How To Ease Gi Symptoms
Most important: Work with your doctor to keep your arthritis under good control, and report any signs of GI problems to your doctor right away.
With the multitude of potential GI issues associated with RA and other rheumatologic conditions, as well as the interplay between the gut and joints, says Dr. Lukin, its important to consult your rheumatologist, and if necessary, a gastroenterologist, to get any new or unusual GI symptoms under control. More tips to ease GI issues:
What To Look Forand What To Do About It
by Health WriteriStock/ozgurdonmaz
Psoriatic arthritis doesnt always lookor feelthe same. Sometimes, symptoms are gradual and mild others might occur quickly and severely. Worsening joint pain and swelling, or new or worsening psoriatic lesions, are the most common red flags that someone is having a PsA flare, says Yamen Homsi, M.D., the section chief of rheumatology at NYU Langone Hospital in Brooklyn, NY. But there may be other signs that a flare is on the way. Knowing what to look out for is important so you can let your doctor know whats going on and stay one step ahead of a flare.
What To Expect During Treatment
Migraines may not be a quick and easy fix. Due to the range of symptoms and underlying conditions, a mix of therapies may be required to target and reduce migraines and symptoms adequately.
Its important to mention all symptoms to your PsA doctor, so further exploration can be done to determine if there is a direct link and if treatments can overlap.
How to prepare for a visit with a headache specialist:
- Keep a migraine journal.
- Write down questions.
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Please Check In With Your Doctor
If you’re experiencing vertigo, it’s essential to seek help from a doctor. It may mean it’s time to adjust your treatment plan, including adding the option of more physical therapy.
It can also mean new medications such as Dramamine to reduce the spinning sensation or muscle relaxers. Even if you feel sure that your dizziness is brought on by PsA, you should still check in with your doctor.
Symptoms And Signs Of Psoriatic Arthritis
Psoriasis of the skin or nails may precede or follow joint involvement. Severity of the joint and skin disease is often discordant. Also, skin lesions may be hidden in the scalp, gluteal folds, or umbilicus and go unrecognized by the patient.
The distal interphalangeal joints of fingers and toes are especially affected. Asymmetric involvement of large and small joints, including the sacroiliacs and spine, is common. Joint and skin symptoms may lessen or worsen simultaneously. Inflammation of the fingers, toes, or both may lead to sausage-shaped deformities, which are not present in patients with rheumatoid arthritis Rheumatoid Arthritis Rheumatoid arthritis is a chronic systemic autoimmune disease that primarily involves the joints. RA causes damage mediated by cytokines, chemokines, and metalloproteases. Characteristically… read more . Rheumatoid nodules are absent. Arthritic remissions tend to be more frequent, rapid, and complete than in rheumatoid arthritis, but progression to chronic arthritis and crippling may occur. There may be arthritis mutilans .
Enthesopathy can develop and cause pain.
Back pain may be present. It is often accompanied by asymmetric syndesmophytes of the spine.
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Addressing These Concerns Is Key
Patient compliance often depends on dermatologists helping to manage gastrointestinal and other drug side effects, Dr. Goldenberg says.
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If patients are unaware of, not able to tolerate or dont know how to treat some of these symptoms, they wont take the medicine long enough to actually help with their psoriasis, Dr. Goldenberg says. We want our patients to have optimal treatment and dealing with some of these potential side effects is important.
Disclosure: Dr. Goldenberg is a consultant and speaker for AbbVie, Celgene, Eli Lilly and Novartis. He is a consultant for Janssen and Amgen.
Contact for editorial only: email@example.com
What Can I Do
If you feel tired all the time, tell your doctor, as it is important to rule out any other causes of fatigue. Sometimes you may need to have your medication changed or take tests so that your GP can fully understand what is happening.
With or without medical intervention, there are a number of lifestyle changes that may help you feel generally less exhausted.
