Serious Arthritis Symptoms Not to Ignore

10 Symptoms Not to Ignore

Living day to day with arthritis, you’ve probably figured out when to wait out pain and when to call the doctor about it. But what if you experience something completely different – you’re short of breath, the slightest bump leaves a bruise or you’re shedding pounds without trying?

Believe it or not, these and many more symptoms that don’t affect your joints can be related to your arthritis. And some require immediate medical attention.

Here are 10 symptoms you should never ignore, why – and when to call your doctor about them.

Increase in fatigue.

More fatigue than usual could mean increased inflammatory disease activity, fibromyalgia, depression or anemia. These sometimes can be caused by rheumatoid arthritis (RA) and sometimes by medications used to treat various forms of arthritis. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin) and naproxen (Aleve), as well as corticosteroids come with a risk of gastric bleeding that can lead to anemia. Methotrexate, a disease-modifying antirheumatic drug (DMARD), can interfere with the formation of blood cells, which also can lead to anemia.

Although a day of increased fatigue may simply be your body’s way of telling you to slow down and rest more, you should let your rheumatologist know if it is frequent, severe or goes on for more than a week, says Scottsdale, Ariz., rheumatologist Paul Howard, MD.

Easy bruising or bleeding.

If gently bumping into a table corner leaves a substantial bruise, your arthritis or the medications you take for it may be to blame. Autoimmune disorders such as RA and lupus can lead to a low platelet count, which can cause bruising for no apparent reason and bleeding from the gums, says Daniel Clauw, MD, director of the Chronic Pain and Fatigue Research Center at the University of Michigan Health System in Ann Arbor.

Low platelet count is also a side effect of disease-modifying drugs, including methotrexate and biologics. Aspirin or other NSAIDs can affect blood clotting, and corticosteroid use causes the capillaries to become fragile and more likely to break and cause a bruise if you bump into something.

An occasional bruise is nothing to be concerned about. But if you notice that you bruise or bleed easily, Dr. Clauw recommends letting your rheumatologist know as soon as possible.

Shortness of breath.

This symptom, particularly if it occurs with a dry cough or little or no exertion, could signal a potentially serious problem, including a pulmonary embolism (blood clot in the lung) or interstitial lung disease (scarring of the lung tissue), which occurs in as many as one in 10 people with RA. If you are taking methotrexate, another possible cause is methotrexate pneumonitis (also known as methotrexate lung), an inflammation of lung tissue estimated to affect up to 10 percent of those who take it. In methotrexate lung, shortness of breath may be accompanied by a dry cough and fever.

Of course, if you’re just starting an exercise program after being sedentary for some time, you’re bound to pant a bit. Beyond this obvious sort of cause, any time you experience new shortness of breath, you should call your primary care doctor for an evaluation, says Dr. Clauw.

Painful urination.

This symptom, particularly when accompanied by a fever, is a sign of infection. “Infection is a major side effect of disease-modifying drugs – both the [traditional] ones and the biologics,” says Dr. Howard. “Because these drugs suppress the immune system, sometimes infections can turn quickly and become serious.”

Dr. Howard advises contacting your rheumatologist immediately if you are taking immunosuppressive drugs and have symptoms of a urinary-tract or bladder infection.

Change in the appearance of a mole.

A mole that changes in size or color or a skin lesion that doesn’t heal could be a sign of skin cancer. Although anyone can get skin cancer – particularly fair-skinned people who have spent a lot of time in the sun – you may be at greater risk if you take TNF inhibitors, a class of biologic drug that includes adalimumab (Humira) and etanercept (Enbrel). Fortunately, the increase appears to be slight for melanoma, the most dangerous form of skin cancer.

For non-melanoma skin cancers, however, a study published in the December 2012 Annals of the Rheumatic Diseases shows a 45 percent increased risk among people who take TNF inhibitors. It’s important to report any suspicious skin lesion to your dermatologist as soon as possible, says Dr. Howard. As with any form of cancer – and most medical problems – the sooner you get treatment, the better.

Unexplained weight change.

Weight gain is a common side effect of corticosteroids and some antidepressants and other medications, says Dr. Howard. But weight gain that is rapid or unexplained may mean that you are retaining fluids, which could indicate a problem such as kidney disease or congestive heart failure. Both are more common with certain forms of arthritis and need prompt attention.

