Do I add more drugs?

I saw both my endocrinologist and my CAPi prescriber this week. I have a painful heartbeat that's been bothering me mainly with some movements and deep breaths. So my endo wants me to take Advil in addition to my CAP. My CAP prescriber didn't have any suggestions in that regard but wants me to add Diflucan into the protocol for possible candida issues just b/c I've been so long on abxi.

Right now I am taking Amoxicillini 1000 mg x 2/day, Clarith 500 mg x 2/day, Minoi 100 mg x 2/day, Flagyli 500 mg x 2/day. If I add Advil and Diflucan, would it be too many drugs for my poor liver? On the other hand, I'd like to try something for that painful heartbeat.

Any thoughts? Thanks for any input.

Comments

Just a little question:  no

Just a little question:  no NACi on your list of supps?  And how is your Vit D?

Rica

3/9 Symptoms returning. Began 5 abxi protocol 5/9 Rifampin 600, Amox 1000, Doxyi 200, MWF Azith 250, flagyli 1000 daily. Began Sept 04 PPMSi EDSSi 6.7 Now good days EDSS 1 Mind, like parachute, work only when open. Charlie Chan  In for the duration.&am

This isn't much help

I've been dealing with costochondritis since the end of August. I've literally tried everything. I have even gone off treatment for a while (I had to have a lyme culture done) and it's still there. Over time with much rest, it's eased up to a more tolerable level but it doesn't take much to throw it in reverse. It also seems to be tied in with stress level & the pain I have in my shoulders - or visa versa. I can't tell which comes first anymore. I wish I could be more help.

 

+ for cpni & micoplasma - sucessfully procrastinating going back on treatment for the moment.

JeanneRoz & Louise, thanks

JeanneRoz & Louise, thanks so much for your input.

Yes, I've had a costochondritis w/ painful heartbeat for a couple of years ever since my arthritis started but with CAPi, esp. when I switched to Minoi and added Flagyli, the pain along the sternum slowly going away. I used to have irregular heartbeat as well and it's been gone for the past 4 months now. I  believe changing CAP, upping vits B-group and D and working out helped with that.

I did an echo heart study back in Nov.'08 and my heart is good except some trace to mild regurgitations in 3 valves, mitral annular calcifications and borderline atrial hypertrophy. I was told all of that is still within normal and I'd like to keep it from progressing.

Despite my sternum pain diminishing, all of the sudden I got new developements in my back. The pain is somewhere at the base and inner side of my left shoulderblade and goes inside of thorax and heart. It aggravates with movement, breathing, coughing (I don't cough too much though) and at the same time my painful heartbeat got increased. I actually feel my heart painfully pulsing for a few times every time when I bend over, lay down, lift/push something heavy, turn to the side if I am in bed and similar movements. 

At the same time I got a new pain in my r.foot that is also very bothersome. So I am wondering if this new problem is just another spiral of my infection. May be I shouldn't have switched from Rifampin to Biaxin. Or, may be a new die off area.

In any case, I am concerned about painful heartbeat, b/c of possibile pericarditis. 

JeanneRoz, would serrapeptase be similar to Wobenzym? I have it at home and could start today.

Louise, how is Cholestyramine working for you? Did you feel any distinct effects from starting it? The physician assistant of my CAP dr is swearing by it. She claimed when she had a persistant shoulder pain (she is a former lyme patient), Cholestyramine took her pain away starting just in 3 days.

Thanks,

Nata.

Nata.

CAP Jan'08 to Dec'09 for arthritis. Doxyi, Rif, Azith, Bactrim, Minoi, Clarith, Flagyli, Amoxicillini. Re-started Dec.'10 for residual joint pain and painful heartbeat.Now: Mino 200 mg/day, Clarith  1000 mg/day, Flagyl 1000 mg/

I found the definition of

I found the definition of Costrochondritis and tietze syndrome and the diferentiation between there similar and seemingly somewhat similar and often confused condition an easy non-technical read at; http://www.medicinenet.com/costochondritis_and_tietze_syndrome/article.htm<.  Also found some references to it in relationship to fibromyalgiai which seems to make some sense from my perspective. 

My perspective is that conditions and syndromes are symptoms and constelations of dysfunction and not defined as diseasesi in their own isright.  For example; Itis as a suffix expresses inflamation of a certain type of body tissue for example; dermatitis, inflamation of the derma or skin etc.