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Is It Normal To Feel Fatigued In Psoriatic Disease
It is normal to feel tired after exertion, insufficient sleep or at the end of the day this tiredness is usually relieved by rest or sleep. With fatigue, the symptoms often go beyond normal tiredness and can include decreased or lack of energy with accompanying physical or mental exhaustion. These symptoms usually persist even after a good nights sleep.
In the UK, 10-20% of the population report being tired for a month or longer, with 1.5% feeling a need to see their GP. The symptoms often include difficulty sleeping muscle or joint pain headaches painful lymph nodes sore throat cognitive dysfunction symptoms made worse by physical or mental exertion flu-like symptoms dizziness nausea or palpitations.
What Are The Treatment Options For Psoriatic Arthritis
The aim of treatment for psoriatic arthritis is to control the disease and relieve symptoms. Treatment may include any combination of the following:
Choice of medications depends on disease severity, number of joints involved, and associated skin symptoms. During the early stages of the disease, mild inflammation may respond to nonsteroidal anti-inflammatory drugs . Cortisone injections may be used to treat ongoing inflammation in a single joint. Oral steroids, if used to treat a psoriatic arthritis flare, can temporarily worsen psoriasis. Long-term use of oral steroids should be avoided when possible due to the negative effects on the body over time.
DMARDs are used when NSAIDs fail to work and for patients with persistent and/or erosive disease. DMARDs that are effective in treating psoriatic arthritis include: methotrexate, sulfasalazine, and cyclosporine.
Biologic agents are an important consideration when disease control is not being achieved with NSAIDS or DMARDs. Biologics have been utilized for the treatment of psoriatic arthritis since 2005 and are highly effective at slowing and preventing progression of joint damage. Your healthcare provider will complete additional laboratory tests and review safety considerations before initiating a medication regimen. Gaining good control of psoriatic arthritis and psoriasis is important to avoid increased systemic risks, particularly heart disease.
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Moderate To Severe Disease
- Disease-Modifying antirheumatic drugs also called Slow-Acting Antirheumatic Drugs-these drugs will suppress the disease activity www.webmd.com/rheumatoid-arthritis/modifying-medications
- Anti-tumor necrosis factor: should be used if patients do not respond well to NSAIDS or DMARDS. These can include adalimumab, etanercept, golimumab and infliximabwww.drugs.com/mtm/infliximab.html,www.drugs.com/cdi/etanercept.html,www.drugs.com/cdi/alefacept.html These drugs which are given intravenously reduce T-cells so that less tumor necrosis factor is released. Both are highly effective but do come with risks since they weaken the immune system.www.psoriasisguide.ca/medical_treatment/immunobiologics/biologic_drugs.html
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Youre Always On A Search For The Next Best Thing
In recent decades, there have been more advances in medications and studies confirming the benefits of certain therapies for psoriatic arthritis than ever before. Doing your own research and following up on it with your rheumatologist will help you and the doctor find and maintain the best treatment plan. Says Dishner, Its important to understand your options and to never give up hope.
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What Questions Might A Healthcare Provider Ask To Help Diagnose An Autoimmune Disease
When your healthcare provider interviews you, they might ask you one or more of the following questions:
- What medications are you taking?
- What are your symptoms?
- How severe are your symptoms?
- Have you had to go to the emergency department because of your symptoms?
- How long have you had these symptoms?
- In what ways are your symptoms affecting your quality of life?
- Is there anything that triggers your symptoms? Anything that makes them worse?
- Is there a history of autoimmune diseases in your family?
- Which autoimmune diseases run in your family?
- What over-the-counter or alternative medicines have you tried, if any?
As Can The Words Youre Too Young To Have Arthritis
When you say the word arthritis, every older person you meet has it, too, Dishner says. While well-meaning people may sympathize by comparing their own ailment with yours, psoriatic arthritis is a much different form of arthritis and does not develop because of aging. It can occur at any age but typically begins to cause symptoms among those between 30 and 50 years old, according to the National Psoriasis Foundation . Its not the job of someone who has psoriatic arthritis to educate others on their particular disease and set of symptoms. Be sure to do your own research to be the best possible ally.
