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मेरी माँ में रूमेटॉइड आर्थराइटिस और थायरॉइड की समस्याओं के संभावित कारण क्या हो सकते हैं, और ये कैसे जुड़े हुए हैं?
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Rheumatic & Autoimmune Conditions
Question #30403
19 days ago
65

मेरी माँ में रूमेटॉइड आर्थराइटिस और थायरॉइड की समस्याओं के संभावित कारण क्या हो सकते हैं, और ये कैसे जुड़े हुए हैं?

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मेरी माँ को हाल ही में पता चला कि उन्हें रूमेटॉइड आर्थराइटिस है। टेस्ट और जांच से इसकी पुष्टि हुई (एंटी-सीसीपी 134.34, विटामिन डी 12.9)। जांच में उनके हाथों और पैरों के जोड़ों में सूजन पाई गई। डॉक्टर ने उनकी गर्दन का एमआरआई करवाया, जिसमें कुछ असामान्य नहीं दिखा, लेकिन थायरॉइड ग्रंथि का आकार बड़ा पाया गया। अब मेरी माँ के थायरॉइड स्तर (टी3, टी4, टीएसएच) की जांच होगी, और मैंने एंटी-टीपीओ टेस्ट कराने का सुझाव दिया ताकि यह पता चल सके कि यह भी एक ऑटोइम्यून बीमारी है या नहीं। मेरा सवाल है, इसके संभावित कारण क्या हो सकते हैं? क्या थायरॉइड की स्थिति रूमेटॉइड आर्थराइटिस से संबंधित है, या इसका उस पर कोई प्रभाव है? इसके अलावा, मेरी माँ को हाल ही में पेट दर्द हो रहा है और उन्हें एनीमिया है (हीमोग्लोबिन स्तर 10.5)। (मेरी माँ की बहन का हाल ही में निधन हो गया, और वह मानसिक रूप से कमजोर स्थिति में हैं। क्या इसका कोई प्रभाव पड़ेगा?) मेरी माँ ने रूमेटॉइड आर्थराइटिस का इलाज भी शुरू कर दिया है (मेथोट्रेक्सेट, कॉर्टिसोन, फोलिक एसिड, विटामिन डी और कैल्शियम)। हमें अब समझ नहीं आ रहा कि क्या करें और मैं इसके बारे में लगातार चिंतित रहता हूँ।

How long has your mother been experiencing joint pain and inflammation?:

- 1-3 months

Has she experienced any other symptoms related to her thyroid condition?:

- Weight changes

How would you describe her stomach pain?:

- Not sure

Has she had any changes in her appetite or weight recently?:

- Decreased appetite

How has her emotional state been since her sister's passing?:

- Some sadness but managing

Has she had any previous autoimmune conditions or family history of them?:

- Yes, she has one

What medications is she currently taking besides those for rheumatoid arthritis?:

- Other prescribed medications
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
19 days ago
5

Hello dear See usually for arthritis analgesic and anti-inflammatory drugs are given for symptomatic treatment Iam suggesting some medication and precautions for improvement Please follow them for atleast two months Tablet refecoxicib once daily for 5 days Tablet paracetamol 500 mg 12 hourly accordingly Methotrexate Choloquine Both on recommendation by concerned physician only Avoid Pulses Grams Protein Fatty diet Replacement with Khichdi Poha Upma Corn flakes Oats Fruits and vegetables In addition please get following tests done for confirmation of severity Crp Esr Cbc Hemogram Serum troponin Serum ferritin Serum urea Serum bilirubin Hla b 27 Thyroid USG Serum tsh Hopefully you recover soon Regards

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Rheumatoid arthritis (RA) and thyroid issues can indeed be related, particularly if the thyroid issue is autoimmune in nature. Both RA and autoimmune thyroid diseases like Hashimoto’s thyroiditis or Graves’ disease are conditions where the immune system attacks the body’s own tissues. Your suggestion to check Anti-TPO antibodies is a solid idea since it helps determine if your mother’s thyroid problem is autoimmune. If the thyroid function tests show abnormal thyroid hormones alongside positive Anti-TPO antibodies, it could suggest a condition like Hashimoto’s thyroiditis, which often co-occurs with RA due to a shared genetic predisposition to autoimmune disorders. The stress and emotional strain from the recent bereavement may exacerbate symptoms—not directly causing these conditions, but can affect immune function and potentially worsen symptoms of both RA and thyroid disorder. Stomach pain and anemia might be related to her RA medications; Methotrexate, for example, can cause gastrointestinal symptoms and contribute to anemia if it affects the gut mucosa or if there’s underlying gastrointestinal inflammation. Monitoring for gastrointestinal side effects is important, and discussing these symptoms with her healthcare provider is essential to ensure they are being managed properly. Anemia in RA can also result from chronic inflammation or be a sign of a different issue; iron studies or further evaluation may be necessary. To optimize your mother’s care, ensure she attends all follow-up visits, communicates new or worsening symptoms promptly, and adheres to her treatment regimen. Balancing her medication, keeping an open channel with her physician, and possibly involving a mental health provider to support her through her grieving process may also be beneficial. Each element of her management plan should consider her unique health profile and lifestyle to improve her overall health.

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