Years ago my son had a brief occurance of chest discomfort diagnosed as costocondritis. Inflammation in the Intercostal area of the chest.  Likely his was related to some activity and not geneticsi or a virus as the event was self limiting and of short duration, he recalled no traumatic event when questioned. 

Jeanneroz,It is good to know that perhaps the enzyme serrapeptase offers a way to clear the inflammation for you and that it was an answer to your chest pain and as you say likely a better solution that NSAIDsi.  Nata please let us know if you try it and how it work for you. 

I may order some to test it out for a foot complaint that my husband keeps bringing up and that has become irksome and dragging on.  Thanks Jeanneroz for bringing forward the serrapeptase option once again. Louise

  • CAPi(TiniOnly): 06/07-02/09 for CFSi<
  • MethylationProtocolSupplements: Started08/08
  • Intermtnt CAP: 02/09-02/10
  • Full MethylProtocol & LDNi 02/09
  • Off CAP: 02/10, cont LDN & MethlyProtocol support
  • <

Hi, Louise....from my

Hi, Louise....from my understanding the bacteria's or viruses, in and of themselves, can cause costochondritis without having had a physical muscular strain.  So perhaps this (costochondritis) could be another "illness" resulting from being infected with CPNi

 Also, with reference to the previous discussions on NSAID class of pain relievers,  FWIWi, I opted to take Serrapeptase instead as it is better tolerated long-term and does not harm the liver or cause stomach problems -- it has alleviated most of my pain.

The serrapeptase may be an alternative for you to consider, Arthritic :)

JeanneRoz

 

JeanneRoz ~ DXi'd w/ CPNi 4/2007; 6/07 -"officially" dx'd w/CFIDSi/FM; also: HHV6, EBVi, IBSi-C, 100 Doxyi:BIDi<; 500 mg Biaxin BIDi; Tindamax Pulses, B12 shots, ERFA Dessicated Thyroid,Cortef, Iodoral 25 mg, Vit D-6,000 uni

Jeanneroz does have another

Jeanneroz does have another perspective and I wonder if you have had a cardiac stress test or ultrasound as well to evaluate the internal structures of your heart?  Another specialist to add to the mix could be a drag or very helpful before you take a long term course of advil.  Does it help some have you tried it to see.  The question is it something to take for a longer time.  There have been a number of discussions some time ago about the effects of the NSAID class of pain relievers.  I looked into it thinking that to add it in might help reduce my liver inflamation but decided that it might be more of a load than an asset as I recall.

I don't recall anyone here talking about taking Diflucan periodically as a preventative but that may be something that is done from time to time.   Do you have any symptoms that are associated with the posibility of dysbiosis?

Is there frequent coughing on your part or some heavy lifting or over stretching during activity that could have set you up for intercostal inflamation that Jeanneroz is talking about?

Does the pain actually follow the pulse rate of your heart or is this just the way it seems to you?  Just asking some thought provoking questions so you can see if from different directions to describe it better.

I'll be interested in how this all plays out for you, I hope you continue to post on it.    Louise

 

  • CAPi(TiniOnly): 06/07-02/09 for CFSi<
  • MethylationProtocolSupplements: Started08/08
  • Intermtnt CAP: 02/09-02/10
  • Full MethylProtocol & LDNi 02/09
  • Off CAP: 02/10, cont LDN & MethlyProtocol support
  • <

Arthritic, have they ruled

Arthritic, have they ruled out costochondritis<?  This was giving me problems that felt like heart pain or heart symptoms and it was determine I have it.

"viral respiratory infectionsi can commonly cause chest pain due to costochondritis"

Also:

Different types of infectious diseasesi can cause costochondritis.

  • Viral: Costochondritis commonly occurs with viral respiratory infections because of the inflammationi of costochondral junctions from the viral infection itself, or from straining from coughing<.
  • Bacterial: Costochondritis may occur after surgery and be caused by bacterial infections.
  • Fungal: Fungal infections are rare causes of costochondritis.

 

Just a thought to consider. .....

JeanneRoz

JeanneRoz ~ DXi'd w/ CPNi 4/2007; 6/07 -"officially" dx'd w/CFIDSi/FM; also: HHV6, EBVi, IBSi-C, 100 Doxyi:BIDi<; 500 mg Biaxin BIDi; Tindamax Pulses, B12 shots, ERFA Dessicated Thyroid,Cortef, Iodoral 25 mg, Vit D-6,000 uni