What should be avoided with rheumatoid arthritis?

Written by Yang Ya Meng
Rheumatology
Updated on November 20, 2024
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Patients with rheumatoid arthritis should avoid the following three categories of food: The first category includes foods that can easily trigger photosensitivity, such as celery, coriander, shiitake mushrooms, seaweed, and leeks; these should be avoided. The second category includes overly warming and tonifying foods, such as dog meat, lamb, and longan; it is best to consume these sparingly. The third category includes high-protein seafood, such as shrimp and crab; these should be consumed in limited quantities because they may exacerbate rheumatoid arthritis symptoms and potentially trigger allergic reactions.

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Written by Yang Ya Meng
Rheumatology
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How long does it take to cure rheumatoid arthritis?

The symptoms of rheumatic arthritis, such as joint swelling and pain, generally improve on their own within about two weeks, with the longest duration not exceeding one month. However, since rheumatic arthritis is triggered by a Streptococcus infection, if the Streptococcus infection is not actively controlled, it is easy for the arthritis to relapse after the joint pain has improved. Therefore, for patients with rheumatic arthritis, it is essential to treat the Streptococcus infection early. Treatment with second-generation cephalosporin antibiotics for 10-14 days is recommended, followed by regular long-acting benzathine penicillin treatment at outpatient clinics to achieve a complete cure of rheumatic arthritis. (Specific medications should be used under the guidance of a doctor.)

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Written by Yang Ya Meng
Rheumatology
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Rheumatoid arthritis should be seen in the rheumatology department.

Patients with rheumatoid arthritis should visit the department of rheumatology and immunology, as it is an immune-related disease. The primary mechanism of the disease involves the production of abnormal antibodies in the body, which attack the joints themselves, leading to symptoms such as joint swelling and pain. Additionally, rheumatoid arthritis can also manifest symptoms outside of the joints. The most common of these is interstitial lung disease in some patients, primarily presenting as asthma. Furthermore, some patients may experience kidney involvement, mainly characterized by significant proteinuria.

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Written by Yang Ya Meng
Rheumatology
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How is rheumatoid arthritis treated?

Rheumatoid arthritis, also commonly referred to as internal rheumatoid arthritis, primarily has three major categories of treatment. The first category is anti-inflammatory and pain relief. The medications for anti-inflammatory pain relief include two types: the first type is non-steroidal pain relievers; for patients with very severe pain, a low dose of corticosteroids can be considered. The second category, which is also the most important treatment, involves the use of immunosuppressants. These immunosuppressants include drugs such as methotrexate and leflunomide. If the patient does not respond well to anti-inflammatory pain relief and immunosuppressants, treatment with biologics can also be considered.

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Written by Yang Ya Meng
Rheumatology
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Rheumatoid arthritis diagnostic tests

The diagnostic tests for rheumatoid arthritis include blood tests and X-ray examinations. Blood tests include a complete blood count, inflammatory markers, erythrocyte sedimentation rate, C-reactive protein, and screening for various antibodies such as rheumatoid factor, anti-O, anti-CCP antibodies, and anti-AKA antibodies. Additionally, if there is significant pain in the hand joints, an X-ray of the hand joints can be taken. The X-ray can show whether there is any destruction of bone, osteoporosis, or other manifestations of rheumatoid disease. Based on these tests, it is generally possible to diagnose the specific type of rheumatoid disease.

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Written by Liu Li Ning
Rheumatology
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Rheumatoid arthritis is caused by what?

Rheumatic arthritis is a type of infectious arthritis caused by streptococcal infection and is one of the clinical manifestations of rheumatism. It primarily presents as migratory pain in large joints, most commonly affecting the large joints of the lower limbs, such as the knees, ankles, wrists, etc. Since rheumatic arthritis is related to streptococcal infection, treatment mainly involves the use of penicillin drugs, commonly long-acting penicillin, which requires strict adherence to the treatment course to completely cure the streptococcal infection. During the acute phase, joint pain often occurs, hence the common use of non-steroidal anti-inflammatory drugs, such as diclofenac sodium and etoricoxib, to alleviate symptoms of pain. During acute episodes, bed rest is necessary, with attention to joint immobilization. During the remission period, getting out of bed and exercising is encouraged to restore joint function and flexibility. (Please use medications under the guidance of a professional physician; do not self-medicate.)