatment can be started at the earliest.

Dr. Shruti

Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar