Hello,
1. Remicade [infliximab] is used to treat
autoimmune disease like
Rheumatoid Arthritis,
ulcerative colitis, and Crohn's disease. [present]
Many studies in teenagers taking Remicade for Crohn's disease have seen the rare type of lymphoma [cancer] growing in them which specifically affects liver, spleen and bone marrow and can be fatal, so if your specialist is not concerned much take a
second opinion and see a Pathologist/
Hematologist.
2. muscle/joint pains are documented side effects of the drug, so consult your attending physician as to how to alleviate the symptoms
3. Another cause of mild elevation of the liver enzyme is muscle injury due to exercise without causing any other symptom, kindly consult your physician or a Hepatologist.
4. I at most can let you know about the diet, lifestyle, and investigations which one has to follow:
i. blood examination: Hb%, TLC, DLC, ESR [ESR will be increased in presence of infection]
ii. Liver function test: Serum Bilirubin, SGOT/SGPT/
Alkaline phosphatase.
PS. keep a note that although these tests are sensitive but very nonspecific and serve to detect liver disease rather than quantitative liver function so their high values don't signify a serious complication most of the time, it is the underlying pathophysiological process which needs to be diagnosed and managed.
iii. Take Antioxidants, probiotics, low
carbohydrate diet, fish, beans, legumes, low-fat milk, yogurt, olive oil, coffee, raw garlic, spinach, taro root, soybean, broccoli, carrot, mango, papaya, pumpkin, cauliflower, tomato, mushroom, cheese.
Avoid: milk/dairy products, heavy food, oily/fried food, IRON, KAPHA food
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Munish Sood