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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sleepiness And Swollen Tongue With Black Line While Suffering From RA?

My husband has been very ill with RA for about 18 years and has been through all the biologics. He hasn t been treated with anything for RA for about 2 yrs. except Hydrocododone. He is in a great deal of pain. Also, he has stomach problems - all GI tests: endoscopy and colonoscopy were inconclusive. He was to do the camera swallow study but in preparation for it, threw up the cleansing liquid. That was about a year ago and no follow ups were made by the GI clinic. Most recently he has been sleeping for days, and not eating. He has been losing weight for years and has lost 20 lbs. in the last few weeks. He is 6 1 and now weighs only 150. He now is presenting with a swollen tongue with a dark stripe just aside of midline. Any suggestions?
Mon, 30 Mar 2020
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General Surgeon 's  Response
Hello,

The swollen tongue and sleepiness indicates possible deficiency of vitamins as Riboflavin, folic acid and cyanocobalamine from underlying rheumatoid arthritis related pernicious anemia or else. Your husband need a series of lab tests to explore the possible root cause and management guidelines accordingly.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Causes Sleepiness And Swollen Tongue With Black Line While Suffering From RA?

Hello, The swollen tongue and sleepiness indicates possible deficiency of vitamins as Riboflavin, folic acid and cyanocobalamine from underlying rheumatoid arthritis related pernicious anemia or else. Your husband need a series of lab tests to explore the possible root cause and management guidelines accordingly. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon