Am I right to be doing this?
Posted , 8 users are following.
Hi all.
Not posted for a while as my PMR has been improving, and I have been busy with a 'life' at long last. No excuse for not posting though I know..
Anyway, I have managed alongside my doctor's advice, to get down to just 3mgs of pred a day now, and I generally feel very fit and well after starting out with 20mgs of Pred and being racked with pain all over my body last year.
The thing is, since I have dropped to 3mg I am again feeling some stiffness in my upper arms, shoulders and neck on waking in the morning. This usally gets much better as the day goes on and I move around, but doesn't actually go away completely. I have always believed that when you decrease your dose successfully there should be no pain at all befre you drop down further.
I have been decreasing the doses by 1mg every 2 weeks and have been fine, but I am now wondering if I should drop any further while I have this morning stiffness? And do I need to up my dose again to get rid of it?
I am a little dissapointed as I have been doing so well with my Pred reductions in general. :cry:
Advice would be appreciated.
Gilly.
0 likes, 41 replies
gillybee
Posted
Thats ok I don't mind you being curious at all..
:wink:
Yes, I did go through additions to control my BP. I started on just one tab, but can't remember which one it was, as it was so long ago.. :D
My BP has always been on the high side. High BP is something that I inherited from my dear late father. My sister and mum have always had good BP readings, but that's life I suppose.
My onset of my IBS started around Christmas time last year. I was diagnosed with PMR in November. But saying that, I had been suffering muscle pain and inflamation for about six months previous to that.
Oh..and to add to my woes, I also had a nasty bout of Labrythitus in September last year too, which was not good combined with aching muscles.
All these conditions have followed the death of my Mum in the previous Februrary, followed some rigourous and sometimes upsetting clearing of my mum's house.
They say that PMR can follow a stressful period in one's life, and IBS is notoriously connected to stress. I have always believed this to be the case with me.
Gilly.
EileenH
Posted
Did you know that PMR (at the GCA sort of end) can also cause abdominal pain and problems as well as ear problems? I had vague and annoying abdo pain and tinnitus all the time I had the \"mild\" version of PMR before it went into overdrive two and a half years ago. All disappeared within a few months of steroids. Just found the association interesting!
Your BP - you'll have started on the diuretic (the bendro one) and then the others come in a usually fixed add one and see what happens regimen. If it works why knock it.
do keep in touch,
Eileen
gillybee
Posted
Yes, I seem to be ok on my BP tablet mixture But with medication for PMR and IBS also, I sometimes feel like a walking chemist shop!
I also now and again get attacks of tintagel neauralgia..Well at least I think its that. Which is sharp stabbing pains at the top of my head which come in waves of a couple of secs on the scalp.
An attack like this can last from 1 to up to 5 days at it's worst. I have not had one for a while though thank goodness.
Once again I have been having these attacks on and off for years. My doctor does not associate this with my PMR or GCA.
I sound like a right old crock don't I? :D But as I keep saying, in spite of all this I am feeling quite well and lead a normal active (when I can) life.
Gilly.
Dublin,_Ireland
Posted
For a few years before I developed PMR I had dreadful IBS (co-incided with my Dad being very illl and eventually dying). Went for gastroscopy/ colonoscopy as drs thought I had coeliac disease but all tests came back negative.
I eventually went to a Naturopath as i was slowly fading away(plus spending my life in the loo :oops: :cry and she diagnosed candidiasis and wheat intolerance.I did a complete aversion therapy for a few weeks then slowly introduced other foods to see what caused a problem...for me eggs and wheat :shock:
I now follow a wheat/egg free diet and the difference is amazing...OK, I am a bit underweight for my height, but I no longer get awful bloating and the runs after meals and can go out without worrying where the nearest loo is :wink: '
I don't think that anyone who has not experienced this problem.....a bit like PMR, can truly understand how much it can affect your day to day life, let alone your social life .
It is all well and good for Doctor's to declare that you have IBS...but there is something out of synch in your body that is causing it to occur, and until you find that cause, you will continue to suffer,and having worn that t-shirt for a few years it is not one I wish to put on again.
I know a lot of GP's do not adhere to the idea of \"food intolerance\", but lots of health food shops here do testing, as do homeopaths, so it is well worth checking out if it gives you relief from one of your health issues.
Love,
Pauline.
