Does Weather Influence CRP Levels in Ankylosing Spondylitis Patients?
Does weather affect CRP levels? Hello Doctor, my son is 20 years old and has been diagnosed with ankylosing spondylitis for 3.5 years. He has been undergoing regular medication treatment for the past 2.5 years and is currently stable. However, I have noticed a peculiar phenomenon...
Dr. Zeng Guosen reply Internal Medicine
Patients with rheumatic diseases often experience more discomfort during damp and cold seasons, but weather does not affect the CRP (C-reactive protein) levels reported. Medication adjustments can only be made based on symptoms and the levels of CRP. Thank you.[Read More] Does Weather Influence CRP Levels in Ankylosing Spondylitis Patients?
Assessing Bone Marrow Suppression Risks from Salazopyrin Use
Have I already experienced bone marrow suppression as a side effect from taking Salazopyrin? Hello Dr. Tseng, I would like to ask you another question. I am a patient with ankylosing spondylitis, and my main symptom is pain in the buttocks. Since my blood test on March 2 of last ...
Dr. Zeng Guosen reply Internal Medicine
The user's PLT and WBC are within normal ranges, but Hb is slightly low. Drug-induced bone marrow suppression typically affects WBC and PLT, so it is okay to continue the medication. Follow up with the attending physician for further discussion. There is no need to take iron...[Read More] Assessing Bone Marrow Suppression Risks from Salazopyrin Use
Understanding CA72-4 Levels: Are They Linked to GERD and Cancer Risk?
Gastroesophageal reflux disease (GERD) Last year, my CA 72-4 index was 13, and this year it is 24. I have gastroesophageal reflux disease (GERD) and I'm unsure if this elevated index could be related to my condition. Based on this index, is there a high probability of cancer...
Dr. Zeng Guosen reply Internal Medicine
I'm not an expert in gastroesophageal reflux disease, so I'm afraid I might not provide the correct information. I recommend consulting a gastroenterologist. Thank you.[Read More] Understanding CA72-4 Levels: Are They Linked to GERD and Cancer Risk?
Can Probiotics and Omega-3 Foods Help Manage Ankylosing Spondylitis?
Is taking probiotics or regularly consuming foods rich in omega-3 beneficial for ankylosing spondylitis? Hello Dr. Tseng, I am a patient with ankylosing spondylitis, and I have been experiencing symptoms for three and a half years. Currently, I take two tablets of Celebrex and on...
Dr. Zeng Guosen reply Internal Medicine
Online users suggest that omega-3 can combat inflammation, but its effectiveness in improving the inflammatory condition of ankylosing spondylitis is limited; it should only be used as a supplement and cannot be used for treatment. Probiotics or omega-3 are not expected to have a...[Read More] Can Probiotics and Omega-3 Foods Help Manage Ankylosing Spondylitis?
Does Celecoxib Effectively Lower CRP Levels in Ankylosing Spondylitis?
Is the effect of Xeljanz on reducing CRP inflammatory markers significant? Hello Dr. Zeng, I am a patient with ankylosing spondylitis. Could you please tell me if the medication Celebrex has a significant effect on reducing CRP inflammation levels in patients with ankylosing spon...
Dr. Zeng Guosen reply Internal Medicine
The medication Hylorac belongs to the class of NSAIDs (non-steroidal anti-inflammatory drugs) and has a certain effectiveness in reducing inflammation associated with ankylosing spondylitis. However, individual responses may vary; some may experience significant benefits, while o...[Read More] Does Celecoxib Effectively Lower CRP Levels in Ankylosing Spondylitis?
Understanding the Efficacy of Anti-Inflammatory Pain Medications
The efficacy of anti-inflammatory and analgesic medications? Hello Dr. Tseng, I have ankylosing spondylitis, primarily experiencing pain in my buttocks (sacroiliac joint) and lower back (at the level of my navel). I have been taking Voltaren and Celebrex for three months each. Wh...
Dr. Zeng Guosen reply Internal Medicine
Each medication has its own effects and can cause different reactions in individuals. It is not recommended to use different anti-inflammatory and analgesic medications simultaneously, as this may increase the risk of side effects. It is advisable to adjust other pain relievers t...[Read More] Understanding the Efficacy of Anti-Inflammatory Pain Medications
Managing Medication for Ankylosing Spondylitis: Key Considerations
Medication issues in ankylosing spondylitis? Hello Dr. Tseng, I am a patient with ankylosing spondylitis. For the past six months, I have been taking two Salazopyrin and one Voltaren daily for treatment. My CRP levels have been between 0.2 and 0.6, and my pain occurs approximatel...
