methotrexate and swollen lymph node

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firecracker1
Regular Member


Date Joined Apr 2007
Total Posts : 208
   Posted 11/24/2011 9:03 AM (GMT -6)   
I am on 0.4 cc's MTX injections once weekly. I have only done 2 injections and now my lymph node behind my left ear is swollen. I have pain in my ear canal as well. Anyone else have this experience with MTX? I am on such a low dose, with only 2 injections. I did not think it could lower my immune system so quickly. Going to have to call dr tomorrow to see if I should skip my dose. I doubt I will be able to get into see him, though. It takes weeks to get an appt.

minnietoty
Veteran Member


Date Joined Dec 2010
Total Posts : 1662
   Posted 11/24/2011 9:46 AM (GMT -6)   
I have been taking MTX 25 mg inj for 3 months now. At the beginning, I suffered from severe mouth ulcers to the extent that I could not eat. As you have said, swelling of the lymph nodes indicates that your immune system is severely affected by MTX. I think you should contact your doc immediately as the med might not working properly for you.
Hope you feel better soon:)
Take care!

firecracker1
Regular Member


Date Joined Apr 2007
Total Posts : 208
   Posted 11/25/2011 12:07 PM (GMT -6)   
Thank you for your reply, Minnietoty. I sp w/ dr ofc today. Physician Assistant thinks I have an ear infection. Told me to skip MTX until this clears up. She could not get me into ofc today as she was the only one there. Told me to call and make appt on Monday if still having issues. I think I will just go to an urgent care center if it is not clearing up or getting better by tomorrow. I don't want antibiotics, but if it is not clearing up on it's own I will have to go that route.
Meds: Methotrexate injections 1x a week, zoloft, gabapenten.

Crohn's Disease with a failed seton placement for fistula, 2 perforations, 1 small bowel resection. Technically in remission, but still feel sick. Have joint pain, muscle pain, fatigue, nausea, D, and abdominal pain & cramping; recently diagnosed with Crohn's arthritis and gastritis.

minnietoty
Veteran Member


Date Joined Dec 2010
Total Posts : 1662
   Posted 11/25/2011 3:14 PM (GMT -6)   
Hope this ear infections gets cleared up quickly:)
Take care!

hrsallee
Regular Member


Date Joined Nov 2005
Total Posts : 30
   Posted 11/25/2011 7:32 PM (GMT -6)   
Firecracker, I also have cd with fistulas... How do u manage your fistulas on a hygiene basis???

firecracker1
Regular Member


Date Joined Apr 2007
Total Posts : 208
   Posted 11/26/2011 8:52 AM (GMT -6)   
hrsallee,

Fistula hygiene is a challenge. I use saline water in a can to gently wash the area when at home. Away from home I carry anti bacterial wipes to wipe the area clean. I do not have a ton of drainage, but at times I use sterile gauze pads to catch extra drainage. My seton drains were removed as they caused me a lot of pain. I had the colo-rectal surgeon do a procedure to marcupelize (keep the fistula hole open with stitches) and that has been helpful. The seton drains caused me to get muscle spasms in that area that were unbearable. I also kept getting UTI infections because the seton drains were so close to that area. I do a lot of sitz baths in epsom salts to sooth the area. I still discomfort in that area, but it is bearable. I hope this helps.
Meds: Methotrexate injections 1x a week, zoloft, gabapenten.

Crohn's Disease with a failed seton placement for fistula, 2 perforations, 1 small bowel resection. Technically in remission, but still feel sick. Have joint pain, muscle pain, fatigue, nausea, D, and abdominal pain & cramping; recently diagnosed with Crohn's arthritis and gastritis.
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