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Tips For Vertigo Management
Its hard to live with vertigo. While youre waiting to get help, try to avoid getting into dangerous situations like driving, standing on public transportation, or riding a bike.
Stabilize yourself by sitting or lying down during a dizzy spell. Lean on a wall, shopping cart, or something stable if you are unable to sit. I know these things arent always practical. We all have busy lives and cant take the time to stop, but safety should always be your priority.
Dont be afraid to ask for help and let others know whats going on. Many people have experienced vertigo or know someone who does and understand how dangerous it could be. In my experience, others have expressed empathy when Ive needed accommodations.
Im thankful for how much others have helped me theyve been my rock while my world was spinning. Or, at least helped me dodge all the people at the train station.
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You’re A Psoriatic Arthritis Expert
Most people who have psoriatic arthritis usually do research on symptoms and new therapies after theyve lived with the condition for a time. They also take it on themselves to talk about their findings with people close to them.
Its important to educate the people around you, says Rabe. I consider myself an expert because Im always researching and learning about my disease, which makes me comfortable answering questions to help my loved ones better understand what Im going through.
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Connecting The Inner Ear
There are a variety of health conditions related to psoriatic arthritis. Studies have shown that people living with a psoriatic disease can suffer from damage to their inner ears.
For some, this damage can appear as hearing loss. However, it can also cause other issues including dizziness and vertigo.
Tumor Necrosis Factor Inhibitors
Tumor necrosis factor inhibitors aid in reducing inflammation. However, they can produce the following GI symptoms:
on the cause of the complications. For example, in order to treat a persons amyloidosis, doctors must treat its underlying cause, which in this case is RA.
However, some RA treatments can cause GI symptoms.
To help relieve mouth sores, a person can try a saltwater rinse or use a mouthwash that contains lidocaine.
Additionally, a healthcare professional may be able to prescribe anti-nausea medication to help reduce feelings of nausea.
A person can discuss ways to reduce GI symptoms with a rheumatologist.
Certain GI symptoms may be harder to treat than others. For instance, because RV is a rare complication of RA, scientists have not collected much quality evidence about effective treatments.
A person with RA may also be able to relieve certain GI symptoms, such as nausea and dry mouth, without using medications. A doctor can advise them about safe home remedies to address such symptoms.
Moreover, physiological health conditions can negatively impact a persons psychological well-being. Some people with RA might therefore benefit from attending to their mental well-being by:
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Digestive Problems: A Sign Of Inflammatory Bowel Disease
People who have both psoriasis and psoriatic arthritis are at risk for developing IBD, which includes Crohns disease and ulcerative colitis. This is likely because the mutations in the genes of people who have psoriatic arthritis and Crohns disease are similar or it may be related to side effects from treatment.
A 14-year study published in 2020 in the journal Wein Klin Wochenschr found that people living with psoriatic arthritis had a higher risk of IBD compared to the general population. The study also found that psoriasis was associated with 21 out of 23 gastrointestinal diseases, including celiac disease, autoimmune hepatitis, and fatty liver disease.
Symptoms such as abdominal pain and cramping, blood in your stool, and diarrhea could be signs of IBD. If youre experiencing any of these symptoms, talk to your doctor to help you get the best treatment.
Theme : Minimisation Of Treatment Harm And Burden
Some participants described their pharmacological treatments as miraculous, yet there were also high levels of anxiety. Beliefs about the balance between potential benefits of controlling disease activity and joint damage with potential harm from taking medications over time influenced patients priorities and treatment decisions.
Nausea and sickness Participants frequently described experiencing unpleasant side effects such as nausea and sickness in relation to their treatments.
It just made me feel so dreadful and I had every side effect just couldnt tolerate it nausea and just everything, it was awful.
I had much the same experience with methotrexate, I just felt dreadful all day, sick, general loss of appetite, lethargic
While Dave was not taking any pharmacological treatments at the time of the focus group as a consequence of side effects, Louise had gone on to try Humira®, which she was tolerating well . Another side effect that caused anxiety was lowered immunity to infection. Stuart described resisting DMARDs and taking Naproxen only.
