All about Rheumatoid Arthritis

Over 1.3 million people in the United States have rheumatoid arthritis. It is a long-term disease, often lasting several years and can be permanent. Unlike other similar arthritic conditions, rheumatoid arthritis can lead to anemia and heart complications.

Symptoms include:
• Joint pain, usually starting in the fingers and toes and spreading to other joints as the disease progresses.
• Stiffness, particularly in the morning.
• Swelling of the joints and redness.

• Lumps under the skin (this occurs in one in four arthritis sufferers).
• Anemia – this is a lack of oxygen in the blood caused by lack of red blood cells. The majority of rheumatoid arthritis sufferers also have anemia.
• Loss of appetite.
• Feeling tired and unwell.
• Inflammation of the lining of your heart.
• Inflammation of the tear ducts and/or salivary glands.

Not all people will get all symptoms, you may just get one or two, and the condition varies from mild to severe.

Rheumatoid arthritis is an auto-immune condition whereby the body’s own immune system attacks the tissues and joints.

Diagnosis

It is difficult to diagnose due to the fact that there are several other conditions with similar symptoms and there is no specific test for rheumatoid arthritis. A doctor can make a diagnosis based on symptoms and on doing a physical examination. He could also do some blood tests which are indicator of rheumatoid arthritis but not a definite diagnosis. Some of these tests include:

Erythrocyte Sedimentation Rate Test--This tests how fast your red blood cells fall to the bottom of a test tube of liquid. If they fall very fast, this is an indicator of arthritis.

C-reactive Protein Test--C-reactive protein is inflammation in the blood stream. If there is more CRP in your blood than normal, it means there is an inflammatory process going on in the body and is an indicator of arthritis.

Antibody Test--This test checks for the presence of an antibody called rheumatoid factor, which most sufferers have. Since healthy people can also have this antibody it is not an accurate test.

Hemoglobin Levels Test--You can also be checked for anemia as this is a sign, but again, this doesn’t prove you have arthritis.

X-rays or MRI scans may be offered to check the progression of the condition.

Treatment

There are several treatments available to manage the condition. These are:

Painkillers – acetaminophen or codeine or both are common choices.

Anti-inflammatory Drugs – Ibuprofen or a similar drug can reduce swelling. However, when taken long-term, they can cause serious side-effects, including heart attack.

Disease Modifying Anti-Rheumatic Drugs (DMARDS)--DMARDS block the antibody’s effect on the joints and tissues and slow down the progression of the arthritis. However, they have very drastic side-effects including heart failure and some types of cancer, so they should only be taken after fully informed consent when you have considered the risks and benefits.

Steroid Injections – These can be given into the affected joint to relieve pain and reduce swelling.

Surgery – If you are not getting any relief from treatments or your condition is severe, you may be able to have a joint replacement operation or surgery to repair damaged tendons.

There are also many alternative therapies available.

Sources: NHS Choices
National Institute of Arthritis and Musculoskeletal and Skin Diseases.

Joanna is a freelance health writer for The Mother magazine and Suite 101 with a column on infertility, http://infertility.suite101.com/. She is author of the book, 'Breast Milk: A Natural Immunisation,' and co-author of an educational resource on disabled parenting, in addition to running a charity for people damaged by vaccines or medical mistakes.

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