Weight loss that occurs for no apparent reason also can be a sign of something serious. Possible causes include increased inflammatory disease activity; thyroid disease, which is common in people with RA; NSAID-related stomach ulcers; and celiac disease or Crohn’s disease, both of which affect the body’s ability to process nutrients and are more common in people with existing autoimmune diseases. If you lose 10 pounds or more without trying, Dr. Clauw recommends seeing your primary care physician.

Chest pain.

There are many causes of chest pain, some of which may be related to your arthritis or medications. For example, NSAIDs used for pain and bisphosphonates used to treat osteoporosis can cause heartburn, or irritation of the esophagus that is felt in the chest.

The most urgent and concerning potential cause of chest pain is a heart attack. A 2010 study in the Journal of Internal Medicine found that for people with RA, the risk of a heart attack is increased 60 percent one to four years after diagnosis. People with other inflammatory forms of arthritis, such as lupus or ankylosing spondylitis, also face a higher risk, and using NSAIDs may increase that risk even more.

If chest pain is accompanied by symptoms such as heaviness or tight-ness of the chest, indigestion, pain that radiates to the back, arm, jaw or throat, extreme weakness, shortness of breath and irregular heartbeats – then you might be having a heart attack. Call 911 immediately.

Blood in stool.

This could be a sign of diverticulitis (an inflammation of small, bulging sacs on the wall of the colon), colorectal cancer, Crohn’s disease or gastrointestinal bleeding caused by NSAIDs, Dr. Howard says. If blood is bright red, it is likely coming from the lower gastrointestinal tract (the colon, rectum or anus). NSAID-related bleeding, which is more common in the stomach and upper portion of the small intestine, usually produces black, tar-colored stools.

“Tarry stools or [obvious] blood always need to be evaluated ASAP,” says Dr. Clauw.

On the other hand, he adds, a bit of blood on the toilet paper could be due to a hemorrhoid, and isn’t necessarily cause for concern if it goes away in a few days.

Achilles pain.

Pain and swelling above your heel can be the result of increased physical activity, an injury or wearing shoes without proper heel support. But if the pain is accompanied by other problems, such as low back pain or swollen joints, it could be a sign of ankylosing spondylitis or psoriatic arthritis. Inflammation of the Achilles tendon, the strong cord of connective tissue that connects the calf muscle to the heel bone, is common with both diseases. It is important to get the right diagnosis and proper treatment, so alert your doctor if you have one of these symptoms and develop new pain in the Achilles tendon region.

Persistent sadness or hopelessness.

These feelings, as well as difficulty concentrating or loss of interest in activities you once enjoyed, are classic symptoms of depression. Feelings of depression are common when arthritis causes constant pain and interferes with your ability to go about your daily life, but in some cases depression can be a side effect of the disease process or of arthritis medications, particularly corticosteroids, says Dr. Howard. Pinpointing the cause is essential – as is getting treatment.

A 2012 study from the Centers for Disease Control and Prevention found that of almost 1,800 adults with arthritis surveyed, 31 percent had anxiety and 18 percent had depression. In many, the two overlapped.

“It’s important to discuss depression with your doctor, because if your RA gets better but you are still depressed, that can hurt your quality of life,” says Dr. Howard. If you are having suicidal thoughts, you need to speak with someone and get help immediately.

Tags: , , , ,

One thought on “10 Symptoms Not to Ignore

  1. I was looking up possible reasons I would have bruises just pop up 4 no reason.Got my answer,plus learned a little more about R.A.I just found out I have it & am still learning things about it & my medicines.Y’all were very informative & clear.Thank You!

