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Date: 23.08.2016
From: stacey

Subject: is it RA?

Hi - I tested positive for RF 7 years ago (diagnosed with b12 deficiency at 26 years old)but thought to be part of that 5% that have a false positive. No other symptoms. Aug 2015 until April 2016 I was off work with depression, anxiety and continue to tire very easily with no apparent cause. 2 months ago both my hands became so stiff and painful that some mornings I cannot use them for a few hours. July - all bloods normal including RF negative. August - bloods borderline and positive for RF. I have appt with rheumatology 30th nov but im really after some advice in the meantime.... I have no idea if it is RA or not and the information ive looked at either suggests yes it definitely is or no it definitely is not. Has anyone had this experience? Is there anything I should or shouldn't be doing in the meantime?
Many thanks
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Date: 24.08.2016
From: Colin W

Subject: Re: is it RA?

hi stacey , 3 months is a long time to wait & maybe get it changed , there are other blood test they can do , like CRP & ESR which is inflammation in your system ,

morning stiffness goes with RA & it will develop in one joint & with RA it tends to be symmetrical , it can be controlled alot better than over 20 years ago when I first started , talk to your GP & get some anti-inflammatories if you need them but only consultant can give you disease modifying drugs
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Date: 24.08.2016
From: Stacey

Subject: Re: is it RA?

Hi - CRP and ESR is borderline and the lab recommend a referral to rheumatology. I am taking a NSAID which has some effect but the GP doesn't want to mess with meds in case it masks the problem.
It is symmetrical, particularly in the middle joints of the fingers and wrists. However, there is no obvious swelling which I believe to be a symptom of RA?
When I arranged to see the specialist it went through a referral centre so I could pick the hospital with the shortest waiting list and the only one anywhere near me was 30/11/16!
I am managing the symptoms ok but its the not knowing!
Thanks for replying.
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Date: 24.08.2016
From: Stacey

Subject: Re: is it RA?

ps - when I read posts on here I don't think im suffering as much as others, could this just be early stages or unlikely to be RA?
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Date: 24.08.2016
From: Colin W

Subject: Re: is it RA?

when I first started I had redness & swelling in one joint & also had a asthma attack so given steriods

within months I had to give up work , those of us with high RF levels tend to get it worse (my rf was around 450) about 10% will have it severe & another 20% will have dificult to control RA , some people like my sister may need to take NSAID every now & then & nothing else
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Date: 29.08.2016
From: Sean

Subject: Re: is it RA?

Nearly all studies point to RA (and other autoimmune diseases) being triggered and sustained by cross reaction from gut bacteria.

NSAID can relieve pain but also increase gut permeability causing increases in microbes already challenging our failing immune system.

http://www.sciencedirect.com/science/article/pii/S0022175914000878

"Recently, Iwatsuki et al. (Iwatsuki et al., 2011) analyzed intestinal bacteria flora in elderly volunteers treated by oral administration of a natural milk antibody product, which contains biologically active antibodies against a wide range of pathogenic bacteria and their toxins (Kijima et al., 2009), and found significant reduction in the fecal population of pathogenic enteromicrobes such as E. coli, Clostridium difficile and perfringens. This approach was further applied for the treatment of patients with RA, resulting in modulated disease activities in 50% of these RA patients (Katayama et al., 2011). Together, these data support the idea that commensals (gut bacteria) and their toxins may contribute to the pathogenesis of autoimmune diseases."

The treatments should keep this in mind - as antigen presentation (tagging proteins for tolerance) is informed by other bacteria in the gut.

> Fix and maintain gut barrier with diet changes and limit NSAID use

> Improve levels of gut bacteria that may be missing - that assist with accurate / tolerant / non-cross reactive antigen presentation

> Reduce levels of potential bacterial (or sometime dietary) antigens (Proteus, E-Coli) that create cross reacting antibodies to people with specific HLA genes
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