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Posts by wiredotter12

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Dealing with hemorrhoids – any advice? in Health ·
wiredotter12 said:I underwent the Excisio PT procedure.Check the pricing list here: had surgery to remove a large perianal thrombosis, but a new one popped up just one or two days later. 😠
Check out this info on managing hemorrhoids: http://www.lastric.com/ob...ski-hemoroidi/

What now? Doing this all over again? Does that even make sense? How am I supposed to help...

Hi. Five days ago, I had two Excisio PT procedures to deal with two large perianal thrombosed hemorrhoids. Now, a third one popped up just two days later. This is getting ridiculous.

I'm heading straight to the specialist at the hospital in Washington, D.C. for an exam. I have no idea what's actually going on here, and I refuse to end up back in surgery for a perianal thrombosis every two days. 👎
These private insurers just bleed you dry as long as they can. 😠
Dealing with hemorrhoids – any advice? in Health ·
wiredotter12 said:Hi. After dealing with minor internal hemorrhoids for a few years—likely caused by too much sitting, heavy lifting, and constipation—I've now developed an external hemorrhoid about the size of a large pea.👎

I'm heading to the Lastric clinic for an exam ASAP. What can I do on my end right now to improve my condition? Thanks.

Just had the Excisio PT procedure done.Check out the service pricing here: an operation to remove a large perianal thrombosis, but a new one popped up just 1 or 2 days later. 😠
Check out this info on internal hemorrhoids: http://www.lastric.com/ob...ski-hemoroidi/

What now? Again? Does this even make sense? How am I supposed to help...
Dealing with hemorrhoids – any advice? in Health ·
Hi. After years of dealing with minor internal hemorrhoids—likely due to too much sitting and straining during bowel movements—I've developed an external hemorrhoid about the size of a large pea.👎

I'm heading to the Lastric clinic for an exam ASAP. In the meantime, what can I do on my own to improve the situation? thanks
Reactive arthritis in Health ·
Grace Campbell56 said:Enterococcus faecalis definitely didn't die off even after four rounds of Ninur therapy (even though it’s sensitive to Ninur). Now what??? Does anyone know a killer infectious disease specialist near Mayo Clinic??? I gotta do something before this turns totally chronic and who knows what else...

wiredotter12, man, I am so sorry that bacteria is sticking to you like glue.

My own experiences ("unfortunately" 😁) with the Mayo Clinic have been awesome. Honestly, I don't think you can go wrong going to them.

Anyway, I'm super interested in your case because I started getting similar symptoms about 6 weeks ago. I wanna jump on this ASAP so it doesn't get as bad as yours.

It all kicked off with pain and burning in my right wrist. I figured it was just bad ergonomics from working at my computer too much, so I tried to take it easy.
After a week, the exact same thing started happening in my left wrist.
Two weeks in, I hit up my GP. Their advice? Just fix your desk setup at work.
After 10 days of being super careful and trying to use only my left hand, I went back to the doctor since my right wrist wasn't getting any better. In fact, the left one just got worse.

Got X-rays of my wrists, a CBC, CRP, and ESR. Everything came back fine. That was a week ago.

Then the burning during urination started, along with aching in my elbows and knees.
Got prescribed Voltaren 3 x1 daily and a diagnosis that it’s most likely reactive arthritis.
They sent me to get a urinalysis. Currently waiting on the results.

By the way, two years ago I tested positive for chlamydia in a urethral swab, but that was successfully cleared up.

Hi. I went to the Mayo Clinic and according to them, the cause is somewhere in or around the prostate, because you wouldn't have recurring bacteria in a urethral swab after multiple rounds of therapy...

They gave me this treatment:
Augmentin BID 2X1 g for 14 days
Sumamed 1 x 500mg, 3 days a week for 3 weeks
+ abdominal, urinary tract, and prostate ultrasound
...followed by numerous prostate fluid cultures.

I don't know what to say... it seems strange to be handed such heavy-duty therapy like Augmentin + Sumamed—which don't kill Enterococcus faecalis—without prior exams or tests, but I suppose they know what they're doing. They certainly have the experience.

I regret not going to the Mayo Clinic sooner, but it is what it is. I suggest you do the same.
Reactive arthritis in Health ·
FYI, back at the start of 2015, I restarted therapy with Ninur (nitrofurantoin) capsules 50mg for 7 days (4 x 2 capsules)—that’s two full boxes (30 capsules per box). Now I need to get another urethral swab... but I already know the result. 👎

Enterococcus faecalis definitely wasn't wiped out, even after a heavy course of Ninur (though it is sensitive to it). What now? Does anyone know an excellent infectious disease specialist comparable to Fran Mihaljević? I have to take action before this turns completely chronic and leads to other issues...

THANKS!

wiredotter12 said:Update:
A urethral swab from October 14, 2014, showed Enterococcus faecalis is still present, though the Klebsiella pneumonia was cleared by two boxes of Ciprofloxacin 500mg. Apparently, Enterococcus faecalis is linked to septic arthritis (http://www.thearthritiscenter.com/co...se-information).

My internist/pharmacist wants me to take Ninur (nitrofurantoin) 50mg capsules for the next 7 days (4 x 2 capsules)—that is two full boxes of 30. It feels like an aggressive "all or nothing" dose. I have to take the Ninur with food or milk to help prevent nausea. I am also taking Linex 2 x daily.

I forgot to mention to the doctor that I have these small pockets or swellings on my knees, ankles, left elbow, and potentially my hand joints. I can't tell if it's fluid buildup or synovial fluid. How do you detect what that actually is, and how do you get rid of it?
Reactive arthritis in Health ·
Charles Gomez2 said:Man, those bacteria are such a nightmare, I honestly can't believe you're still dealing with Enterococcus... I really hope these antibiotics finally knock them out for good. I actually had my urethra swabbed and a sperm culture done today, so we'll see what the results look like next week. The pain just won't let up, and a woman told me her husband went through this too and was put on corticosteroids right away, which cleared everything up... I'm just not sure what to make of it all...

Hang in there. Don't quit. We have to push through—there's no other way. Corticosteroids are just another tool in the kit, but they should be the last resort. Good luck.
Reactive arthritis in Health ·
wiredotter12 said:Before my urethral swab came back positive for Klebsiella pneumoniae and Enterococcus faecalis, my internist gave me this diagnosis:
  • Arthritis reactive in remission &
  • Polyarthralgiae


I'm not sure if that's still the official status, 🤷but I finished my 10-day course of Ciprofloxacin 500mg and I'm currently just taking one 500mg tablet of Salazopyrin daily.

The swelling in my knees and joints is down about 30-40%. It hasn't vanished, though. I'll need another swab to confirm if the Ciprofloxacin actually killed off the bacteria.

So far, my blood work, urine tests, CRP, and stool samples have all come back normal.
Do you have any suggestions for further testing? Maybe seeing an immunologist or an infectious disease specialist?

Update:
A urethral swab from October 14, 2014, showed Enterococcus faecalis is still present, though the Klebsiella pneumonia was cleared by two boxes of Ciprofloxacin 500mg. Apparently, Enterococcus faecalis is linked to septic arthritis (http://www.thearthritiscenter.com/co...se-information).

My internist/pharmacist wants me to take Ninur (nitrofurantoin) 50mg capsules for the next 7 days (4 x 2 capsules)—that is two full boxes of 30. It feels like an aggressive "all or nothing" dose. I have to take the Ninur with food or milk to help prevent nausea. I am also taking Linex 2 x daily.

I forgot to mention to the doctor that I have these small pockets or swellings on my knees, ankles, left elbow, and potentially my hand joints. I can't tell if it's fluid buildup or synovial fluid. How do you detect what that actually is, and how do you get rid of it?
Reactive arthritis in Health ·
Scott Howard74 said:So, you've done all the testing, but what’s the actual diagnosis?

Before my urethral swab came back positive for Klebsiella pneumoniae and Enterococcus faecalis, my internist gave me this diagnosis:
  • Arthritis reactive in remission &
  • Polyarthralgiae


I'm not sure if that's still the official status, 🤷but I finished my 10-day course of Ciprofloxacin 500mg and I'm currently just taking one 500mg tablet of Salazopyrin daily.

The swelling in my knees and joints is down about 30-40%. It hasn't vanished, though. I'll need another swab to confirm if the Ciprofloxacin actually killed off the bacteria.

So far, my blood work, urine tests, CRP, and stool samples have all come back normal.
Do you have any suggestions for further testing? Maybe seeing an immunologist or an infectious disease specialist?
Reactive arthritis in Health ·
Blood work, urine tests, CRP, and sedimentation levels all come back normal... yet my fingers, hands, and feet ache throughout the day, especially my knees, which feel incredibly swollen, along with my elbows, shoulders, upper arm muscles, and ankles...

A urethral swab came back positive for Klebsiella and Enterococcus faecalis...
For the next 10 days, I’m on Ciprofloxacin 2 x 500 mg, followed by one 500 mg tablet of Salazopyrin daily for the next 3-4 months.

Has anyone dealt with similar issues or heard any firsthand accounts?
Feel free to DM me. Thanks.
Reactive arthritis in Health ·
wiredotter12 said:Just an update: my wife just finished her gynecological exam. They found some lesions on her cervix, so they're suspecting CIN1. She's scheduled for a Pap smear next week along with HPV typing.

They need to run swabs, so I should probably get mine done too—testing for aerobics, Ureaplasma, Mycoplasma, Chlamydia, and so on. There's a high probability these little beasts triggered my reactive arthritis / Reiter's.

Has anyone dealt with a case like this before?

The swab from my urethra came back positive for Klebsiella pneumoniae and Enterococcus faecalis...

For the next 10 days, I'm on Ciprofloxacin 2 x 500 mg, and I'm still taking one 500mg tablet of Salazopyrin daily.

Current diagnosis: Arthritis reactive in remission & Polyarthralgiae.

Anyone else facing similar issues or have other experiences to share?
Maria Fisher46 said:Ma'am,

All these results are standard. We ran tests for antibodies that can cross the placenta and destroy fetal red blood cells; your result was negative, which is exactly what we want to see. You were also tested for Hepatitis B, and that came back normal. As for your blood type and Rh factor, you already know those.

You should have received the results by now. If they are negative, your medical leave ends and you can return to work. However, if any sample comes back positive—meaning two consecutive samples aren't negative—you’ll have to repeat the testing and won't be cleared for work until the results are negative.

The core logic behind this screening is that certain HLA antigens appear more frequently in people with specific diseases than in healthy populations. Essentially, having these antigens is linked to a higher risk of developing certain conditions. That doesn't mean anyone with the antigen will definitely get sick. Likewise, someone without it could still fall ill.

The standout here is HLA-B27, which can indicate an increased risk for reactive arthritis (about 40 times higher than someone without it), uveitis (about 10 times higher), ankylosing spondylitis (as much as 80 times higher), and so on.

Stupid question... but I'm genuinely unsure here.🤷

Does HLA-B27 ND mean I definitely have HLA-B27, or does "ND" mean it's not determined (not certain if I have it or don't have it at all)?

I'm asking because three different doctors have misinterpreted this for me... thanks.
Maria Fisher46 said:Ma'am,

The HLA-B27 result stands out. It can indicate a significantly higher risk for reactive arthritis (roughly 40 times higher than someone without this HLA), uveitis—inflammation of the middle layer of the eye—with about a 10-fold increase in risk, and ankylosing spondylitis, where the risk jumps by as much as 80 times.

Thanks
I was wondering if anyone here could help me interpret these HLA tissue typing results:

HLA-A 2 3
HLA-C NT NT
HLA-B27 ND
Bw4/Bw6 NT NT
HLA-DR 11 13
DR51/DR52/DR53 52 ND
HLA-DQ 3 1
CDC & specificity:
B+T Ly, CDC, DTT – B Ly T Ly, CDC, DTT + B T Ly T Ly:
Note: M14

Thanks!
Reactive arthritis in Health ·
wiredotter12 said:Thanks... I didn't want to say it here immediately, but I’m 90% sure it's Reiter's.

Time is money. It’s clearly difficult to prove it's Reiter's, and I need antibiotics, but I can't get anything without a diagnosis. This is a mess. What now?🤷

Just an update: my wife just finished her gynecological exam. They found some lesions on her cervix, so they're suspecting CIN1. She's scheduled for a Pap smear next week along with HPV typing.

They need to run swabs, so I should probably get mine done too—testing for aerobics, Ureaplasma, Mycoplasma, Chlamydia, and so on. There's a high probability these little beasts triggered my reactive arthritis / Reiter's.

Has anyone dealt with a case like this before?
Reactive arthritis in Health ·
Scott Howard74 said:Look, just read this. To you, it might look even more messed up than it actually is, but if your rheumatologist already scheduled you for a follow-up in three months, then don't go doubting them. Just trust the process.

Look, Reiter's syndrome is this absolute nightmare of a chronic inflammatory disease that just pops up whenever it feels like it. It doesn't just mess with your joints—though it usually starts its rampage in your knees, feet, or ankles—it hits you everywhere else too. We're talking the urethra and even your eyes, where you can get hit with nasty conjunctivitis. Honestly, it’s most common in guys between 20 and 40 who’ve dealt with an STI, and if you've got the genetic predisposition linked to HLA-B27, you're basically sitting ducks. It's just one of those things.
So, look, Reiter's syndrome is also called reactive arthritis, and honestly, it totally makes sense why. It’s basically just your body throwing a massive, global temper tantrum because of an infection somewhere else entirely—like, your joints are just collateral damage in some other part of your body's war zone.
So, what are we actually looking at here? Causes and symptoms. It’s never straightforward, is it? One minute you think you just pulled a muscle or caught a nasty bug, and the next, you're staring down a whole laundry list of issues that make zero sense. It’s a total mess. Honestly, trying to pin down why things go sideways is like chasing ghosts. You think you have it figured out, then some new symptom pops up out of nowhere and ruins your entire week. It's exhausting. Just one thing after another.
Look, this whole thing basically boils down to your body just totally freaking out over an infection. It’s like your immune system loses its mind after you catch something—could be an STD, could be some nasty gut infection, doesn't really matter. It just goes haywire. You end up dealing with a nasty case of urethritis, your eyes get all red and inflamed, and then the joint pain hits. We're talking real misery here—swollen, aching joints, usually hitting the knees or the toes, and that sharp, stabbing pain where your tendons meet the bone, like in your heels. It's a mess.
So, I was digging through some new research, and get this—it turns out microorganisms are basically pulling the strings behind rheumatoid arthritis and all those other rheumatic messes in chimps, rats, pigs, poultry, and all sorts of livestock. It’s everywhere. Turns out two of the biggest culprits are Mycoplasma and Chlamydia. We're talking about parasitic bacteria that trigger Reiter's syndrome in the connective tissue of people who already have the genetic predisposition for it. Crazy stuff.
When you've got this weird mix of joint pain, issues with your private parts, urinary problems, skin rashes, and red eyes, any doctor worth their salt is gonna start looking at Reiter's syndrome. The thing is, these symptoms don't always hit you all at once, so you could be wandering around totally clueless for months while the disease flies under the radar. Plus, there isn't some magic, easy blood test that just screams "Bingo! It's Reiter's."
So, what can you actually do about it?
Usually, they throw antibiotics at the infection to kill it off, and cranking up the NSAIDs can help dial down the joint pain and inflammation to a manageable level. Even though most people pull through, those nasty arthritis symptoms can flare up and vanish for years on end. Just when you think you're in the clear, boom—there it is again.

Thanks... I didn't want to say it here immediately, but I’m 90% sure it's Reiter's.

Time is money. It’s clearly difficult to prove it's Reiter's, and I need antibiotics, but I can't get anything without a diagnosis. This is a mess. What now?🤷
Reactive arthritis in Health ·
Scott Howard74 said:Those three months will fly by, just do what they told you to do.