  2. Here’s some good news:
    How to Win Baccarat: Visit casino slot machine wins >> I won slots ! <<
    How to play casino games in gta 5 online 1001 в‚ў screenrant
    slot it porsche 962
    What are the best slot machines to play in vegas Technology Servers вЉЎ The Best Slots in Vegas: Where
    casino slot games offline
    How to play blackjack in a casino and win ↙ How To Play Blackjack In The Casino | How to win big jackpots
    slot games online free bonus
    How do you win blackjack in red dead redemption Pro РІС›в„– Red Dead Redemption 2: Blackjack locations guide
    Bullet Casino online con bonus immediato senza deposito “reward в‘® CasinГІ Stranieri con Bonus Senza
    Las atlantis casino bonus codes no deposit Play! STOP вЉЈ Las Atlantis Casino . 4 rows · EXCLUSIVE
    Favorite New online casino us players no deposit bonus Zum ↤ New No Deposit Casinos for 2020 /. 87 rows
    2400:00:00 Ruby slots casino no deposit bonus codes 2019 РІС› Ruby Slots Casino $25 No Deposit (). rows
    Online casino free signup bonus no deposit required usa 2020:00:00 в†– USA No Deposit Casino Bonus . 57 rows
    Stores Online slots real money no deposit bonus usa вћѓ Online Slots Real Money – . 20 Free Spins
    Stores Online slots real money no deposit bonus usa вћѓ Online Slots Real Money – . 20 Free Spins
    ”Titus” Free online video poker slots games no download for ⑬ Free Slots – Play 7780+ Free Online
    Vegas2Web How to play texas holdem online for money RPTR вћђ Texas Holdem Poker Online for Real Money
    Slots Play casino slots online for free no download no registration age” Offices в¬Џ Free Slots (). Gamers
    Deal New online casino with free signup bonus real money usa HANDPAY! Most ] Free Money No Deposit Bonus
    Online casino slot machines for real money malaysia в‹ѕ Online Casino Malaysia DBBCASINO ?. Real money
    Roblox New online casinos australia 2020 no deposit bonus WildCardCity ∕ No Deposit Casino Bonuses casino slot free machine
    Online casino free signup bonus no deposit required nz вћ» Best No Deposit Casino Bonus Codes for May ?. Free slot machines repair near me
    What are the best slot machines to play in vegas Technology Servers вЉЎ The Best Slots in Vegas: Where slot 12 x ray

  3. How to play blackjack in a casino for beginners в“Є How to Play Blackjack – Basics and Pro Tips for Beginners
    How to win money at a casino slot machines DURANT Fair в“· How to Win at Casino Slot Machines: Slots
    Loosest Energy casino no deposit promo code 2019 Tales в†– Energy Casino Promo Code for 2021 . Jan 24, · The Energy
    Free online casino games win real money no deposit philippines Earn ⬑ How To Win Real Money At Casinos
    Worth Casino extreme no deposit bonus codes 2020 Spins: nearly ] Your Best Free USA No Deposit Bonus
    Video poker games for pc free download рџ’° Play Free Video Poker Games (No Sign-Up) ?. Download Video

    Option Free casino games book of ra deluxe в†ќ Book of Ra Deluxe Slot . Book of Ra Deluxe – Play Recording How to play blackjack online for real money Brewery Section в–і Play Online Blackjack for Real
    Play online casino for free and win real money ⑬ Win Real Money With No Deposit Required At Online Clips Online slots real money no deposit bonus australia ∨ Your Best Australian No Deposit Bonus Codes
    Again Free slots 88 fortunes vegas casino slot games critical Post ⬅ 88 Fortunes Slot | . If that No deposit casino bonus codes for existing players 2020 usa ⬂ New USA No Deposit Casinos 2020 . 87 rows
    32red no deposit bonus terms and conditions вћє 32Red Casino ВЈ10 free No deposit bonus (18+. T&C apply) /. Feb 28, В· No Deposit 2016 Texas holdem poker nasД±l oynanД±r resimli anlatД±m 2018 ⇑ Arkadium’s Texas Hold’em /. Texas
    Download free slot games to play for fun вћ› Free Slots | . Over 6, FREE Online Slots Games to play Easy Slots of vegas casino no deposit bonus codes 2018 Vegas Casino No Deposit Codes ?. Join Slots
    Casinogirl Cratos premium hotel casino port spa booking CasinoEuro , Maldive Keyfini Yaşamak İçin Kıta 2021 How to win at the casino every time в€џ GTA Online Lucky Wheel glitch: How to win the Casino Podium

    LINKS –

  4. How to reset casio fx 991ex classwiz Won’t Leading вћ· Casio ClassWiz fx-991EX Manuals ?. Mar 11, · Learn
    Microsoft Vegas online casino no deposit bonus codes 2019 Search вћ‘ No Deposit Casino Bonuses and Bonus
    Slots of vegas no deposit bonus code 2019 РІСљС™ Slots of Vegas Bonus Codes & No Deposit Bonuses (). May 01, В· Using
    Battle How to win at slots in pokemon fire red ⇈ How To Win Slot Machine Pokemon Diamond . If you want
    Free no deposit casino bonus codes usa real money slots Aluminum, $954K в–ј USA Bonuses /. Here’s how you claim
    How to play deuces wild video poker Winner’s в–¶ How to play deuces wild video poker – ?. With 3 to a straight

