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Calcium channel blockers are the standard of care.
But there is good evidence to show
that you can use a biofeedback method to improve if not get rid of the Raynaud's
stand by for a reference
What are the standard Medications? And theres no Alternetive that acts like/as a Vasodilator?
Calcium channel blockers ARE the standard medication
Yeah, I meant Which ones
HERE IS THE REFERENCE ON BIOFEEDBACK TREATMENT
diltiazem is commonly given
Any of them able to be used on an As Needed basis as opposed to continuously? And Standing by.
that's a great question
HERE IS WHAT MAYO SAYS
as you can see toward the bottom of the page there is a list of potential medicines
as well as some vasodilatory medicines
like cozaar or even Viagra
the problem with an 'as needed' medicine
is that the blanching and vasocostriction comes on suddenly
and there is no medicine by mouth that would work that quickly
it is also important
as you can see by the Mayo reference
that your doctor has made sure that your Raynaud's is not a manifestation of another problem such as lupus or scleroderma
this can be done with lab testing
Likely related to my RA
and there IS a way to try to help yourself with this at home
ah, got it
so the 'home remedy' for Raynaud's is as follows
on a day where the temps are low enough to cause your Raynauds
go outside and wait for the raynaud's to hit
when it does you should have two buckets or containers of hot water
let the blanching occur
then put your hands in the water till it resolves
over time this can greatly decrease the severity and even the frequency of your Raynaud's episoces
and that should last after removing hands from the bucket?
you need to do this many times on different days... when it works it works by repetition and retraining your body in how it responds to cold
And is it normal to feel it in the arms and calves as opposed to just the hands and feet?
As it is it feels like i stuck my arm in a bucket of ice water
sounds like a pretty severe case
do you have a rheumatologist caring for you
the veins hurt slightly but its a different feeling than i feel with my hands and feet
yes i do
hard to say what that may meahn
have you had vascular studies of your arms and legs? typically an ultrasound?
to check blood flow?
she wanted to address it at our next appt in september, she didnt want to add another new medication when i called her about it, she offered some suggestions that didnt work in the past and said there were no alternatives
have not had studies of that type done
I don't think at age 22 that this is anything related to blood flow issues in and of themselves
sounds like vasoconstriction
sounds like Raynauds
stand by one more minute
trying to find a reference that describes the hot water biofeedback treatment, but i can not
the first reference might be useful to print and show your Rheumatologist
if you can try the hot water treatment prior to seeing your Doctor you may be able to help them by saying, 'hey this worked great' or 'tried this and it didn't work'....
I will attempt to try that
but other than that I do not know of, not can I find any 'as needed' medicines
do you smoke?
that's a yes!
once or twice in my life more is what i mean
okay, that's a real 'no'
do you have any final questions for me?
that Mayo reference is easy to read and quite complete
any natural or otc remedies aside from the biofeedback?
and warm water
this is the best reference I could find for you
i noticed beta blockers worsen raynauds, i do take one, would it be worth discussing the possibility of discontinuing that medication if possible?
looks like some practitioners recommend ginko biloba, I can't endorse it but it can't hurt to give it a shot
and yes to the beta blocker question
why do you take it
what beta blocker
check this out
and for essential tremor, i forgot that
there is probably a better medicine for your anxiety
and anxiety can itself cause Raynaud's
still, maybe a better choice for you than propranolol
do you have any durther question for me?
nope thats all, alright, thank you for all your help
you are most welcome
if this has been helpful positive feedback is always appreciated
have a great day
and ask for me anytime