MrsO-UK_Surrey
Posted
When I was taking the beta blocker, Atenolol, there was suddenly a lot of reporting in the media about beta blockers combined with diuretics carrying a risk of diabetes and I remember eventually reading that doctors were being advised to substitute a different medication to the beta blocker unless the beta blocker was being prescribed for a heart condition in which case the benefits to the patient outweighed the risks. Just might be worth getting your Dr's opinion on the Atenolol+diuretic=diabetes risk
I had been taking Atenolol for 2 years when I developed PMR and at the time I remember reading an article that made me suspicious of Atenolol in my case. However it was within days of switching from Atenolol to Ramipril that I then went down with GCA!
BTW I also suffer from the stabbing pains of neuralgia in my head/face that you describe and I seem to suffer more of a weakness to the condition since GCA. I have now learnt that a windy day can aggravate it and I never go out without a hooded coat or jacket or a warm scarf in my pocket.
I'm sorry to hear that you suffer from IBS as well - a daily small carton of 'live' yoghurt may help if you don't already eat it.
Keep well,
MrsO
EileenH
Posted
And the head pain you describe - something similar has been mentioned in PMR/GCA literature. Just a thought.
Eileen
mrs_k
Posted
It looks as though your GP is not up to speed.
Knowledge is power.
EileenH
Posted
For a lot of GPs it is an easy answer to hand out to women with these symptoms. My daughter was told that - in fairness she was also not given any other medication that night havbe been wrong - but that was it. The same GP also wrote her prescriptions for the pill - and we have 2 grandchildren as a result who, although loved dearly and we wouldn't send them back (most of the time :wink: ), could have been conceived at a more convenient time! IBS plus the pill = not secure contraception. Ignorant GP. And telling older women it is IBS is to ignore the possibility of other less benign problems.
Eileen
gillybee
Posted
It looks as though your GP is not up to speed.
Knowledge is power.[/quote:dbf7afe116]
Hi again ladies.
Well yes, he is not the most sympathetic doctor in the world. And he is enclined to play down the seriousness of my IBS symptoms.
Although saying that, when it first appeared this time he did run quite a few blood tests which ruled out the sinister diseases such as chrones and colitus etc. And I have recently taken the NHS Bowel cancer test and it came up ok.
At the moment my IBS seems to be in control. So fingers crossed!!
And with the gradual improvement of my PMR as well, I suppose at the moment, I should count myself lucky.
Gilly.
mollycoo
Posted
are you well versed on Gastric problems, and if so may I pick your brains a little please? My 38 yr old son has an ongoing stomach problem, which he's had for years now, He suffers frequent bouts of sickness and diarrhoea, has a lot of stomach pain and his blood count drops and he has to go to hospital to be infused, every so often. He has had all sorts of tests colonoscopies, blood tests, you name it and he's had it. Last year he spent a week in a teaching hospital in Sheffield under an eminent gastroenterologist, undergoing more tests. They cannot come up with a name for his condition. They've ruled out the nasty stuff, Leuchaemia and bowel cancer. My daughter in law is convinced it's Crohns as his symptoms all fit, but the medics say it's not, as there is no actual damage to the bowel which there would be with Crohns. They've ruled out IBS. He's had allergy tests. To add to his problems, a couple of weeks ago he was admitted as an emergency with severe back and stomach pains, this was attributed to an inflamed pancreas. He was always a very fit child, very sporty, competition swimmer etc, he was also quite well made but has lost a lot of weight lately. As he's in the armed forces, and having been posted out in the Gulf a couple of times, they drop back on \"it may be something you've picked up abroad\", but he's had all the tests for infectious diseases--all clear. He is managing to hold down his job at the moment, the RAF are very understanding. I want to pay for him to see someone privately, but he wont let me. It's an ongoing worry. I hope you don't mind the fact that this is not PMR related, but you're so well informed about medical matters, I thought I'd ask you! Thank you in anticipation, Molly.
EileenH
Posted
If he's had scopes done it does reduce the likelihood of most of the things you'd think of like coeliac disease, Crohns and ulcerative colitis etc. He's obviously either malabsorbing or bleeding to be repeatedly anaemic but the scopes should have found any of those causes. The 3 I've mentioned all have similar symptoms in some ways but usually have damaged tissue to be seen. Another very rare possibility could be Whipples disease but I would have thought there would be something to see there too. Cryptosporidium infection would be another uncommon reason for the symptoms but it is very unusual in an otherwise healthy person.