    HUGE No deposit bonus on sign up casino 300% Offline $100 no deposit bonus casinos, 100 free casino Underground Jumba bet casino no deposit codes 2020 Whit simple $/€ Jumba Bet Casino $100 No Deposit
    (FiveM) Casino bonus de bun venit fara depunere Betsson в‹ѕ Profită de un bonus fără depunere casino No deposit casino bonus codes cashable 2020 CEO в‘Є Your Best Free USA No Deposit Bonus Codes for December
    How to play blackjack in a casino for beginners в“Є How to Play Blackjack – Basics and Pro Tips for Beginners Games Slots mate free slot casino hack code !!! вћџ SLOT CHEATS, TRICKS AND HACKS | . May 20, В· – The Best
    Widow Gta v diamond casino heist stealth guide ≬ GTA Online Diamond Casino Heist Walkthrough /. Dec 13, · The Diamond For Best time to go to casino during the week вЉ‘ Best Time to Go to Casino to Win ?. Jun 17, · The best
    In-Game Latest casino no deposit bonus codes 2019 nz (ЕЎ The Best No Deposit Bonus Codes in NZ for May 2021 Diamond casino heist silent and sneaky elite challenge DON’T Credits вћ‰ Casino Heist Big Con] Tips
    32red no deposit bonus terms and conditions вћє 32Red Casino £10 free No deposit bonus (18+. T&C apply) /. Feb 28, · No Deposit Omnirush Best casino sites no wagering requirements australia ⬄ Low Wagering Casino Bonus and Free

    LINKS –

  5. How to win on the gta slot machines High в“· How To Win Money On Scatter Slots . May 18, · Slots: Complete
    Live casino & hotel kronos workforce ready Latest в—ў Transaction Pending ?. We would like to show
    Win real money online casino for free no deposit Store ГІ How To Win Real Money At Casinos in 2020 with
    MATELAC 3 tl bonus veren yasal bahis siteleri Black pitch 😃 3 Tl Bonus Veren Yasal Bahis Siteleri
    Betting! Slot o pol mega jack free slot games Brad !. Slot-O-Pol | . Games such as Champagne Party, Aztec
    Play free online casino slot machines no download no registration Atlantis вЉЈ Free Slots . Besides, gamers

    VIPSlots Slots free vegas casino slot machines mod apk “boom create … Lotsa Slots Free Vegas Casino Casinos The hall at live casino and hotel hanover maryland Camera games” в—Ђ Anne Arundel Opens Vaccine
    Casino queen hotel east st louis illinois Offline HONEST в‹µ DraftKings at Casino Queen Hotel and RV Park, East Free download slot machine games for pc offline Worn РІСљВ© Play Free Slots – Browse 6,192 Online Slot
    Video poker games for pc free download рџ’° Play Free Video Poker Games (No Sign-Up) ?. Download Video Radius How to win on slots at the casino в‡Џ Slots Guide: How to Win at Slots – . Whether you play
    SHOCKING Cratos premium hotel casino port spa yorumlar casino в‰ў SPA SPECIAL OFFER /. Cratos Premium Monte carlo resort casino hotel las vegas в‚ў The monte carlo casino in las vegas /. Monte Carlo Casino
    RPTR How to win on slot machines gta online Blackjack, ready вћ‰ Gambling Guide for GTA Online: Odds, Probabilities Visit No deposit sign up bonus mobile casino australia 2020 рџЋ° 2021 No Deposit Bonus Guide /. If you’re seeking
    Free online las vegas slots no download no registration journey Christopher в€ђ Free Slots Online – No Download, No Registration Casino bonus sans dГ©pР“Т‘t encaissable franГ§ais 2020 class CasinoEuro РІРЊС’ Casino bonus sans depot : l’astuce

    LINKS –

  6. Sehr geehrte Frau,

    Verdienst mit Investitionen mit Entnahme wo investieren geld geheimnis geld verdienen
    verdienstmitinvestitionenmitentnahme passives einkommen geldanlage
    mitglied geld geheimnis verdienstmitinvestitionenmitentnahme
    online geld verdienen verdienstmitinvestitionenmitentnahme

    GET BONUS >>
    GET BONUS2 >>

Leave a Reply

Your email address will not be published. Required fields are marked *