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Dr Basu
Dr Basu, Experienced Specialist
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Experience:  MD
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I have flare ups that's last up to a month about every 2 - 3

Customer Question

I have flare ups that's last up to a month about every 2 - 3 months. They begin with psoriasis type skin disorders especially on face and baseline of hair on back of neck. Then left shoulder and left knee pain. Finally the worst is pain under right side rib cage migrating into the lower abdominal or bowl area. All the while a overall sick feeling and lots of belching.
Thanks for any help you can offer!
Submitted: 9 months ago.
Category: Medical
Expert:  Dr Basu replied 9 months ago.

Hi there,
This is Dr Basu, experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.

These symptoms suggest autoimmune disorder.

Crohn's disease, systemic lupus, rheumatoid arthritis, connective tissue disorder are such examples.

Immune system can go overdrive and can attack various body parts and organs.

Celiac disease is another possibility which can cause similar symptoms.

Complete blood count with differential, metabolic panel, sed rate, CRP, ANA titer, anti saccharomyces and endomysial antibodies, anti TTG levels should be checked.

Upper GI endoscopy also should be considered for small intestinal biopsy to check for celiac as well as crohn's disease

Familial Mediterranean fever is another entity which can cause all these symptoms even without any fever.
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