I was diagnosed with inflammatory arthritis in 2009. Rheumatologist felt I had seronegative SLE but wasn't 100 percent sure. He sent me for a second opinion but this rheum diagnosed Rheumatoid Arthritis. I've retained this diagnosis ever since with my current rheum declining to re-test my antibodies as she says "they're expensive and the treatment would not change". My arthritis was very erosive in the early years but the joint damage has slowed considerably on injected MTX and anti-TNF therapy. I also had eye inflammation that has now settled. For me, the diagnosis didn't matter. It was just important that my symptoms are better controlled. I am not in remission but I'm better than I was.
Now, I am wondering if I should request another review. I have been diagnosed with Autonomic Neuropathy; gastroparesis (delayed gastric emptying), orthostatic hypotension (blood pressure drops when I get up) and postural tachycardia (fast heart rate) when I move around. Gastro (who specialises in this area) said that Autonomic Neuropathy is quite uncommon with RA and more common with SLE. He said said that he can treat symptoms but we need to treat underlying disease.
Does anyone else have AN? What has been the treatment plan? Thanks in advance.