The rattle could be allergies to your bed (dust mites), or you might have GERD (acid reflux). Get those ruled out, too.
Lupus is not identified by blood work only. There is a list of 11 indicators for lupus all rheumys must go by. You only need four of them to have it. If your rheumy looked only at your blood work then run not walk away from him. Get your primary to send you to a new rheumy.
Lupus, Fibromyalgia, Glaucoma, Asthma, Hypothyriodism, Sleep Apnea, OA, Depression, Allergies, and benign familia tremors
When life throws you lemons....
Pick them up and throw them right back at them! :))