Grumpy

When methotrexate was first prescribed to me, I was worried about getting sick; I’d read numerous accounts of people who got one infection after another, and didn’t look forward to joining their ranks.

It turned out that my fears were unfounded.  I’ve taken methotrexate for a full year and haven’t been sick once.  Four of my kids have been sick at various time during the past year, but I haven’t had so much as the sniffles.  If you’re looking for information on mtx and illness, I’d say, “Don’t borrow trouble.  Chances are you’ll be fine.  At least give it a try.”

I haven’t had any trouble for an entire year.  Until now.  Last week I started coughing, a horrible, dry cough.  It’s gotten worse in the last two days, and it feels like I should be coughing stuff up, but that’s not happening.  I’ve been coughing so hard today that I’m going to need diapers if this keeps up.  My chest hurts like it did a few years ago when I had pneumonia.

Fortunately there’s no accompanying congestion, so at least I can breathe.  Unfortunately, all that coughing has given me a sore throat, and the sore throat has made me sound pretty hoarse. 

Adding insult to injury, the other day I was cooking and suddenly, out of the blue, it felt like someone stabbed me just below my ribcage, then jerked the knife straight downward.  I stopped right in my tracks, it hurt so bad.  And then it went away.  Well, not exactly away, but reduced to a dull ache.  It made me wonder if I have to deal with kidney stones on top of everything else.  My back’s now hurting something fierce, too.  I’ve increased my water intake to see if that makes a difference.

And this evening I’ve started running a fever.  According to the warnings and precautions on a number of my medications, that’s another reason to phone the doctor.  Cough = phone the doctor; sore throat = phone the doctor; hoarseness = phone the doctor; fever = phone the doctor.

I don’t want to phone the doctor.  That always turns into, “You should come in to be seen.”  Before all this, if I got a sore throat, I’d drink hot lemonade, eat chicken soup, and become a hermit until I felt well again.  Now apparently I have to call the doctor about every little thing.

I just want to crawl into bed and be left alone until I’m well again.  So I’m grumpy.  But it turns out that “mood changes” are also listed on my prescriptions as a reason to contact the doctor.

 

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13 thoughts on “Grumpy

  1. Do take care of yourself – sorry to say, but you sound like your daughter in terms of avoidance – so call the doctor.

    And I say that with all the best of intentions and not a little selfishness: I want you well enough that you can keep writing your entertaining blog posts!
    :) L

  2. I completely understand. When I am talking about YOU, I say call the doctor and so what if you end up going in. Better safe than sorry. When I am talking about ME I think what could be the harm in waiting because the whole thing just turns into such an ordeal if I call.

    I understand, but I still think you should call. I’ll think good thoughts for everything to be perfectly fine and hopefully this is just an annoying thing that will go away quickly.

  3. I know what you mean. I have symptoms all the time (or it seems like it) that are on the “phone the doctor” list. I have trouble calling him. Most of the time I’m fine on my own, but a couple years ago I got pneumonia really bad, so now I’m more careful.

    Take care of yourself! :)

  4. Hope it’s just a cold or virus, but those are two potential signs of mtx pneumonitis, so you should call the doc right away and possibly stop the mtx. You also could’ve cracked a rib from coughing.

  5. I hate calling the doctor too but the lung issues with mtx can be pretty serious. I think you should call the doctor and have it checked sooner rather than later. Hope it is nothing and you feel better soon.

  6. Okay, I’ll make it unanimous: Call the doctor AND make an appointment to go in. Tell them you have a potential drug side effect so they will see you sooner than later. A little bit of effort going to see the doc is easier than spending days in the hospital.

    I hope you get to feeling better. It seems like you’ve had a lot of rain on your parade lately. (You’ll probably feel better sooner if you go to the doctor …)

  7. Okay. I have a call in to my doctor’s office; waiting for a call back.

    @Laurie – You’re too funny. Thank you. It was nice to start the day with a laugh :) When I expressed to my husband how frustrated I was with our daughter’s unwillingness to see any more doctors, he said, “She takes after her mother.”

  8. Take care and go see the doc. The stabbing pain under the ribs is a worry. That happened to me and turned out to be a fractured rib from coughing so much. Which eventually developed into costochondritis. Will be looking for an update with good news that you’re feeling better!

  9. Hi Socks — Thank you for calling your doc. I hope he’ll get you in right away; those symptoms sound pretty daunting, and it’s just plain no fun to be sick. Hopefully, you’ve just caught a bug, and your self-care routine will take care of it. In the meantime, I’m sending hugs and patience your way. Get well soon!

  10. Pingback: Cough, Hack, Cough, Wheeze « ∞ itis

  11. Pneumonitis can occur with Enbrel or the other biologics also, in addition to just possibly being from the RA itself.

    That aside, more likely it is an infection or virus, and Enbrel would make you more susceptible to some bugs, than perhaps MTX alone, however the two together not helpful on that front either. At any rate, primary is best to help rule out other infections etc. which rheumy probably isn’t as comfortable with treating like doc synon said.

  12. Hey there!

    Glad to have made you laugh when you’re not feeling well! (Hope, though, it didn’t make your chest hurt.)

    Just catching up on blog posts in chronological order, so will go now to read your follow-up to this post and see how you’re doing…
    :) L

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