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Dr. SH
Dr. SH, Board Certified Physician
Category: Medical
Satisfied Customers: 8765
Experience:  Doctor of Medicine
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i have been diagnosed with low immunoglobulin 1gm what effect

Resolved Question:

i have been diagnosed with low immunoglobulin 1gm what effect does it have on my health
i have addisons disease and a blood clotting problem i take rivoroxiban for and methotrexate for ERA
sandra
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. SH replied 2 years ago.
Dr. Shahzad MD :

Hi there. Thank you for your question. I will be helping you out with your queries

Dr. Shahzad MD :

Why was the immunoglobulin level done?

Dr. Shahzad MD :

I mean what were your symptoms?

Customer:

I have addisons disease originally i had vasculitis 15 yrs ago and as i was in hospital 3 months had swollen joints etc they started me on methotrexate ..addisons diagnosed 2 yrs later. i am very fatigued at the moment take revoroxiban as warfarin was no good nor injections heparin etc rheumatologist suspected lupus. i have moved areas and my ol rheuematologist has retired ..the new one ordered a series of tests to see what i actually have now, alter came to-day saying i have very low immunoglbulin 1gm and very low vit d hes ordering disunion but says this can cause myalgias arthralgias and fatigue.. i would like to know what these suspected simptoms are

Dr. Shahzad MD :

ok

Dr. Shahzad MD :

So you are on methotrexate for 15 years?

Customer:

yes

Dr. Shahzad MD :

Why are you on rivaroxaban?

Dr. Shahzad MD :

Did you ever have any clot?

Customer:

i had 3 blood clots in left leg/was on warfarin for several years but it became erratic and then heparin injectionsand cycloxin i think injections they didnt work i bruised and it was still erratic so now revoroxiban

Dr. Shahzad MD :

Are you taking anything for addison's steroids I mean?

Customer:

yes hydocortisone 30 mg daily

Dr. Shahzad MD :

ok

Dr. Shahzad MD :

What does your doctor say about the low immunoglobulins?

Dr. Shahzad MD :

Actually methotrexate can cause low immunoglobulins

Customer:

i only got letter from hospital to-day im not anxious just would like to know what that and the other possibilities actually mean i wont be able to see a dr for a few days.

Dr. Shahzad MD :

A low immunoglobulin level means that you are more susceptible to infections

Dr. Shahzad MD :

This level can happen due to the methotrexate that you are on.

Dr. Shahzad MD :

You mentioned low vitamin D, this should also be replaced as a low vitamin D can weaken your bones.

Customer:

so is anything taken for this? so what is myalgias and arthralgias

Dr. Shahzad MD :

I think that a part of the myalgias and pains that you are having could be due to the low level of vitamin D that you are having.

Dr. Shahzad MD :

Once the vitamin D is replaced and your levels are back to normal your aches and pains should be better.

Dr. Shahzad MD :

I do not think that the aches and pains are related to the low immunoglobulin levels.

Customer:

what is myalgias and athralgias

Dr. Shahzad MD :

Myalgias means muscular pains.

Dr. Shahzad MD :

Arthralgias means joint pains.

Customer:

so theres no underlying possible cause low 1gm?

Dr. Shahzad MD :

I think it could be drug related.

Dr. Shahzad MD :

May be related to your methotrexate.

Customer:

thank you

Customer:

sandra

Dr. Shahzad MD :

You are most welcome
Wish you all the best.
Please do rate me for my services by clicking on one of the smilies below.
Kindest Regards

Dr. SH, Board Certified Physician
Category: Medical
Satisfied Customers: 8765
Experience: Doctor of Medicine
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