HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Night Sweats, Depression And Nausea Inspite Of Suffering From SLE

default
Posted on Mon, 9 Feb 2015
Question: I have SLE Vit D def. My face feels like it has a bad sunburn. my body has become extremely hot for a few seconds w/nausea. During sleep sweating and then freezing, changing pajamas a couple of times a night. very depressed Nausea, head ache
doctor
Answered by Dr. Naval Mendiratta (11 minutes later)
Brief Answer:
is it due to SLE

Detailed Answer:
Good evening

Thank you for writing on health care magic

Well, i would like to get a few more details on SLE here as the rash, headache and depression all can be a part of the disease if not treated. From the medication list you have mentioned, currently there is no ongoing treatment for SLE.

1. Could you give details on When it was diagnosed?Did you have your antibody screen Positive?What symptoms you had initially for which the doctors labelled it as SLE?

2. Are you experiencing irritability and being short tempered?

3. ANy tendency to forgetfullness?

4. Any history of joint pains/dry eyes or dry mouth??

5. Does the rash on your face get worse on sun exposure

6. Any other comorbid condition

Do let me know these details. As the symptoms you are experiencing can very well be a part of SLE and may be something different we are dealing with. It will help me narrow down to a few possibilities. Also any recent blood tests done would be helpful

Await your reply
Regards
Dr NAval
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Naval Mendiratta (21 minutes later)
DXXXXX and XXXXXXX Clinic.Neurologist and rheumatologist-also fibromyalfia
had to take disability from teaching due to SLE 1997
neck problems from C3-T7-showed on cat scan after head on collision in July
had to take disability from teaching due to fatigue 1997
Had head on collision in July., Husband driving and we were hit by uninsured 23 yr. old. Insurance does not want to pay medical due to previous dx of SLE, neurologist, and depression, although everything is MUCH worse since accident. Rarely leave house and now do not want to leave house
After posting questions, I vomited.Not much appetite of late

I am the poster child for every antidepressant-you name it-I have had it. Very depressed and stressed past few days. Recent MRI showed mild atrophy. Having blood test Monday to determine statin. Vit D. def. began taking D2 3xwk. last week. All other blood work was fine. Wondering if this is due to extreme stress. Never in sun.
dry mouth&eyes
bruising easily since accident
body very stiff and yes, joints ache.
doctor
Answered by Dr. Naval Mendiratta (16 hours later)
Brief Answer:
/ Is it Due to SLE

Detailed Answer:
Good evening

Sorry for the late reply. Got hung up with some family stuff. Well that is good if your MRI results are normal. I am not too sure about your diagnosis of SLE here and insurance company finding reasons to deny it. If you have been diagnosed with SLE and it has been over 15 years, without medications i m sure it would have flared up.

They symptoms you are describing where you dont feel like going out of house, i feel it is the stress which is getting to you. The fibromyalgia diagnosed before is coming back into the picture again and we should act on it before it makes you further depress.

Since you have tried most of the antidepressants, i will recommend something else which will help combat the pain and fatigue and elevate your mood a bit, but at the same time you will have to cooperate and start getting out of the house. Start doing some activities which you like. Try to be more social and develop a hobby and give time to it.The medications can only work so much, but the rest you will have to do.

I will also suggest you pay a visit to rheumatologist and let him see if you really had SLE. I really doubt that
As for the medication i would recommend Duloxetine or Amitrytilline if you havent tried before.

Do let me know for more queries.

Would be happy to help you out further

Regards
Dr Naval
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Naval Mendiratta

Rheumatologist

Practicing since :2007

Answered : 754 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Night Sweats, Depression And Nausea Inspite Of Suffering From SLE

Brief Answer: is it due to SLE Detailed Answer: Good evening Thank you for writing on health care magic Well, i would like to get a few more details on SLE here as the rash, headache and depression all can be a part of the disease if not treated. From the medication list you have mentioned, currently there is no ongoing treatment for SLE. 1. Could you give details on When it was diagnosed?Did you have your antibody screen Positive?What symptoms you had initially for which the doctors labelled it as SLE? 2. Are you experiencing irritability and being short tempered? 3. ANy tendency to forgetfullness? 4. Any history of joint pains/dry eyes or dry mouth?? 5. Does the rash on your face get worse on sun exposure 6. Any other comorbid condition Do let me know these details. As the symptoms you are experiencing can very well be a part of SLE and may be something different we are dealing with. It will help me narrow down to a few possibilities. Also any recent blood tests done would be helpful Await your reply Regards Dr NAval