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Old 05-27-2007, 05:48 AM   #1
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Chest pain from Lupus??

Hello everyone:

My 28 yr old daughter was diagnosed with lupus and given medication. She has a flare up every other week and the pain is mostly in her chest area. She was sent to the hospital several times from the ER and was admitted for tests but all was negative as to heart disease etc. I was wondering if anyone out there with Lupus have the same chest pains as my daughter has and what she can do to releif the pain . She does not have any other lupus pains in her body, only her chest area.

Thanks
Mary

 
Old 05-27-2007, 11:10 AM   #2
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Re: Chest pain from Lupus??

Quote:
Originally Posted by pearlandmary View Post
Hello everyone:

My 28 yr old daughter was diagnosed with lupus and given medication. She has a flare up every other week and the pain is mostly in her chest area. She was sent to the hospital several times from the ER and was admitted for tests but all was negative as to heart disease etc. I was wondering if anyone out there with Lupus have the same chest pains as my daughter has and what she can do to releif the pain . She does not have any other lupus pains in her body, only her chest area.

Thanks
Mary

 
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Old 05-27-2007, 04:35 PM   #3
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Re: Chest pain from Lupus??

Hi Frito-wife:

I do not see your reply to my post. Did you reply or changed your mind?

Thanks
Mary

 
Old 05-27-2007, 05:58 PM   #4
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Re: Chest pain from Lupus??

Hello,
Sorry I lost my place, I have had lupus sle for 3 years, and alot of pains, I just switched to a new rhumy doc, and was with him for a few mins, he said I have fibromyalgia also, I have had chest pain that has taken me to the ER, the pain was caused from costochondritis look it up, it might help you out. It makes you feel like a heart attack. I never heard of it untill I got it.
I'm not a doc, but it will be something to help you.
Good luck,
Robin

 
Old 05-27-2007, 06:22 PM   #5
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Smile Re: Chest pain from Lupus??

Hello Mary,

I can only reply to your post as a patient with SLE, and not in a medical capacity.

It does indeed sound like it "might" be costochondritis. It would have to be diagnosed by a doctor. To help in the meantime, if you go to the top of this page and type in "costochondritis" in the "search" section, you will come across lots and lots of information on it. It has been discussed a lot on this forum.

I personally have had it for years and have a rather drastic treatment for it. My treatment is the only thing that works for me, but there seem to be a lot of different options when treating it.

As I said only a doctor can you a definiate diagnosis, but having a name of what it "might" be will give you the chance to research it and go armed with the information when visitng him/her.

Take care.

goldenwings
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I am not a medical doctor, I only speak from my own experience of the illnesses I discuss here.

 
Old 05-28-2007, 12:09 AM   #6
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Re: Chest pain from Lupus??

I am mid-30s and have been dx with SLE for a few years. I infrequently get chest pains but I also get leg and feet swelling at the same time, and hand swelling, Raynauds (cold/blue hands and feet) and Livedo Reticularis - webbed looking blue vein patterns over large areas of my skin. I've gone to the ER as well and they just send me home with Tylenol 4's (yeah, they do exist!). I've never heard of the other costochondritis dx before - I'll have to look it up too. But I do know that the swelling of extremities is an indicator of cardio and/or pulmonary problems, so see if that is the case with your daughter.

In the meantime, to ease my own mind, I bought a blood pressure monitor from the local drugstore - one that also senses irregular rhythms. You might want to get one for your daughter so that she can check her own blood pressure from home to make sure she's not hypertensive; she can also then see if her heart is beating irregularly. For me at least it eases my fears to be able to check for myself. You're a good mom!

JJ
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Old 05-28-2007, 08:37 PM   #7
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Unhappy Re: Chest pain from Lupus??