Thanks for the feedback, first of all. But sorry, I suspect my initial issue was likely a primary infection from some kind of pathogen. I don't know which one—I haven't run tests for things like strep, Lyme, Yersinia, Ureaplasma, or anything else, so I have no idea. That’s why I dealt with nasty discharge for weeks back in late 2013. I took antibiotics then, but maybe too late or not enough Augmentin, and now my immune system has overreacted. It’s producing something that's attacking my joints because it mistakenly thinks the pathogen is still there (starting with my elbow, then both elbows, and now mostly my knees and ankles).
My blood and urine tests have come back normal twice now. 🤷

Now I get occasional dizzy spells, and my leg muscles ache like I just ran a marathon. I also feel like my knees are severely swollen, even though they don't look it. I just apply some topical cream and take one Tylenol at night.
None of this feels sufficient. It feels like the actual cause hasn't been found or eradicated. I'm no doctor, but I strongly suspect a lingering pathogen, and that requires antibiotics, which I am currently not taking. 😕

The rheumatologist only looked at my X-rays, physical symptoms, and blood/urine work. He did NOT order any tests for potential pathogens that trigger reactive arthritis. 🤷
It's what keeps bothering me: the idea that I still have an infection, I'm not taking antibiotics, and my body is still attacking my joints because it thinks the threat is still present. 😠

Does anyone know who can order specific testing? Maybe an infectious disease specialist in a major US city like Chicago or New York? And specifically, what tests should I ask for to rule out a bacterial cause?

If I still have an infection, waiting three months without antibiotics sounds like a disaster, doesn't it? 🤷
Reactive arthritis in Health ·
Scott Howard74 said:Honestly, your best bet is just to talk to the rheumatologist. If they need to admit you to the hospital for more testing to figure out what's actually happening, let them. Just give us an update once you've seen the doc.

Greetings, here is the update...

Five months ago, I dealt with a severe, long-lasting respiratory issue. It involved heavy nasal and oral congestion. After two or three weeks, I finished a course of Augmentin, and that finally cleared things up.

A few weeks later, my left elbow started killing me. Over the next couple of weeks, the pain intensified, spreading through my upper arm, forearm, and hand. It got so bad I was practically useless with that arm for weeks. My GP prescribed Advil (one 600mg tablet daily) and some Aspercrem, but after just a few days, the pain started creeping into my right arm, my neck, and my cervical spine too.

My GP bumped my Advil up to 600mg three times a day, but it trashed my stomach. I scaled it back to twice a day and just used Aspercrem on top of it, but that didn't do much either.

Two months ago, my left fingers started tingling. Now the numbness has spread to my feet, along with this strange sensation in my legs. The pain is migrating.
I called my father. He went through something similar decades ago—lasted a few months. He’s HLA-B27 positive, and Indomethacin was what actually helped him.
I started on Indomethacin 50 mg / 3 x myself. It provided some relief for about two or three weeks, but after a brief break, I couldn't touch it again. Every time I took it, the dizziness was unbearable—lasting three to four hours. Now, I just use Aspercrem twice a day on my knees, elbows, ankles, and hands.

I've switched to taking only Tylenol at night before bed, but now the pain has migrated from my elbows down to my knees and ankles. For the last two months, I’ve felt like I ran a marathon every single day despite doing nothing. My knees feel heavily swollen, even though there's no visible swelling. I'm still applying Gavex cream twice a day to my knees, elbows, ankles, and arms.

I’m dealing with occasional sharp, stabbing pains in my upper arms now, along with a sense of weakness and slight numbness. My knees feel almost constantly swollen; walking feels like I just finished running a marathon. On top of that, I've been getting nasty bouts of dizziness, especially over the last few days.

I just saw the rheumatologist. He says my symptoms point toward possible reactive arthritis. 😕 Labs are normal, X-rays look fine, urine tests are good, and stool samples should be okay too. I’m hoping it’s just hemorrhoids acting up. Right now, I'm only taking Tylenol at night before bed—avoiding NSAIDs entirely. I am still using Gavez cream twice a day on my knees, elbows, ankles, and arms.
The dizziness has ramped up again over the last few days. My knees feel even more swollen than usual, and walking feels like I just finished a marathon. 26 miles Marathon training. Also, I’ve been dealing with some nasty bouts of dizziness lately—especially over the last couple of days.

Has anyone dealt with similar symptoms? What do you recommend?

