Urogynecology Expert Forum
Bladder issues and RA?
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Questions in the Urogynecology forum are answered by Bruce Crawford, MD, J. Kyle Mathews, MD, and other medical professionals and experts. Topics covered include overactive bladders, bladder pain, fallen/drooping bladder, bowel urgency, bowel prolapse, cystitis, incontinence, pain with intercourse, rectal prolapse, surgery, urinary urgency, and uterine prolapse.

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Bladder issues and RA?

I have severe RA which is basically uncontrolled. I take methotrexate and prednisone. I have had two recent UTI or bladder issues which triggered a severe RA flare of almost every joint in my body. The UTI symptoms are frequency, urgency, irritation feeling and strong spasms in the bladder and urethra.  I have seen my primary dr who treated the UTI with antibiotics and antispasmodics and I have set up an appt with my rheumatologist about this, just wanting to get other input.  

I am limited to medications I can take for my RA because I am allergic to aspirin and I was diagnosed with lung cancer last year so I cannot take the biologics.
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Sorry to read of your problem.  I would suggest you see a urologist or a urogynecologist for evaluation and treatment.   Either one should be able to work you up and determine appropriate treatments.  If you are having recurrent urinary tract infection, often antibiotic suppression is given.  If your symptoms are not related to an actual infection, but instead the result of an over active bladder, this condition and also be treated.  J. Kyle Mathews, MD
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J. Kyle Mathews, MD, DVMBlank
Plano Urogynecology Associates
Plano, TX
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