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I Think I Have Lupus, Doc Says No



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08/12/2008 22:30
Lauralaine
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My grandmother had Lupus and her sister had Rheumatoid Arthritis.

I began having blood in my urine about five years ago and approximately the same time my shoulder began hurting. This is when I remember my legs starting to throb with pain.

About a year later I began having pain in my right knee and now most recently I have pain in my left knee and right elbow as well as pain sometimes in my left middle finger.

My worst pain is the muscle pain and then when my knee joints hurt I can barely walk. I have A LOT of fatigue, last night I almost fell asleep driving on the way home from work. My ability to concentrate is becoming difficult and I have been making a lot of mistakes at work recently from foginess and fatigue.

Sometimes I have a sharp shooting pain in my chest and it hurts to breath for a second. But then it goes away.

Recently I have a purple blue veinish dot on my finger that hasn't gone away. It reminds me of a blood blister but it never forms into a blister.

I went to a Rheumatologist who said that he thought I had Fibromyalgia. I have a negative ANA, my xrays show no joint destruction. I accepted this until a few weeks ago when my right knee became so very painful and swelled up bright red like a softball and I had dificulty walking. I fell down when I was bending down to my filing cabinet. I went to the Rheumie and he said that there was definitely fluid and took a sample; however, the nurse took so long to schedule an appointment that most of the inflammation had subsided. He looked at me and told me it wasn't mechanical and because a lot of the swelling had gone down that the test might come back non inflammatory and we would just get another sample when it became inflammed again right away.

The Rheumie was supposed to call me back two days later and never did. After a week, today, I called and talked to his nurse who has no bedside manner whatsoever and she said the fluid was non inflammatory and that the doc says that it is a mechanical issue or I have mild osteoarthritis (I'm 28). So they ordered a MRI.

I'm so frustrated! I feel like I should get a second opinion. Just the doctor not calling me back alone really peeves me!! And it's the second time.

I know Lupus can take years to diagnos but I feel in my heart of hearts that that is what is wrong with me. I go on living in chronic pain every day with no answers, just more tests. Simultaneously, I am afraid anyone close to me thinks I am just complaining or am a hypochondriac because noone can tell me what's wrong with me. Just sad, I wish I knew why I have to suffer so much. I know there's people who have had way worse circumstances than me but I just feel completely sad and hopeless, it's hard to live.

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08/13/2008 10:34
mumeva
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I know how you feel I've been where you are. It took 3 years before I was diagnosed as having lupus. I got sick in l993 and thought it was the flu, I went to my general doctor who ran blood tests and he thought I had RA. I was treated for RA for two years. At that time I started getting the malar rash and the discoid rash on my face-arms and neck. I just so happened to switch Rheumys and the new one took one look at me and said I believe you have lupus but lets do more blood work and sure enough alot of my blood work came back lupus but I am ana negative lupus and always have been. I see my rheumy every month when I'm flaring or every other month when I'm not. Since that time my lupus has evolved into central nervous system lupus vasculitis. So please don't give up go see another rheumy you need answers. I was in the same situation doctors looked at me like it was all in my head and some of my "so called best friends" are no longer my best friends we do keep in touch but not close like we used to be because she didn't know how to handle the situation I was in. This site is wonderful alot of people here to talk with and share stories. This disease is very hard to diagnose and difficult to treat at times. Keep her chin up and know we are here for you.

Eva


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08/13/2008 15:35
Lauralaine
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Eva--

this site is wonderful and i can't believe all the caring and candid thoughts and stories everyone is willing to share to comfort one another. and you did with me, i read your thoughts this morning and i really felt understood for the first time. i have been doing pretty well today, what's really getting me today is the fatigue. i think alleviating stress is just a huge part of it especially when the symptoms themself cause stress. you're right, i do need answers. thanks for your strength and stay stong in your own battles.



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08/14/2008 14:11
mumeva
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The fatigue that we suffer is different than what other people suffer. Sometimes is so consumeing and thats when we need to step back and rest awhile if we have a chance. I do know that stress plays a significant role. When I'm stressed my lupus does flare. My doctor always says try not to stress but everyday life is stressful. I usually do very well through the stressful period its after the fact. So my friend I hope you find the answeres real soon and until then take care.

