Archives for February 2017

Is it arthritis, or something else?

Is it Arthritis, or Something Else?

Getting to the bottom of the reason you may be experiencing swollen, stiff or sore joints is not always easy. If you have noticed that your joints are inflamed and painful or that your range of motion is diminished, you may have a form of arthritis.

Although there are two major forms of arthritis, known as rheumatoid (RA) and osteoarthritis (OA), there are actually over a hundred different forms of arthritis related disorders. The main difference between them is that OA is caused by wear and tear on your body, whereas RA is a form of disease known as an autoimmune disorder, in which the internal mechanisms that normally protect your body from attacks by bacteria and viruses become confused and attack your own joints and tissues instead.

Different Disorders: Overlapping Symptoms

Autoimmune disorders include fibromyalgia, lupus, psoriatic arthritis, gout and many others. Several of these disorders are known to mimic rheumatoid arthritis and can be a bit more difficult to pin down because the symptoms may overlap. Lupus, for instance, also known as SLE or Systemic Lupus Erythematosus, can affect internal organs, connective tissues, blood vessels and joints. So much so that it can be fatal.

Unlike Rheumatoid arthritis however, lupus does not typically deform or erode away the joints. The joint symptoms also tend to be less severe and the disease can seem to “hop around,” hitting different joints at different times. Some patients can have both rheumatoid arthritis and Lupus.

Lyme disease is an infection caused by a strain of bacteria called borrelia burgdorferi or Bb, which is carried by ticks and can be passed to humans through a bite. Lyme disease often causes flu-like symptoms such as fever, headache and neck stiffness, shooting pains or facial palsy. It is often accompanied by a noticeable “bull’s eye” ring around the bite. Lyme disease symptoms also usually occur in stages, which means it can be easily misdiagnosed.

Gout is another disorder that sometimes presents like rheumatoid arthritis. It is caused by high levels of uric acid that form tiny crystals within the affected joint(s). Gout is also extremely painful, even excruciating and often appears in a single joint with pain, swelling, warmth and redness. It can spread to others areas, and when left untreated can cause joint deformation that appears very similar to rheumatoid arthritis.

Get Your Symptoms Checked

If you have aching, fatigue, redness or swelling in or around your joints, or notice an unusual rash or redness on your face or other areas of your body, you should consult a family medicine provider. While most people think of arthritis as an older person’s disease, the truth is that it and other autoimmune diseases can strike young and old alike. Your family medicine provider can run the appropriate tests and to help determine the underlying cause and develop a treatment plan that works for you.

If you are concerned about how arthritis, or other autoimmune disorders are affecting your body, board-certified internal medicine specialist Dr. Ishan Gunawardene can help. He will take the time to talk to you, answer your questions and prescribe the necessary medications to help ease the symptoms of arthritis and other disorders. To make an appointment in Wellington or Royal Palm Beach, request an appointment online or call (561) 434-1935 today.

Hypertension. What You Don’t Know Could Kill You!

Known as the “silent killer,” hypertension does not necessarily present with symptoms; it often goes undetected, and therefore, untreated. The only way to determine if you have high blood pressure is to have it tested. Testing is both simple and painless and takes only a few minutes in a family medicine provider’s office.

Why is Hypertension Dangerous?

According to the Centers for Disease Control, high blood pressure increases your risk for a stroke or heart attack, the leading causes of death in the United States.  About one in every three adults will suffer at some time from high blood pressure.

That number breaks down to around 75 million people living with high blood pressure in the United States. Of those, approximately half have gotten their hypertension under control. Roughly 1,000 people die in the US each day with hypertension listed as a primary cause. Not only can high blood pressure lead to a heart attack, chronic heart failure or stroke, it can also damage other organs–including the kidneys, eyes, and brain.

When is Blood Pressure Considered High?

Blood pressure is considered high if the systolic number, which measures the heart at work, is 140 mmHg or higher and the diastolic, which measures the heart at rest, is 90 mmHg or higher. Although high blood pressure does not always present symptoms, it can cause symptoms such as dizziness, facial flushing or blood spots in the white of the eye from broken blood vessels. Some patients with extremely high blood pressure may also notice the sound of their heart beating in their ears. You should never wait for symptoms to arise to act on high blood pressure. Get your blood pressure checked regularly by a family medicine provider instead.

Both men and women are equally likely to develop high blood pressure at some point in their lives. For those under the age of 45, the risk is greater for men than woman. Over the age of 65, women are more likely to have high blood pressure than men. Race and ethnicity also play a role in who is at risk for hypertension. African Americans, for instance, are more likely to develop high blood pressure at an earlier age than their Caucasian counterparts.

How is High Blood Pressure Treated?

High blood pressure can usually be managed by a combination of medication, diet and exercise. Reducing your intake of salt, walking on a regular basis and eating a healthy diet have all been shown to reduce the risks of having high blood pressure. Additionally, your family medicine provider may prescribe any number of different medications to lower your blood pressure. The kind of medication and dose will depend on the severity of your symptoms as well as how well you respond to, or tolerate, a given medication.

If you are concerned about how hypertension is affecting your heart and other organs, board-certified internal medicine specialist Dr. Ishan Gunawardene of Advanced Medical Clinic can help. He will take the time to talk to you, answer your questions and prescribe the necessary medications or lifestyle changes necessary to lower your high blood pressure. To make an appointment with us in Wellington or Royal Palm Beach, request an appointment online or call (561) 434-1935 today.