RA & lungs. | Arthritis Information

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Hi Everyone,

I've only posted a couple of times but enjoy reading all of your messages! 

I was wondering if anyone has ever experienced problems with their lungs due to RA? My doctor has referred me to a "respirologist" because I have been having pains in my back (mostly middle) and sides when I take deep breaths. Sometimes I have pain when I sneeze or yawn too. I've been on Methotrexate for about 16 yrs and also take Arthrotec for pain. I'd appreciate any feedback on the subject. Thanks in advance. Arlene

I've been to a Pulmonologist. Over time, and you certainly have had it a long time, RA can affect the lungs in a number of ways. You actually can develop Rheumotoid nodules, have scarrring or fibrous start or have Pleural effusions. Methotrexate has been known to cause lung problems, too.

The best thing is to see a specialist as you are doing. They will probably do xrays (if not already done), a pulmonary function test, a diffusion test and then see how things look. A lot of problems are not serious. But they can be. The trick is to be on top of them. I hope your problems are not. Maybe you have developed an infection or asthma.

Certainly if you start having problems breathing before you see the specialist go to the ER. Breathing is very important. Otherwise, once they do the tests, they'll be able to tell you more.

Does your pain come and go?  Just wondering because I also get this in the center of my back.  Hurts to breathe in deep...or move certain ways.  But then it goes away for a few weeks....usually lasts for a couple of days.  I've had RA for 14-15 years and have been taking mtx for most of those years. 

Kelstev,

You have to get this checked out. While RA may not have a great impact on the lungs, in a couple of cases it is life threatening. Please look up Pulmonary Fibrosis (this is the worst, it must be caught early), Rhematoid Lung and MTX complications.

It also could have nothing to do with RA but could be Bronchitis, Pleurisy or Pneumonia.

Your doctor has to examine you to know what is going on. Don't ignore it.

It is also possible to develop a Pulmonary Embolism (deadly, an ER situation). Neither of you have this kind of symptom. But I have had that scare twice. I also have a history of asthma, bronchitis, pnemonia. They did find some pleural effusion. So, in my case, I don't have strong lungs to begin with. Any problems and I am right there to the doctor. That's the best strategy.


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