Dr. Zeng Guosen reply Internal Medicine
Whether or not to take medication depends on the condition of the disease, including an overall assessment of pain, inflammation, and spinal involvement. This determination must be made by your treating physician who understands your situation; it cannot be decided solely based o...[Read More] Managing Medication for Ankylosing Spondylitis: Key Considerations
Understanding Undiagnosed Systemic Involvement in Connective Tissue Disorders
Regarding systemic invasion of connective tissue and (invasion, involvement), not explicitly stated? Recently, I frequently experienced mouth ulcers and visited the rheumatology department. Blood tests showed normal immune indices, but the doctor prescribed colchicine and iron su...
Dr. Zeng Guosen reply Internal Medicine
Colchicine has anti-inflammatory properties and is commonly used for the prevention and acute treatment of gout. Clinically, it can be used for the preventive treatment of chronic idiopathic oral ulcers. The physician's diagnosis refers to the meaning of idiopathic diseases.[Read More] Understanding Undiagnosed Systemic Involvement in Connective Tissue Disorders
Is My New Lower Back Pain a Side Effect of Salazopyrin or AS Symptoms?
My new lower back pain symptoms could be indicative of ankylosing spondylitis, or could they be a side effect of taking Celebrex? Hello Dr. Zeng, I am a patient with ankylosing spondylitis and have been experiencing symptoms for 2 years. In the first year, I mainly took anti-infl...
Dr. Zeng Guosen reply Internal Medicine
Is it true that the side effects of Seroquel need to be differentiated? If back pain is a side effect, it will not cause permanent harm to the body. It is recommended to follow up with the attending physician for evaluation.[Read More] Is My New Lower Back Pain a Side Effect of Salazopyrin or AS Symptoms?
How Effective is Certolizumab in Reducing CRP Levels?
Is the effect of Xarelto on lowering CRP significant? Hello Dr. Tseng, I am a patient with ankylosing spondylitis. I am currently being treated with Celebrex and Humira (I have also taken Enbrel in the past). I would like to ask the doctor some direct questions: 1) Generally spea...
Dr. Zeng Guosen reply Internal Medicine
Both have anti-inflammatory effects, but the response varies among patients with ankylosing spondylitis, and there are no studies reporting which one reduces CRP more significantly. The response in CRP reduction after administration varies from person to person.[Read More] How Effective is Certolizumab in Reducing CRP Levels?
Understanding Inflammation Index and Its Impact on Adhesion in Ankylosing Spondylitis
The relationship between inflammatory indices and adhesions? Hello, Doctor. I have ankylosing spondylitis. Before treatment, I experienced pain in my buttocks and lower back. For the past year, I have been taking two tablets of Celebrex daily, and my CRP levels have been maintain...
Dr. Zeng Guosen reply Internal Medicine
The likelihood of spinal adhesions is related to various factors, including inflammation levels, smoking, previous adhesions, obesity, and more. Of course, if there is no pain and inflammation levels are normal, the chances of developing adhesions in the lower back are reduced. E...[Read More] Understanding Inflammation Index and Its Impact on Adhesion in Ankylosing Spondylitis
Understanding Fluctuations in Hs-CRP Levels for Ankylosing Spondylitis Patients
Does eating salad cause fluctuations in hs-CRP levels? Hello Doctor, I am a patient with ankylosing spondylitis, and my main symptom is pain in the buttocks. Since March 2nd of last year, I have been taking two Salazopyrin daily and only taking Voltaren when I experience pain (th...
Dr. Zeng Guosen reply Internal Medicine
1) The activity of ankylosing spondylitis naturally fluctuates and is not ineffective. 2) It is possible that medication was not taken, or the disease itself may be changing. 3) There are reports indicating that COVID-19 infection can lead to increased instability in autoimmune d...[Read More] Understanding Fluctuations in Hs-CRP Levels for Ankylosing Spondylitis Patients
Post-Surgery Complications: When to See a Gastroenterologist or Immunologist?
Please specify the medical specialty and medication you would like to inquire about? Two months ago, I underwent electrosurgical treatment for colon swelling, measuring 8 cm. The postoperative recovery was normal; however, one month after the surgery, I experienced intestinal dam...
Dr. Zeng Guosen reply Internal Medicine
It is recommended that you first consult a gastroenterologist. If necessary, the gastroenterologist will advise whether to see a rheumatologist for further evaluation. Please do not self-medicate. Thank you for your question.[Read More] Post-Surgery Complications: When to See a Gastroenterologist or Immunologist?
