lung conditions and RA
Hi I have had RA for a long time , I have just found out I have a small patch of fibrosis on my lung, Im devastated, anyone else in a similar position ?
im not sure I can cope with this, looking for support
You must be devastated because fibrosis on the lung is very serious.
I've read your other recent post re the quandary on whether to go on biologics in view of various infections.
If the fibrosis has been caused by RA, then I would definitely try the biologic baricitnib recommended by wishbone in an earlier post. I find it best to try out drugs in the summer months to avoid the risk of chest infections so I think I would hurry if I were you.
If it is not caused by RA, then there would not be such a great need to take it.
However, fibrosis of the lung is extremely serious and I would ask for a scan if you have not had one and a second opinion. Do you have breathlessness at all because it is a sure fire symptom of lung fibrosis? Especially if not, I wonder if there is a possibility it could be a less serious lung condition, eg bronchial thickening, COPD, bronchiectasis because it seems to have been said very casually as if it is just another consequence like joint damage. Sometimes these medical terms get very mixed up.
As regards the liver, Milk Thistle (Sylimarin) is now being used in conventional medicine as it has been found to extend the life of those with liver cancer. It is a liver detox which I have used over the years as I drink quite a lot. It is very helpful in losing weight. You can only take it for a maximum of three months at a time. It is quite cheap from the health shop.
I recently found that I had bronchial thickening in the right lung, which has been caused by an infection. The symptoms (breathlessness, crackly cough) get worse every time I get a bad cold. I am not taking anything conventional for RA because of resulting chest infections (coughing up blood) which makes the condition worse. However, if it were caused by RA (as yours is said to be) and especially if it were fibrosis caused by RA then I would not hesitate.
I hope this helps and my deepest sympathy. I am surprised nobody has answered your post. I think RA affecting the lungs is not well known or common.
Thanks I'm having a long function test on Tuesday and a ct scan on the 12 th,I'm not breathless went for a long walk today , my gp got a copy of the X Ray from the hospital and said it looked like scaring , I feel well apart from the constant fear , I'm seeing my rheumatology team we'd to go through everything thanks for your reply maybe everyone else is fearful which is why no replies
Thanks again x
I was just on the Health Unlocked website when your reply popped up. Lung fibrosis causes scarring but I'm not sure if other lung conditions do eg COPD, bronchiectasis.
A bronchoscopy which should be the next step after the scan. It is hard to get this done (at least where I live) if you have never smoked. Smokers qualify because the NHS thinks nobody else is a risk for lung cancer. They are wrong about that though - plenty of non-smokers get cancer and it is not the only serious lung condition.
It is good that you are not breathless which indicates it may be very minor because that is a primary symptom.
I certainly am. I've had lung function tests which put my lung age as much older than I am - but still nothing is done. I am due another but I am going to have another try taking Ashwagandha, an African herb which boosts the immune system. I took it two years ago and nearly got rid of the cough etc but the RA flared up. It might have been coincidence but at the time I thought it had brought the RA on.
Best of luck. Let us know how you get on though I think most people on here think RA is confined to the joints and thought your post off topic. They don't even realise it affects the tendons as much as the joints.
PS I've just looked it up and bronchiectasis causes scarring as well - and probably so do other lung conditions so that will be a relief to you. These doctors bandy these medical names about as if they are all the same. I was told 17 years ago by my GP that he thought it was bronchiectasis but at the time nothing showed on the x-ray.
Hi just a quick thought as I'm off for a lung function test in a moment , my main complaint with all these docs is that they don't connect up
I have a very good Chinese doctor who has put me on medicinal mushrooms gandoderma and something for my mood and emotions , I have been seeing him once a week and already I feel calmer and have more energy and oddly no RA pain
Will keep you updated , I am a smoker and now on a no smoking program with my go
You need to ascertain whether the lung fibrosis is caused by RA or not. I would press for a bronchoscopy if they can't tell you. You do qualify for one on the NHS if you have smoked.
On the balance of probabilities, the fibrosis would be more likely caused by smoking - pre-menopause, oestrogen has a protective effect against the ravages of smoking but after the menopause smoking is dangerous.
If it is caused by RA, I would take the RA drugs. If not, personally, I agree that I would not want to be susceptible to chest infections if I have a lung condition. I would not take methotrexate anyway.
Good luck. I could not get a bronchoscopy done on the NHS as I was told that as a lifetime non-smoker I was not entitled to one. At the same time, a lady I knew got one done at the same hospital because - wait for it - kiwi fruit tickled her throat. This is because she smoked and and qualified for that reason on the NHS.
I've had a similar diagnosis, and my pulmonary doctor blames it on methotrexate! He took me off it as well as 600mg Ibuprophen. I was taking 10, 2.5mg tablets of methotrexate once a week. I haven't been able to get in to see my rheumatologist yet.
thanks Chrissy, please push hard to see you rheumatologist soon, mine was on holiday , but I phoned up the medical secretary and got to see the registrar who made all the appointments for me, I don't really want to take methotrexate , feel like a guinea pig , good luck xxxx
Hi I found out 2 months ago that I do too. In addition there are 3 spots that are too small to identify right now. Pulmonologist has me on oxygen for sleep & when running around. I have another CT scan in Oct.
I have RA, Lupus & Sjögren’s.
my lung function was said to be better than my rheumatologists, not sure what that means maybe the results were good, I have had the ct scan but no results yet , had my blood test my cp has dropped from 45 to 10 which is good although my white cell count is very high will keep you updated
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