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Li Jing
Rheumatology
About me
Graduated from Sanquan College of Xinxiang Medical College in 2010, and has been working at Kaifeng Central Hospital since graduation.
Proficient in diseases
Proficient in the diagnosis and treatment of acute and chronic kidney disease, acute and chronic pyelonephritis, nephrotic syndrome, lupus, gout, and rheumatoid arthritis.
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What medication is used for systemic lupus erythematosus?
Systemic lupus erythematosus is a global autoimmune disease that can involve multiple systems and organs. The cause of the disease is unclear, and it cannot be completely cured; it can only be managed through medication. However, once the condition stabilizes, the medication dosage can be gradually reduced and maintained at a low dose. The preferred treatment is corticosteroids, but if there is damage to other organs, such as pulmonary interstitial fibrosis or renal damage and proteinuria, it is necessary to combine immunosuppressants. This is done to prevent recurrence of the disease and to manage complications that may arise during the reduction of steroids. Additionally, it is crucial to be cautious about sun protection, avoid oral contraceptives, and prevent exposure to cold and overexertion. (Please take medication under the guidance of a doctor.)
What is the best food to eat for systemic lupus erythematosus?
Firstly, systemic lupus erythematosus is an autoimmune disease that can affect multiple systems and organs and cannot be cured. It can only be managed through medications to control the progression of the disease and delay the onset of complications. Therefore, it's not about what food is good for lupus, but rather about managing any complications it may have. Some foods to avoid include tomatoes, bayberries, figs, celery, bananas, as well as other fruits and vegetables that have been exposed to prolonged sunlight. The general principle is to adopt a low-salt, low-fat diet while increasing the intake of high-quality proteins, primarily lean meats and pure milk, to boost resistance and immunity.
How to deal with abdominal pain from allergic purpura?
The most common clinical manifestations of allergic purpura are bleeding spots on the lower limbs, hematuria, melena, and joint pain. The presence of melena or bloody stools accompanied by abdominal pain often indicates bleeding from the intestinal mucosa. It is recommended to complete a mesenteric vascular color Doppler ultrasound as soon as possible to identify the bleeding sites. At this time, fasting is absolutely necessary, meaning no food or water should be consumed, as this can exacerbate abdominal pain and bleeding. Fasting should continue until the melena and pain are alleviated. If symptoms continue to worsen, surgery may be necessary to prevent intestinal perforation and the onset of acute peritonitis.
Can people with rheumatoid arthritis donate blood?
Rheumatoid arthritis is a chronic systemic autoimmune disease characterized by symmetrical polyarthritis. It belongs to auto-immune diseases and is not an infectious disease; the cause of which is currently unclear. There is also considerable individual variation in its clinical manifestations. Because it is an autoimmune disease, it cannot be cured. This relates to whether or not one can donate blood: firstly, blood donors must not have any infectious diseases. Secondly, since this disease cannot be cured and patients often need to take regular doses of medications such as methotrexate, leflunomide, and sulfasalazine, there will be a certain concentration of these drugs in the body. If the condition allows and there are no infectious diseases, blood donation may be appropriately considered.
Can people with rheumatoid arthritis have children?
Rheumatoid arthritis is a systemic autoimmune disease primarily affecting multiple joints throughout the body and cannot be completely cured. Research by experts has linked it to genetic and environmental factors. Therefore, patients with rheumatoid arthritis can have children, but this depends on whether their condition is in a stable phase. If the condition is active and medication is being used, then it is not advisable to become pregnant at this time. Decisions about having children should be made in consultation with your specialist, or your primary care physician, under their guidance and advice. Firstly, the condition should be stable and the medication reduced to the minimum. Additionally, during pregnancy, it is essential to monitor the side effects of the medication.
Systemic lupus erythematosus is not contagious.
Firstly, systemic lupus erythematosus is an autoimmune disease with an unclear cause. It can affect multiple organs including the heart, lungs, and kidneys. It is classified as an autoimmune disease and not a contagious one, so there is no need to worry about it spreading. However, this condition does have a certain genetic predisposition. For instance, if parents have systemic lupus erythematosus, then their offspring have a relatively higher chance of developing the condition compared to families without a history of the disease. Being an autoimmune disease, it cannot be cured but can only be managed with medications such as corticosteroids to control the progression of the disease. Therefore, during the course of steroid treatment, it is vital to prevent infections. Finally, it is important to emphasize once again that systemic lupus erythematosus is not contagious and does not pose a risk of transmission, so everyone can be reassured.
Ankylosing Spondylitis Exercise Methods
Ankylosing spondylitis is an autoimmune disease that primarily affects the axial joints and currently has no curative treatment. Its treatment includes general measures, medication, and surgery. General measures mainly involve abstaining from alcohol, quitting smoking, avoiding carbonated drinks and coffee, which can lead to osteoporosis. In addition, it is important to focus on exercise; functional exercises are a crucial part of its treatment. Regular activities such as swimming, walking, and running are recommended, and chest-expanding exercises can improve muscle rigidity. Moreover, it is advisable to sleep on a hard bed to keep the spine level. Swimming is the best form of exercise for patients with ankylosing spondylitis as it does not overload the joints while also enhancing the coordination and flexibility of the limb muscles.
Early symptoms of systemic lupus erythematosus
Systemic lupus erythematosus is a chronic autoimmune disease causing multi-system damage, with clinical presentations that vary greatly between individuals. Most cases begin gradually, but some can onset abruptly, meaning severe complications that can threaten life can emerge within weeks or days. Early symptoms are often atypical. During active phases, most patients with systemic lupus erythematosus experience varying degrees of low-grade fever, with low to moderate fevers being most common. The primary manifestations include erythema of the skin and mucous membranes, and some individuals may experience photosensitivity, which results in a facial rash after exposure to sunlight. This is one of the most common clinical presentations.
What are the symptoms of allergic purpura?
The most common clinical manifestations of allergic purpura are bruises on the limbs, black stool, hematuria, and joint pain. It is mainly divided into articular, abdominal, cutaneous, renal, and mixed types. The presence of protein in the urine indicates kidney involvement, which means the condition is most severe. Allergic purpura generally can be alleviated with standard and active treatment, but recurrent attacks affecting the kidneys can lead to persistent purpuric nephritis and proteinuria that do not resolve.
What to eat for rheumatoid arthritis?
Firstly, rheumatoid arthritis is also a chronic, destructive autoimmune disease, and therefore cannot be cured. It can only be managed through medication to control the progression of the disease and delay the onset of joint deformities. The principle is to diagnose and treat as early as possible. Once diagnosed, the preferred treatment is medication that improves rheumatoid conditions, followed by the use of non-steroidal drugs. If the onset is acute, a small amount of steroids can be used to alleviate symptoms until the condition stabilizes, after which the steroids can be gradually reduced. Dietarily, attention should be paid to a low-salt, low-fat, and light diet, avoiding raw and cold foods to prevent exacerbating symptoms of joint soreness and discomfort. Drinking more milk and eating more calcium-rich foods is advisable.