Hi Angie. You sound as though you most certainly should be checking with your a rheumatologist as it all sounds like inflammation to me. am not qualified to give medical advice only from my experience with PM. Your doctor will need to check your lab work but it sounds as though this needs to be hit hard and aggressively to dampen down the inflammation. Do you take any steriods. Autumm

Personally, my prednisone meds give me nausea. If I take them on an empty stomach, I'm a mess. But if I eat before taking it, I'm better. But I have lost 50 lbs because of eating less. The meds are really hard on your stomach and intestines. That's why I'm trying to get off this stuff -- it suppresses the immune system, which is what fights disease. Doesn't make sense to suppress the very disease fighting system that should help the body recover from any illness.

I'm not on any Prednisone at the moment. I was on 40 mg when I was first diagnosed a year and a half ago and have had a couple of times when I had to go on a low dose for awhile because of flare ups. It has probably been six months since I have been on Prednisone.

I am in a flare and haven't had nausea - but we are all different. I would check in with the rheumy. I blew off my symptoms and it would have been better if I had gone in sooner. -:)

Angie, I have a constant nausea, but I can eat. I know my nausea is not my stomach.

Nausea can be caused by MTX. If the nausea goes away then you might be able to conclude the problem is the MTX.

Nausea that does not go away is a problem other than the medication. Think about the other symptoms you are having along with the nausea. Have you checked your blood pressure? Have you checked your blood sugar? It is important to check things especially when you feel bad. Write down your other symptoms too.

Chronic nausea during a flare could be a result of an elevated liver enzyme during the flare. I always get nausea during a flare.

Think about your other symptoms and talk to the doctor. I will put in a prayer for you. Keep us posted.

I called my rheumy today and she ordered some bloodwork so we will see what that shows. Thanks everyone. :)

Hi Angie. Well done calling your doctor. Even if the labs are ok it iis often 'how you feel' sometimes this is the best indicator before anything shows in the blood work. Thinking of you and wishing you well. Autumm

Still waiting on lab results. My rheumy is the type that seems to rely heavily on lab results and doesnt always seem particularly interested in "how I'm feeling". It can be frustrating dealing with her and her staff. This is my second rheumatologist. My first one (who I was sent to after a dermatologist made the diagnosis of DM) was a real quack. My family doctor has told me he doesnt believe we even have any real good rheumatologists where I live. So that was reassuring. ;)

Angie, I sympathize with not being able to find a good rheumy. The longer I have had DM, the more I realize so many doctors are full of quack.

I have thought a lot about this issue, and I decided to just stay with the current quack I see on a regular basis for now. The rheumy can not do anything except give the SAME medications that they all prescribe. When the meds do not work, then you stop the drug or take something else for a short period. Any real complications with an organ means that another specialist will take over anyway. We must do our own research and decide to see another specialist on our own. I see the gastroenterologist tomorrow to find if I have internal bleeding as a cause of low, low blood pressure. I will see the cardiologist also to see if the pressure problem may be heart valves. DM is a puzzle. Go with your symptoms and knock on other doors. Good Luck.

I have experienced nausea with muscle aches during flares. Abdominal discomfort is pretty much a daily occurrence if I eat at all. My experience is that the dermal flares occur without correlation to the muscle aches and weakness. Muscle aches and weakness respond well to IVIG after initial couple of days.