It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....

Lupus Message Board

Time to see a rheumatologist?

Post New Thread   Closed Thread
LinkBack Thread Tools Search this Thread
Old 05-18-2012, 07:33 PM   #1
Join Date: May 2012
Location: Sunnyvale, CA, USA
Posts: 1
Blondie85 HB User
Time to see a rheumatologist?

Hi, new to the site but was hoping to get some advice. Went to my primary for what I thought was a stomach virus - doctor thought it might be IBS. Clean colonoscopy and some slight inflammation in my esophagus. My abdomen is still hurting and now the rest of my body is as well.

Blood work came back: sed rate 60 two weeks ago, he took it again and it's at 70.
This second time he did a few others:
Ana positive - 1:640 titer
C-reactive protein 2.4

My doctor keeps ordering imaging tests to look for tumors, then saying it could just be an infection, but then in the same breath says it might be lupus. Which I understand is extremely tough to diagnose, but I'm feeling a lot worse each day.

I was wondering if I should consider going to see a rheumatologist and whether or not it might be lupus? I have fatigue, joint pain, hair loss off and on, chest pain, numbness in my hands and legs - and now this weird stomach thing (which I'm told makes an autoimmune diagnosis extremely unlikely). But I feel like my doctor just keeps giving me more tests and drawing more blood with these abnormal results and then doing nothing.

Any help would be greatly appreciated!

Sponsors Lightbulb
Old 05-19-2012, 02:28 AM   #2
Senior Veteran
Join Date: Feb 2004
Posts: 5,719
VeeJ HB UserVeeJ HB UserVeeJ HB UserVeeJ HB UserVeeJ HB UserVeeJ HB UserVeeJ HB UserVeeJ HB UserVeeJ HB UserVeeJ HB UserVeeJ HB User
Re: Time to see a rheumatologist?

Blondie, have you seen the diagnostic criteria in the "sticky posts" (permanent info posts) at the top of the thread list? You'll see 11. Generally (but not always), you must meet 4 or more to support a dx of systemic lupus. They may be met over time, meaning not necessarily simultaneously. Envision checking them off in indelible ink: once met, each is permanent. (That's how my good drs. explained the criteria. In retrospect, my bad drs. didn't get them at all.)

ANA is positive in SLE something like 95% to 98% of the time, the exception being a "subset" called Ro-lupus (or ANA-negative lupus). I believe CRP is associated with both lupus and Rheumatoid Arthritis; but I don't know its reference range, meaning how high 2.4 is (sorry).

When ANA elevates, typically a dozen+ more specific autoantibody tests are run, e.g., anti-ds-DNA, anti-Sm, anti-RNP, anti-Ro, anti-La, etc. Only several are considered virtually diagnostic of lupus, while the others are fuzzier (meaning can occur in lupus and other conditions, too). Have those more specific tests been run?

When I struggled with severe IBS for 20+ years, local drs. never suggested lupus as a possibility until I started getting skin rashes after sun exposure. I was shocked (actually enraged ) when the metro specialists I finally saw told me that GI problems are actually VERY common in lupus.

To your main question: YES, I'd see a rheumatologist if I were you. You could also borrow library books about lupus (they have far more details). The best discuss not just lupus, but its close cousins (Sjogren's, RA, etc.), and explain how lupus is differentiated from those others. I hope this helps some & that you keep posting here. Good luck & best wishes, sincerely, Vee

P.S. I had neuro-like tingling, too, in arms & legs... not sure if caused by lupus or the anemia brought on by the lupus. Really unnerving! Plaquenil has helped all my longstanding problems greatly, incl. the IBS-like misery.

Last edited by VeeJ; 05-19-2012 at 02:31 AM.

Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
I believe I may have had Lupus for a long time... 2005djb Lupus 6 02-05-2011 07:05 AM
Please help. Thank You so much in advance for your time. smitten Lupus 1 01-12-2011 03:33 AM
What a Complete Waste of Time - Rheumy in Kansas City? RainyNights Lupus 1 05-15-2010 04:40 AM
Why do another lupus test, for the 3rd time!!! tinkertot Lupus 9 02-16-2010 10:47 AM
Hard time dealing with emotions dmarieok Lupus 18 06-04-2007 07:58 PM
Rheumatologist appointment help0001 Lupus 1 08-23-2005 06:52 PM
Hae referral to Rheumatologist MomwithMS Lupus 2 11-09-2004 10:02 AM
Rheumatologist Postie Lupus 8 10-15-2004 04:24 PM
I fired my rheumatologist teachergirl64 Lupus 4 09-03-2004 05:54 PM
Frustration big time!!!!!!!!!!!!! DebbieZ Lupus 7 01-04-2004 09:30 PM

Thread Tools Search this Thread
Search this Thread:

Advanced Search

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off

Sign Up Today!

Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

I want my free account

All times are GMT -7. The time now is 01:15 PM.

Site owned and operated by HealthBoards.comô
© 1998-2018 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!