Understanding Side Effects of Salazopyrin: Joint and Muscle Pain
Side effects of Salmeterol? Hello, doctor. Does Salmeterol have side effects related to joint or muscle pain? If so, how long does it typically take for this side effect to resolve after discontinuing the medication? Thank you, doctor.
Dr. Zeng Guosen reply Internal Medicine
Some users have reported side effects related to joint or muscle pain, although these are rare. Symptoms should improve after discontinuing the medication for about two weeks. Thank you.[Read More] Understanding Side Effects of Salazopyrin: Joint and Muscle Pain
Understanding the Causes of Painless Red Spots on Skin
Small red spots appear on the skin? Since the beginning of the year, I have been experiencing painless and itchless small red spots under the skin (which disappear when pressed). Blood tests for platelet count and liver function (including tests for sexually transmitted diseases)...
Dr. Zeng Guosen reply Internal Medicine
It is recommended to visit a dermatologist. If blood tests are normal and there is no diagnosis, a biopsy may be considered for further differential diagnosis. Thank you.[Read More] Understanding the Causes of Painless Red Spots on Skin
Medication vs. Biologics: Which is Better for Ankylosing Spondylitis?
Is it better to take medication or to receive a biologic treatment? Hello Doctor, my son is 20 years old and has been diagnosed with ankylosing spondylitis for 3.5 years. It took 1.5 years after the onset of symptoms to confirm the diagnosis and begin formal treatment. The overvi...
Dr. Zeng Guosen reply Internal Medicine
The general principle is that traditional oral medications are the first-line treatment. If the condition is stable, the use of biologics is not recommended. It may be worth considering a reduction in medication and monitoring the situation. Biologics are also a type of medicatio...[Read More] Medication vs. Biologics: Which is Better for Ankylosing Spondylitis?
Impact of COVID-19 on Ankylosing Spondylitis: A Clinical Perspective
The relationship between COVID-19 infection and the progression of ankylosing spondylitis? Hello, doctor. I would like to ask: 1) Are there any relevant studies that confirm that a diagnosis of COVID-19 can worsen the condition of patients with ankylosing spondylitis who previous...
Dr. Zeng Guosen reply Internal Medicine
There have indeed been reports that COVID-19 infection can lead to instability in autoimmune diseases. However, in most patients, this worsening condition tends to gradually resolve over time. There is no need to worry; you can seek medical advice and assistance from a physician....[Read More] Impact of COVID-19 on Ankylosing Spondylitis: A Clinical Perspective
Is There a Connection Between Urticaria and Immune System Disorders?
Is urticaria related to immune system disorders? Hello Doctor, I have been experiencing itching in my limbs for the past three weeks. The itching has progressively worsened, so I consulted a dermatologist who diagnosed me with urticaria, although I have never had this condition b...
Dr. Zeng Guosen reply Internal Medicine
There is a connection between immune dysregulation and urticaria. For further differential diagnosis, you can consult a dermatologist or an immunology/allergy specialist. Thank you for your question.[Read More] Is There a Connection Between Urticaria and Immune System Disorders?
Should You See a Doctor Again After 9 Days of Positive COVID Test?
Day 9 of diagnosis? Hello, it is now the period when isolation can be lifted, but I am still testing positive on the rapid test and experiencing symptoms such as phlegm and nasal congestion (especially severe at night). I have also been experiencing headaches, dizziness, and naus...
Dr. Zeng Guosen reply Internal Medicine
Hello everyone, many patients are testing negative after about 10 days, so there's no need to worry. If you still have symptoms, you can seek medical attention and get medication. Thank you for your question.[Read More] Should You See a Doctor Again After 9 Days of Positive COVID Test?
Can Ankylosing Spondylitis Lead to Rapid Osteoporosis in Young Patients?
Can ankylosing spondylitis lead to osteoporosis so quickly? Dear Dr. Tseng, I am currently 19 years old and have been diagnosed with ankylosing spondylitis for 2.8 years, with symptoms limited to pain in the buttocks. For the first 1.5 years, I was unaware that it was ankylosing...
Dr. Zeng Guosen reply Internal Medicine
1. Ankylosing spondylitis is not a significant factor leading to osteoporosis; as long as it is well-controlled and stable, it generally does not cause bone loss. 2. If you are taking Salazopyrin, you can take two tablets at once after dinner if you are only taking one tablet in ...[Read More] Can Ankylosing Spondylitis Lead to Rapid Osteoporosis in Young Patients?