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No thanks. ***** want...

No thanks. ***** want to pay speak to a doctor, I'll see my PCP. I wouldn't mind a second opinion.

Doctor's Assistant: What are all the symptoms you're experiencing (e.g. loss of appetite, fever, rash)?

Sharp pain up under my right rib cagecwith a costant pain on my right side. It wraps around my back. I'm also having pain under the left side as well. Same location. It also radiates around my back. I have RA, Fibromyalgia, CAD, hypertension, high cholesterol. I have migraines constantly. I have head hemi-plegic migrain. I am constantly feeling nauseated. I have daily diarrhea(school bus yello) as many as 8 Times a day.My gallbladder has already been removed.

Doctor's Assistant: Is the headache episodic or daily? And what about nausea?

My migraines are caused by disc issues in my neck. Per my neurologist. Of I try to look over my right shoulder, not only does it hurt my neck but it makes my head pound. I have sleep apnea and although I use my machine, my head pounds as soon as I wake up.. The nausea has become constant. I have no appetite. I've lost 13#. I can't even finish a plate of food. The pain on my right side becomes so much worse. I'm bloated frequently. When I bend over it feels like my rib cage is pressing down on something.

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I have Asmha. I can barely walk due to problems with the discs are compressing the nerves. I have retinal vasculitis in remission but in both eyes. I have a hyatal hernia and GERD. I think that's all.

Submitted: 4 months ago.Category: Medical
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Answered in 2 hours by:
11/27/2017
Doctor: DR.EHTISHAM, Doctor replied 4 months ago
DR.EHTISHAM
DR.EHTISHAM, Doctor
Category: Medical
Satisfied Customers: 2,773
Experience: MBBS, FCPS
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Hello! My name is***** to JustAnswer. I'm reviewing your question now, and will post back with your reply momentarily.

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Doctor: DR.EHTISHAM, Doctor replied 4 months ago

What are all the medicines you are taking at this time ?

Regards

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Customer reply replied 4 months ago
Omeprezole 40mg. 1/day, atorvastatin 40mg. 1/day, cymbals 60mg. 1/day, methotrexate 2.5mg. 8 tablets on one day of the week, metoprolol-Tartrate 12.5mg. 2/day, Losartan 50mg. 2/day, amlodapine 10mg. 1/day, gabapetin 600mg. 3/day, divalproex 250mg. 2/day, zonisomide 100mg. 3 at bed., nucynt 50mg. 4/day for pain, cyclobenzaprine 10mg., 2 tabs 2/day & 2 at bed, Montelukast 10mg. 1/day, leflunomide 1mg., 1/day., folic acid 1200mcg. 1/day, multivitamin 1/day, vitamin D3 1000IU/day, fish oil 1000mg., 1/day, aspirin 81mg., 1/day, & xanax .5mg. Every 8 hours as needed.
Doctor: DR.EHTISHAM, Doctor replied 4 months ago

Thanks for the information

The most likely reason for your current symptoms is the drugs you are taking

Methotrexate is most likely responsible for the symptoms you have mentioned

You need to discuss with your doctor regarding an alternative for methotrexate

Methotrexate intolerance do occur in a significant number of patients and this can be very severe

So my advise would be to switch from methotrexate to other disease modifying agent like sulfasalazine or leflunamide

I am available to assist you any further till you are satisfied that I have provided you with a 5-stars rating service

Regards

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Customer reply replied 4 months ago
I initially had an adjustment period with methotrexate. The problem that I'm having has really come on within the last 6 mos. I'm already on leflunomide. It replaced the sulfasalazine. The pain in my side a nd stomach become extremely intense.
Doctor: DR.EHTISHAM, Doctor replied 4 months ago
Thanks for the information
I think stopping methotrexate will help in resolving most of your problems
You can go for other drugs like monoclonal antibodies for control of rheumatoid arthritis if it get worse after stopping methotrexate
I am available to assist you further till you are satisfied that I have given you a 5-star response
Regards
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Customer reply replied 4 months ago
My Rheumatologist has told me that We have tried all that we can and the methotrexate is the only med that is bringing the inflammation down. I have been in a flare for nearly two years with not much relief.
Doctor: DR.EHTISHAM, Doctor replied 4 months ago
Have your rheumatologist tried you on monoclonal antibodies ?
Regards
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