My rheumatologist wants me back for a follow-up in three months and ordered an HLA-B27 test. To be honest, I’m skeptical about the whole thing, and I've been feeling pretty lousy lately.

Thanks
Reactive arthritis in Health ·
Scott Howard74 said:Honestly, your best bet is just to talk to the rheumatologist. If they need to admit you to the hospital for more testing to figure out what's actually happening, let them. Just give us an update once you've seen the doc.

I have a rheumatologist appointment next week...
By the way, some strange spots appeared on my left shin. Check the photos...

image 1
image 2
image 3
image 4
...has anyone else dealt with something similar?
Reactive arthritis in Health ·
wiredotter12 said:Hello. Here’s my situation. It started about seven weeks ago with pain in my left elbow. Over the next few weeks, the pain intensified, spreading to my upper arm, forearm, and hand. It got to the point where even holding a coffee cup was agonizing, so I switched everything to my right hand. About two or three weeks ago, the pain became unbearable, so I called my primary care physician back in the States—though I'm currently abroad. She prescribed Advil (one 600mg tablet daily) and Aspercrem cream. After just a few days, I started feeling similar sensations in my right arm, neck, and cervical spine.

I contacted my doctor in the US again. She bumped my Advil dose up to Indomethacin 50 mg / 3 x, but the stomach pain was too much, so I dropped down to 2 x 600mg while relying on the Aspercrem.
A few days ago, my fingers on my left hand started tingling. Now, I'm also getting numbness and strange sensations in my legs.
Last night, I went to a hospital here in Germany because the widespread pain—especially in my legs—was getting worse. They found nothing. Their only solution was more painkillers, yet I have to wait 4–5 months for a specialist rheumatologist here.

I spoke to my father, who dealt with something similar years ago. He is HLA-B27 positive, and Indomethacin was what finally helped him. I reached out to my doctor in the US, and she prescribed Indomethacin 50 mg / 3 x this morning. I just took the first dose; we'll see if it actually works.

Q1) Does anyone know which specific tests I need to get ASAP to secure an accurate diagnosis? Also, which medications are most effective—Indomethacin or something else?

Q2) Any idea what this could be?

Q3) What helps regarding diet, lifestyle changes, medication, exercise, etc.?

Thanks.

Update... blood work, urine, CRP, and ESR all came back normal. But during the day, I'm dealing with pain in my fingers, hands, legs, knees, elbows, shoulders, upper arm muscles, and ankle joints...

Anyone experiencing similar symptoms or have any clue what's going on?
I have a rheumatologist appointment in 2 weeks...

THNX!
Reactive arthritis in Health ·
Hello. Here’s my situation. It started about seven weeks ago with pain in my left elbow. Over the next few weeks, the pain intensified, spreading to my upper arm, forearm, and hand. It got to the point where even holding a coffee cup was agonizing, so I switched everything to my right hand. About two or three weeks ago, the pain became unbearable, so I called my primary care physician back in the States—though I'm currently abroad. She prescribed Advil (one 600mg tablet daily) and Aspercrem cream. After just a few days, I started feeling similar sensations in my right arm, neck, and cervical spine.

I contacted my doctor in the US again. She bumped my Advil dose up to Indomethacin 50 mg / 3 x, but the stomach pain was too much, so I dropped down to 2 x 600mg while relying on the Aspercrem.
A few days ago, my fingers on my left hand started tingling. Now, I'm also getting numbness and strange sensations in my legs.
Last night, I went to a hospital here in Germany because the widespread pain—especially in my legs—was getting worse. They found nothing. Their only solution was more painkillers, yet I have to wait 4–5 months for a specialist rheumatologist here.

I spoke to my father, who dealt with something similar years ago. He is HLA-B27 positive, and Indomethacin was what finally helped him. I reached out to my doctor in the US, and she prescribed Indomethacin 50 mg / 3 x this morning. I just took the first dose; we'll see if it actually works.

Q1) Does anyone know which specific tests I need to get ASAP to secure an accurate diagnosis? Also, which medications are most effective—Indomethacin or something else?

Q2) Any idea what this could be?

Q3) What helps regarding diet, lifestyle changes, medication, exercise, etc.?

Thanks.