Rheumatoid Arthritis Support Group
Rheumatoid arthritis is a chronic, inflammatory, multisystem, autoimmune disorder. It is a disabling and painful condition which can lead to substantial loss of mobility due to pain and joint destruction. The disease is also systemic in that it often also affects many extra-articular tissues throughout the body including the skin, blood vessels, heart, lungs, and...
Maybe I should mention this to my Rheumy today. Didn't relate it to Sjorgren's.
There are several tests besides blood tests that are sometimes used, but not accurate. I had Schirmer's test, which tests the rate of tear production over a period of time (5 minutes, I think).
To confirm SS, you'll probably need blood work to test for anti-SSA and anti-SSB antibodies (also referred to as anti-SSA/Ro and anti-SSB/La). Both are usually present with SS, and La is usually more accurate.
Since you already have RA, it would probably be secondary SS, if you have it. Your ANA, RAF and ESR stand a chance of already being elevated, so those won't likely aid in diagnosis.
I've had dry eyes for 3.5 years, and when I began to develop dry mouth last summer, I had the Schirmer's test, since I was already at my opthamologist's. His test came back positive, so I mentioned it to my RD, who did the blood work, and results were negative.
Dryness can definitely be a feature of RA, but it can also be a result of dehydration, so make sure you stay hydrated. This is my new banner: DRINK WATER. Or tea, or whatever floats your boat, so to speak, but not soda and coffee, unless you compensate.
For the rest of you... Thank you SO much! I did have my new Rheumy appt today... and I must say that I have had the very best of luck with my doctors lately! He is awesome! Very understanding, sympothetic, willing to listen... and even made me laugh a few different times! With some of the horror stories I hear yall going through...and some experiences I've had in the past... I KNOW how luck I am... with both my GP and now my RD!!!
Anyway, before I even mentioned my questions about Sjorgrens he made a comment about how dry I seemed. At this point it isnt too bad so, because it is winter, we are going to wait and see what happens. He did do some bloodwork for checking on it as well. He actually did a BUNCH of bloodtests to see where things were at since this was my first visit with him and the last rheumy I saw made the diagnosis based more on the examination than on tests. He (the new guy) took something like 14 tubes of blood. As the lady taking my blood kept pulling vials out of her pocket I was wondering how many there were!!! Luckly there's only one needle stick though! giggle giggle
He did prescribe me to take more predinsone, he wants me to try 10mg a day (double what I had been taking) and if I dont have enough of an improvement in a week to take 15 mg for a week then back to the 10mg. I am so looking forwrd to getting rid of some of this inflamation! He also said that with the predinsone, if I do not have a big enough improvement in my right knee... by far the worst and most swollen of my joints, and constantly so... that I can go in and have a cortisone shot for it. SO I surly feel like things are looking up a bit. Now I just want to fast forward a few days so the predinsone can be in my system and working hard as ever... but I will wait.
I am sitting here typing with my left fingers because my right arm all the way to my fingertips is killing me. any suggsetions on how to keep me from chopping off my arm and hand would be appreciated.
Try heat... when things are REALLY bad for me and my pain pills havnt kicked in yet, the only way (and fastest) that I can get relief is heat. I have a rice pack I heat up in the microwave that works wonders! You can also use a damp washcloth or handtowel heated up in the microwave, the moist heat penetrates deeper but tends to cool faster so you have to reheat a few times. If you have a heating pad you can use that or even just hot water. When i'm hurting a lot, especially when its all over, I get into the shower and sit in the running hot water until I feel relief (or the hot water runs out.) I've got a shower seat now so that I dont have to try to stand in the shower... something that caused more pain than the relief I was getting. Hopefully these ideas help! Good luck!