Eva


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08/14/2008 15:58
redhairali
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I hate to say this, but, it just seems like many doctors just don't much about lupus. LFA still says there is no one test to diagnose lupus. I hope you are able to find out what's wrong soon. This lupus ride can be a very bumpy ride.

Ali


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08/14/2008 17:44
Lauralaine
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Thank-you Eva & Ali. Ali, I agree with you. Today, I found a new doctor who I will seek a second opinion from. Female, recent graduate, and an excellent reputation. She actually calls her patients back! So I look forward to the perspective that she may have to offer and I appreciate your thoughts and encouragement. It really does help to know that there are people out there who truly understand.
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08/14/2008 19:09
fibroforever
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Lupus is a very complicated thing. There are so many auto-immune disorders and diseases out there. And a lot of them often have similar symptoms.

I'm glad you're getting another opinion. With this new rheumy, I hope that you will request lots of bloodwork. There's more than just an ANA to determine peices of the puzzle for Lupus.

Are you still having the MRI of the knee? I would if I were you. If the MRI doesn't show it's mechanical or mild osteo- that will give them an alert to the fact that it could be an inflammation. Otherwise, you will know and feel a little more at ease about it being mechanical.

I was diagnosed as a teenager with arthritis in my knees and back. Later teen years and young twenties... I showed to feel much better.

Since then though- I have a possitive Speckled ANA with a Titer of 1:80. I hardly have any symptoms though. I also have Fibro and a few other things going on. They "say" I have Lupus, but they won't actually put it in writing. --- Sometimes I can't figure out what the medical people are thinking. Although... I'm sure it has something to do with insurance, the legal system, and disability.

Just hang in there. It might take many, many, MANY doctors and tests to figure out what's going on. Don't give up!

Amy

"When you feel like giving up, remember why you held on for so long in the first place." ~Unknown


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08/15/2008 03:31
bparks
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don't give up, I had mild symptoms until I was retested over and over-a negative ANA only means it hasn't showed up yet -It took almost 18 months for mine to test +. Luckily I was diagnosed when it was negative based on my symptoms and +antiphospholiid ab and livedo and brain MRI showing ischemia. Sometimes it takes the right Rheum, it took a second one for me to get the right treatment and to treat me like ny complaints really impacted my quality of life. Like I said don't give up.

Beth

I was diagnosed last year and have just recently found a good Rheum--I think it takes a good MD for you to actually see the light. I know with my previous Rheum i felt hopeless and disregarded as a neurotic patient. This one takes me seriously and knows how important quality of life is. I have 2 small children , 1 with autism and work a full time job.I really appreciate this forum because I've been looking to talk with people with the same worries about the future,

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08/15/2008 07:18
fibroforever
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Lauralaine- When posting yesterday, I forgot to tell you too.... be sure to request them to do a UA to check for protein in the urine. That's another biggy with Lupus.

I hope we've all been able to help some.

When is your next appointment? Will be thinking about you. Be sure to let us know how things go with the new rheumy.

In the meantime- take care of yourself!

~Gentle hugs~

"When you feel like giving up, remember why you held on for so long in the first place." ~Unknown
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08/15/2008 09:10
Lauralaine
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Yes, protein in my urine was the first thing that started happening with me. I have it every time I have a urinalysis but it largely goes ignored by the docs I have had. Last year I had gross hematuria with a huge amount of red and white blood cels. The results of that were that the doc at that time told me to drink skim milk, this is the same doc that told me my knee was "theatre syndrome."

I have a appointment with my new rheumie on Sept 9th. I will let you know. I'm not expecting anything definitive but from what I have heard she is the best in the state and one of the reasons is her communication skills and sincere interest in your health--that is something I'm definitely not getting from my current doc. I feel like I just keep getting tests but he isn't treating any of my symptoms, meanwhile getting up every morning is my greatest challenge.

Thank-you SO much for your support--It has helped me so much from slipping into the sad alone state that only hinders me from feeling better.

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