Quote:
Originally Posted by jjcali View Post
I am mid-30s and have been dx with SLE for a few years. I infrequently get chest pains but I also get leg and feet swelling at the same time, and hand swelling, Raynauds (cold/blue hands and feet) and Livedo Reticularis - webbed looking blue vein patterns over large areas of my skin. I've gone to the ER as well and they just send me home with Tylenol 4's (yeah, they do exist!). I've never heard of the other costochondritis dx before - I'll have to look it up too. But I do know that the swelling of extremities is an indicator of cardio and/or pulmonary problems, so see if that is the case with your daughter.

In the meantime, to ease my own mind, I bought a blood pressure monitor from the local drugstore - one that also senses irregular rhythms. You might want to get one for your daughter so that she can check her own blood pressure from home to make sure she's not hypertensive; she can also then see if her heart is beating irregularly. For me at least it eases my fears to be able to check for myself. You're a good mom!

JJ


Thanks guys for giving me your input. I did give her the information on Costochondritis . She will also switch to a new rhemy doctor this week. Hopefully she/he will help her manage her pain better.

I will also check on any swelling, I do remember she did have swelling of her big toe at one point but she says it did not hurt. She also had minor swelling on her fingers. I thought that would be arthritis..since there is arthritis in our family.

So tylenol works for you?? Anyone out there that uses other pain meds that work for them or anything else ?? My daughter was given morphine this past week in the ER and it helped her she said but I sure hate to think that she needs that all the time or steroids to control the pain. All those strong meds are not good for anyone.




thanks again guys,
Mary

 
Old 06-10-2007, 09:23 PM   #8
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Re: Chest pain from Lupus??

I can really relate to your daughter. I too am 28. I am not diagnosed with Lupus, but there is a chance I have it. My pain started out in my chest. It is pretty much like chostochondritis. My rheumatologists seems to think it may be pleurisy, but several regular doctors think is is chosto. Regardless of what is it, I take methylprenisalone (spell). It is a medrol dose pack (spell). It is a steroid, only you don't get the side affects because you only take them for a few days. After I take them for a few days it eases the extremely severe pain in my chest and I don't have to worry about being on prednisone for a long extended time. I hope this helps. I take mobic which is an anti inflammatory every day. I take the steroid dose pack when it gets severe. I do not take pain pills. I hope your daughter gets better. That chest pain hurts to breath, it hurts to move, and it hurts to sit there. No one understands!

 
Old 06-12-2007, 11:15 AM   #9
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Re: Chest pain from Lupus??

Aspen26 - I totally understand how you feel. I haven't been diagnosed with Lupus either but have had a positive ANA and SSA. Chest pain is by far my worse symptom and it's hard for me to get people to understand why I'm so paranoid about it. I've had this for about 3 years now. I've had all heart tests (exept cath), pulmonary tests, chest CT and everything is always normal. Yet I can't get the heart thing out of my head. A couple of Dr's told me I have Fibromyalgia but who knows. Mine hurts same as you - when I move, breathe, do nothing....

 
Old 06-14-2007, 06:19 PM   #10
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Re: Chest pain from Lupus??

Do you ever push on your chest under your collar bone and feel the pain and try to find a trigger point area? One time I received a steroid shot in my chest, but the medrol dose pack helps better than anything and it's only temporary. The pain also goes from side to side and is usually not on both side at the same time. What lets me know it's not my heart is because it's been on my right side and my left side before. It's been on my right side before without having any pain on my left side. If it weren't for that I would have been scared it were my heart. This inflammation thing affects people in different areas though. Isn't it weird, I bet we could list some random symptoms and we would all have some of the same ones. Just a few: Irritable bowel (sometimes), chest pain, migraines, fatigue, hypothryoidism, allegry to sulfa. Most of my problems started back in 2002, but I haven't really been the same since I got mono back in 1999 or 2000. Before I got mono I was never really even sick or felt bad.

 
Old 06-15-2007, 03:27 AM   #11
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Re: Chest pain from Lupus??

This is for LAURA!!!!

Good morning, Laura. I just did a search & realized how long it's been since you first reported being positive for ANA & anti-Ro.

