I am really sick. What do I do?

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babybloo
Regular Member


Date Joined Aug 2005
Total Posts : 289
   Posted 9/8/2007 1:06 PM (GMT -7)   
I am not well.  Started last night with well this is gross but with less than normal stools (diarrhea).  It still continues though now it is greenish or yellow.  Sorry to be so graphic.  I started going downhill more and more today and by the time I got home I had a fever.  Low grade.  100.5F.  I also have had a flare at the same time of multiple painful joints. 
 
Just yesterday I went to the rheumy for a follow up and overall there had been some good improvements.  I discussed my bowel history and he suspects inflammatory bowel too.  Says I need a GI consult and then they may consider switching one med from methotrexate to sulfasalazine.  They are going to move the Rituxan infusion to every 4 months instead of every 6. 
 
Well, I didn't have a chance to see the GI doc before this happened again and this time it is much worse then I have had before.  I never had a fever before so I am thinking either bad food or infection?
 
I currently take Rituxan, Methotrexate (10 tabs), Arava, and other meds unrelated to RA.  I thought i read on those tons of doctors pamphlets that if you are running a fever you should be seen because of the meds or for whatever reason.   I don't want to go running if I don't have too what do you think????
 
Theresa
dx: Rheumatoid Arthritis.  Duration: 10yrs. Dx'ed 2006.  Asthma, hypertension, hypothyroid
 
Meds: Methotrexate 25mg wkly, Arava 20mg, Rituxan infusion, Folic Acid, Fish Oils, Advil, Advair 250/50, Diovan HCT 160mg/25mg QD, Women's One a Day, tylenol PRN.
 
 


Ducky
Veteran Member


Date Joined Mar 2005
Total Posts : 3199
   Posted 9/8/2007 4:32 PM (GMT -7)   
Hey Theresa, is there any pain? Can you take tylenol or anything to help with the fever? Is the fever rising or staying the same.. let us know how you are doing..
Moderator of Arthritis Forum
Confirmed Diagnosis of - Psoriatic Arthritis/Spondylitis/Graves Disease/GERD/Scoliosis/Hiatal Hernia/Graves Disease of the Eyes/Chronic UTIs
Current Meds -  Enbrel/Prevacid/Synthroid/Nitrofurantoin
Past Meds - Inderal/PTU/Prednisone/Voltaren/Feldene/Mobic/Cortisone and Steroid Shots
Additional Supplements - Multi-Vitamin/Bromelian/Acidophilus/Green Tea
 


babybloo
Regular Member


Date Joined Aug 2005
Total Posts : 289
   Posted 9/8/2007 4:46 PM (GMT -7)   
Thanks Ducky. There is pain in about all of my joints that just came on so suddenly today after the start of the GI issues. The fever started about 12 hours later. It was 100.5 and now it is 101 but it isn't very high. I remembered something about the Rituxan and low B cells and that if you have a fever then there is something pretty big going on because you need those WBC to have a fever and mine are intentionally being lowered.... so I got nervous. But I am not getting much worse. Just feel like crap and very tired. For me to be cold in the summer there has to be something wrong. I think I am just going to wait this out. Must be a 24 hour bug or something. If it were really bad I would be much worse by now. I hadn't taken tylenol or anything because I was concerned about my gut. But I think I should be able to manage that now. Sorry there was a bit of concern earlier but since it really hasn't progressed that concern is decreasing.
Theresa
dx: Rheumatoid Arthritis.  Duration: 10yrs. Dx'ed 2006.  Asthma, hypertension, hypothyroid
 
Meds: Methotrexate 25mg wkly, Arava 20mg, Rituxan infusion, Folic Acid, Fish Oils, Advil, Advair 250/50, Diovan HCT 160mg/25mg QD, Women's One a Day, tylenol PRN.
 
 


babybloo
Regular Member


Date Joined Aug 2005
Total Posts : 289
   Posted 9/10/2007 5:55 PM (GMT -7)   
Ok, I am still sick. My fever is back and I feel weak, flushed, tired and shakey just walking across the room. Not to mention the dozens of trips to the bathroom. I talked to doc who said stay on clear fluids but I haven't even eaten or drannk more than water since friday. He mentioned doing a culture tomorrow. I am concerned about work too. I called in but am worried about being off for two days now. He suspects its inflammatory bowel or bacterial infection contracted from some chinese food I ate the afternoon all this started. I guess being on immune suppressives opens you up to a wide variety of issues....