My wheat allergy doesn't show up on allergy testing and is thought to be a gut-mediated problem - the gut wall is \"leaky\" and allows the wheat protein to cross the cells and cause the trouble as an immune response. This was suggested by a conventional NHS gut specialist, not one of these airy-fairy alternative practitioners who plug the \"leaky gut syndrome\" as causing a multitude of woes - because you'll find them all over the internet!
But - have they done the tests during an attack? He obviously has periods between where he isn't so bad. Is the pain localised in any particular part of the abdomen? This is a very wild stab, but as you have PMR/GCA there is probably a genetic trait present in your family and I wonder if there is any chance it might be a vasculitis affecting the gastrointestinal tract. That can mimic Crohns. Has he had any other signs or symptoms? Any skin changes, joint pain (well, anything like you had with PMR!), anything besides the gut trouble? There are so many symptoms that autoimmune disease can show up with and they may be very vague and resemble all sorts of things. How is the abdo pain and vomiting and diarrhoea related to meals?
The trouble with going privately is that you are often merely paying a lot of money to see someone who probably also works in the NHS so still may not get an answer - which he obviously needs. It's different if you have a specific problem and want to see the best person for that disease - but that means needing a diagnosis first of all, or at least an idea. His week in Sheffield would have cost thousands privately and you might have seen the same consultant! The food might have been a bit better though!
And you know - this is PMR-related. The stress won't be doing you any good either and talking about it here means you have at least shared it with us. I certainly don't mind - I only wish there was more I could say to help. But I would ask if there could be any possibility of a vasculitis - if it is intermittent and not yet very severe they wouldn't necessarily see damage inside the gut, the signs will be in the blood vessels.
Do try and answer some of the bits I asked and I'll think/search further - I did find something that was quite similar in description in many respects. Maybe there's more.
Eileen
mollycoo
Posted
Dublin,_Ireland
Posted
I can relate to what your son has been experiencing so well :cry:
At the dinner on the evening I became Lady captain of my golf club, I suddenly became ill during dinner.....having been ultra-careful with what I ate :roll: .
I ended up in the loo for ages and had to let the my speech be given by my secretary :oops: . Thankfully, I was among friends who all knew that I was having stomach problems, but it was just so embarrassing and frustrating.
When I was in hospital prior to my PMR diagnosis, they also discovered that I had Pernicious Anaemia (also an auto immune disease), which affects food absorbtion and I am now on injections every 3 months to keep my viatamin B12 levels up.
I do hope that your son's doctors can get to the root of his symptoms soon and get him back to full health, as I know from bitter experience just how miserable an unreliable gastric system can be
Love,
Pauline.
mollycoo
Posted
sorry you've got problems in that direction too. It must be miserable, and so disruptive at times. Adrian has had tests for pernicious anaemia and it's not that. My father had pernicious anaemia in later life and had to have B12 injections every 3 months, but I don't remember it upsetting his digestive system, more extreme tiredness, he knew when his injection was due, and had a new lease of life afterwards! I know of no-one in my family who has had any stomach problems at all.
I think this is something my son is going to have to live with (at one time we thought it was something he may not be able to live with) but I wish they would come up with a name, and then perhaps introduce more effective medication. He takes painkillers, stomach calmers, anti sickness tablets and iron, to no great effect really. He's waiting to go for another scan on the pancreas. They don't know if the two problems are connected. He's a very upbeat sort of person, and keeps very cheerful amongst it all, he does in my presence anyway!! Thanks Pauline, Best wishes, Molly.
gillybee
Posted
So sorry about your cone Moolyco. And sorry too Pauline that you have been diagnosed Pernicious Anaemic. Your Golf Club dinner experience sounds horrendous.
It seems that if you suffer one auto-immune condition, as us PMR sufferers do, ther is a good chance that you could suffer with others too.
I can't help but wonder if there could be a connection here with some of the stomach related illnesses.
Obviously some of us are more prone to auto-immune conditions than others, and some stomach and bowel problems will be just more nasty auto-immune conditions to add to the list. So maybe PMR sufferers will be more susceptible.
I also wonder about the how having PMR and taking steroids effect the adrenal gland? It's apparently the adrenal gland that plays a big part in controlling the stress levels in brain to body messages. IBS is notoriously known to be brought on by stressful situations. Could there be a disfunctional adrenal gland connection here?
Just a thought..maybe one for Eileen?
Gilly.