I was Ro-positive, but no doctor in my suburban area "got" that I had what some call "Ro-lupus". I recently went to a new GP---and she virtually screamed at me that people with lupus HAVE TO be positive for anti-DNA or anti-Sm.

This is just not so! In his lupus hardcover, Dr. Wallace lists SIXTEEN antibodies & complement problems seen in lupus. That should make it pretty clear that anti-DNA & anti-Sm are NOT the only two possible. Yes, these are the only two autoantibodies considered "diagnostic". But these are NOT the ONLY two.

Are you on medication? Did your rheumie ever decide what you have? Have you ever browsed Dr. Wallace's book, or looked up "Ro-lupus"? Sincerely, Vee

 
Old 07-01-2007, 07:20 PM   #12
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Re: Chest pain from Lupus??

Hi VeeJ - I know my Rhuemy ran tests for several of the other antibodies, Rhuematoid Factor, complements, sed rate, crp, etc. All came back normal - my sed rate has never been elevated nor has my crp. I know that doesn't mean I couldn't have Lupus but it makes the diagnosis harder since I also don't have enough of the clinical symptoms at this time. I have a lot of muscle pain throughout my body - that's my worst symptom. I also feel very fatigued all the time. I could have the Ro-Lupus but I don't have any skin manifestations either. I'm not sensitive to the sun at all. At this point the Rhuemy has diagnosed me with UCTD. I am hoping that maybe I will be able to keep this from developing into a full blown disease but if it does Rhuemy thinks Lupus will be the most likely. I feel like I'm in diagnostic limbo right now. I was offered Plaquenil but haven't taken it yet.

Two other Dr's had diagnosed me with Fibromyalgia. I was diagnosed as having a Vitamin D deficiency which is almost back at a normal level now. I am also anemic but this is improving as well with supplementation.

It's so much harder to deal with all of this when Dr's really aren't sure what it going on. I did get Dr. Wallace's book from the library and have started reading it.

Does Ro-Lupus always involve skin manifestations?

Thanks!

 
Old 07-03-2007, 06:56 AM   #13
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Re: Chest pain from Lupus??

Hi, Laura. I *think* the majority of those with Ro-lupus eventually have rashes but that some may not ever. (But I'm NOT a professional, obviously.)

I had anemia, vitamin deficiency, fatigue, muscle pain, joint pain, headaches, urinary & irritable bowel problems, rashes, hair loss, weight loss, sciatica, ETC. These ARE all "clinical symptoms" of lupus, by the way---as the teaching hospital rheumie I went to see stated, and right off the bat. (But he called for more tests, of course, before making the Dx.)

Why did you turn down Plaquenil if you are still hurting? Not that you have to explain yourself in any way! Anyway, best wishes, from Vee

 
Old 07-03-2007, 09:51 AM   #14
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Re: Chest pain from Lupus??

Hi VeeJ -

Honestly, I think I may be in a bit of denial. I guess the fear of having an illness and being on medication daily just freaks me out. I am starting to think I am going to have no other choice as there is no point in being miserable if I don't have to. I also seem to always be sensitive to medications so I am nervous about having side effects. I go back to the Rhuemy on 7/24. At this point I just want to get back to somewhat of a normal life and get some relief. I know things may never be the same again but there has got to be a way to feel better. I used to go to the gym 5 days a week and sometimes would work out for 2 hours and now I get fatigued grocery shopping - it's just depressing and hard to accept. Enough of my whining now...lol.

 
Old 07-03-2007, 02:31 PM   #15
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Re: Chest pain from Lupus??

Hi, Laura. I understand how you feel about starting medication. It means that the problem is "real", doesn't it? I adjusted very quickly & had no side effects, except for a little nausea & some "halo" effect when driving at night. Both dissipated quickly. Actually, you may become pretty much "yourself" again! Plaquenil has helped me more than I'd ever have believed possible!

As they say in the movies, "Courage!" (That's with the French pronunciation. ) Thinking of you, Vee

 
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