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Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 33296
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
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, My mother has has Rheumatoid arthritis . Last

Customer Question

Hello,
My mother has has Rheumatoid arthritis for years. Last year she had her gallbladder out and suffered an infection thereafter which required her to stay in hospital. During this time, she was off her rheumatoid arthritis medication. After she left hospital a few weeks ago, she started get her arthritis bad again, especially inflammation in her knee. Her GP did blood tests and remarked that the rheumatoid arthritis in her blood was very high and the iron in her blood is low. He put her on iron tablets. Is low iron common with rheumatoid arthritis?, and how come when she was in hospital for the infection after the gallbladder operation her various bloods did not show this?
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Chip replied 2 years ago.

Hi. Did she have any studies to look for blood loss like upper endoscopy and colonoscopy? Besides the low iron was she also anemic?

Expert:  Dr. Chip replied 2 years ago.
Just use reply to exper to respond Don
Customer: replied 2 years ago.

She did not have them. Her GP seems suggested her particularly bad spell of rhumatoid arthritis at the moment is responsible for her low iron anemia- is this common in RA sufferers? (he put her back on her RA medication (methotrexate)

Expert:  Dr. Chip replied 2 years ago.
OK. Usually it's the medications for RA like the methotrexate and perhaps NSAID's that cause the iron deficiency anemia, but she may have a problem with gastritis or a peptic ulcer or a colon inflammation that's causing her to loose blood, so she needs the endoscopies to check for all that