Theresa
dx: Rheumatoid Arthritis.  Duration: 10yrs. Dx'ed 2006.  Asthma, hypertension, hypothyroid
 
Meds: Methotrexate 25mg wkly, Arava 20mg, Rituxan infusion, Folic Acid, Fish Oils, Advil, Advair 250/50, Diovan HCT 160mg/25mg QD, Women's One a Day, tylenol PRN.
 
 


elcamino
Veteran Member


Date Joined Sep 2005
Total Posts : 1744
   Posted 9/11/2007 4:36 AM (GMT -7)   

Hi Theresa,

Since you're on immunosupressant therapy, I would suspect an infection and see a primary if it continues.  It may not seem like a huge health risk now, but if it is an infection and your immune system is under the weather it can get ugly real fast.  I hope you're feeling better soon.

 

El


Current dx: Rheumatoid Arthritis
Suspected dx: UCTD/Early Lupus
Current Meds: Enbrel, Plaquenil, Aciphex, Ultracet, Zyrtec, Allavert-D, Zantac, Tylenol PM
Past Meds: Relafen, Vioxx, Mobic, Voltaren, Sulfasalazine, Entocort, Prednisone, Humira, Reglan


erin.K
Veteran Member


Date Joined Mar 2005
Total Posts : 3148
   Posted 9/11/2007 2:07 PM (GMT -7)   
hey Theresa,
please let us know when you can how you are doing. i would totally suggest getting to a doc ASAP. a few weeks ago i had a "little infection" that went into sepsis very quick because i'm so immune suppressed.
be safe, get checked, get cultured...don't worry about work! it's an acute emergency thing, your work has to honor that.
please do be careful & be safe. dehydration sounds like it could be taking a big toll on you right now.
(((((((((((((good thoughts to you))))))))))))))
write when you are doing a little better.
Arthritis Forum Moderator & Co-Pilot
Active Severe Rheumatory Arthritis. AS. Crohns Disease. A.Chiari Malformation & right brain venous anomoly. Partial Complex Seizures (under control!). MVP & Tricuspid Valve Prolapse. Rheumatic heart & lung. Kidney Stones (oh joy). Previous Lymes Disease for 10 years.
Meds: Remicade infusions 600mg Q3weeks; Intra-articular knee injections; 6MP 50mgQD plus 75mg weekly; Mesalamine 4GramsQD; Prednisone 20mgQD; Entocort 9mgQD; Meclizine; Augmentin; Tigan; Reglan; LidoDerm; Diazepam; Rozerem; Diclofenac; Celebrex; Dilaudid 4mg; Duragesic 25mcg/hour. 


babybloo
Regular Member


Date Joined Aug 2005
Total Posts : 289
   Posted 9/12/2007 7:37 PM (GMT -7)   
Thank you everyone for your responses and concern. I have turned a corner today and am feeling much better. Still have some issues but overall I am function and back to work tomorrow.

Thank you

Theresa
dx: Rheumatoid Arthritis.  Duration: 10yrs. Dx'ed 2006.  Asthma, hypertension, hypothyroid
 
Meds: Methotrexate 25mg wkly, Arava 20mg, Rituxan infusion, Folic Acid, Fish Oils, Advil, Advair 250/50, Diovan HCT 160mg/25mg QD, Women's One a Day, tylenol PRN.
 
 


yalinda
Veteran Member


Date Joined May 2006
Total Posts : 1179
   Posted 9/13/2007 6:30 PM (GMT -7)   
hi theresa sorry i havent been around, just read all the posts and hope you are still on the mend? how did you feel today? did you go to work? dont over do yourself and allow your bosy to mend from whatever this was. hugs yally

babybloo
Regular Member


Date Joined Aug 2005
Total Posts : 289
   Posted 9/15/2007 10:07 PM (GMT -7)   

I am still improving.  Still looking at food like it is an alien.  Still losing weight and still having some intestinal issues but overall I am doing much better.  My poor boy is not well now so there really is never time to rest when your a momma.  He is soooo pitiful.  I just wish the jaw pain would go away.  Using ice and heat is helping.

Theresa


dx: Rheumatoid Arthritis.  Duration: 10yrs. Dx'ed 2006.  Asthma, hypertension, hypothyroid
 
Meds: Methotrexate 25mg wkly, Arava 20mg, Rituxan infusion, Folic Acid, Fish Oils, Advil, Advair 250/50, Diovan HCT 160mg/25mg QD, Women's One a Day, tylenol PRN.
 
 

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