I recently had blood work for my annual exam and see my doctor next week. However, I saw my results and noticed that my WBC was flagged as low. I don't know whether I should discuss it with my doctor when I see him next week or call my RA doctor to get her input. I don't see my RA for another month. I've been on a low dose of methotrexate (10mg) for 2.5 years with very good results. I don't want to overreact but. Also, about a month ago I suddenly developed tinnitus. Has anyone had a similar… read more
Thanks Michelle for your response...it was very informative. Both my RA and primary doctors are great. Since my RA has been pretty stable, I only see the RA doctor every 6 months but have blood work done every three months. The tinnitus can drive me a little crazy. You mentioned yours comes and goes? I didn't realize that can happen. I did go to the ENT office and basically it was a waste of my time. They told me to take riboflavin and come back in a year. I'm looking forward to seeing my RA doctor...I have a lot of questions for my RA doctor!
Hi Adriana, I have a very low WBC as well which has been caused by RA & the RA medications I'm on. My RA doctors monitor it frequently to make sure it doesn't continue to go lower & also said it could be my new normal. Unfortunately this means you have a weaker immune system & could be more susceptible to infections. Any time you have questions or concerns you should always feel comfortable enough with your RA doctors to reach out & not wait until your next appointment. My RA doctors told me I can call anytime or ask to move an appointment up sooner to be seen. In the past 6 months I started out with Prednisone after being diagnosed then switched to 3,000mg oral Sulfasalazine with 4 mg oral Folic Acid to prevent side effects, added Methotrexate injection once a week going from 15mg to 25mg, & also just added Biologic TNF Inhibitor Simponi Aria IV infusion which I just started with my first dose, then will have my 2nd dose in 4 weeks, & then will go every 8 weeks. I do get tinnitus occasionally as well. RA inflammation can affect your inner ear sometimes causing tinnitus & vertigo. Since you already have an RA doctor it's best to reach out to him/her as they are the RA specialists unlike your primary doctor. Hoping you have a great RA doctor.
I never related my RA to Tinnitus!!!!!
Since you're taking methotrexate, it's important to get regular blood tests monitored by your healthcare team. A low white blood cell count can be a side effect of methotrexate that your rheumatologist should know about. While you have an appointment with your primary doctor next week, it would be prudent to contact your Show Full Answer