What the methotrexate can do, it can affect your immune system down a bit, and I feel I could be undoing all the good that theyre trying to do at haematology by taking it .
Concerns about long-term effects Some participants expressed concerns about the long-term effects and possible toxicity of pharmacological treatments, and believed that medication might cause more damage than their PsA.
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What Are The Signs And Symptoms Of Psoriasis
Dry, thick, and raised patches on the skin are the most common sign of psoriasis. These patches are often covered with a silvery-white coating called scale, and they tend to itch.
While patches of thickened, dry skin are common, psoriasis can cause many signs and symptoms. What you see and feel tends to vary with the:
Type of psoriasis you have
Places psoriasis appears on your body
Amount of psoriasis you have
Several More Specific Red Flags For Neck Pain: A Checklist
Check all that apply. Most people will not be able to check many of these, let alone all of them. But the more you can check, the more worthwhile it is to ask your doctor for some input. Most people who check off an item or two will turn out not to have an ominous health issue. But red flags are reasons to check not reasons to worry.
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What Is The Best Way To Prevent Psoriatic Arthritis Flare
Psoriatic arthritis flare-ups can occur for different reasons in different people. For some, skin symptoms from psoriasis can precede arthritis pain, which is a good indicator of a flare-up thats about to happen. Overall, preventing flare-ups involves avoiding triggers, adhering to your treatment plan, and managing your stress.
Lifestyle And Home Remedies
- Protect your joints. Changing how you do everyday tasks can make a difference in how you feel. For example, use gadgets such as jar openers to twist the lids from jars, lift heavy objects with both hands and push doors open with your whole body instead of just your hands.
- Maintain a healthy weight. This places less strain on your joints, leading to reduced pain and increased energy and mobility. Losing weight if needed can also help your medications work better. Some psoriatic arthritis medications are less effective in people who are overweight.
- Exercise regularly. Exercise can help keep your joints flexible and your muscles strong. Types of exercises that are less stressful on joints include biking, swimming, walking, yoga and tai chi.
- Stop smoking. Smoking is associated with a higher risk of developing psoriasis and with more-severe symptoms of psoriasis.
- Limit alcohol use. Alcohol can decrease the effectiveness of your treatment and increase side effects from some medications, such as methotrexate.
- Pace yourself. Battling pain and inflammation can leave you exhausted. In addition, some arthritis medications can cause fatigue. Don’t stop being active, but rest before you become too tired. Divide exercise or work activities into short segments. Find times to relax throughout the day.
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Triggers Of Psoriatic Arthritis Flares
Every person has their own unique experience with psoriatic arthritis flare-ups. Something may cause a flare-up in one person but not in another. Thats why its important to track and log the triggers that set off your symptoms. Show the log to your doctor. Finding a link or pattern between certain activities and your psoriasis flare-ups can help control your outbreaks.
Common psoriatic arthritis triggers include the following.
Skin trauma or injury: This might include cuts, bumps, bruises, scratches, scrapes, or infections. Prevent injuries by being careful when cooking, gardening, nail trimming, and shaving. Wear gloves and long sleeves when doing an activity that could potentially cause injury.
Dry skin: Dry skin can cause a flare-up. Aim to keep skin hydrated with moisturizing lotions and creams.
Sunburn: While sunshine is good for psoriasis, getting sunburned is not. Always carry a hat and sunscreen.
Stress: Relaxation and stress reduction tactics such as yoga and meditation can alleviate stress and anxiety. Consider joining a psoriasis support group.
Alcohol: In addition to potentially causing flare-ups, alcohol can interfere with the effectiveness of certain medications.
Excess weight: Extra pounds can stress joints. Additionally, psoriasis plaques can develop in skin folds. People with psoriasis are at a higher risk of cardiovascular disease, which can be triggered by an unhealthy weight. Talk with your doctor about a diet and exercise plan.