Many people described the pain of lupus as similar to having the flu. This means having chills and bone-weary aches throughout your entire body. The pain can be numbing and leave you feeling drained of all energy. “I explain it to others as feeling like the flu: achy joints, muscles, bones.”
Muscle and joint pain.
You may experience pain and stiffness, with or without swelling. This affects most people with lupus. Common areas for muscle pain and swelling include the neck, thighs, shoulders, and upper arms.
Some people with lupus develop myositis, an inflammation of the skeletal muscles that causes weakness and loss of strength. Lupus myositis often affects the muscles of your neck, pelvis, thighs, shoulders and upper arms; difficulty in climbing stairs and getting up from a chair are early symptoms.
Lupus and the muscles. Lupus often causes myalgia, or aches and pains in the muscles. Less often, lupus can cause myositis, or inflammation in the muscles — usually in the hips, thighs, shoulders, and upper arms. The most common symptom of myositis is muscle weakness.
It is described as delusions or hallucinations. About 12 percent of lupus patients experience it. A few more little-known symptoms are vertigo, Raynaud's Syndrome, and oral health problems, like gum disease.
The most common lupus symptoms (which are the same for men and women) are: Extreme fatigue (feeling tired all the time) Pain or swelling in the joints. Swelling in the hands, feet, or around the eyes.
Your doctor will look for rashes and other signs that something is wrong. Blood and urine tests. The antinuclear antibody (ANA) test can show if your immune system is more likely to make the autoantibodies of lupus. Most people with lupus test positive for ANA.
Certain cells and processes of the immune system have been identified as playing a role in lupus. Kidneys About one half of people with lupus experience kidney involvement, and the kidney has become the most extensively studied organ affected by lupus.
Lupus often causes skin rashes, arthritis, mouth sores, sun sensitivity, hair loss, or kidney problems, but these symptoms don't show up in MS. Even when lupus affects your nervous system, its most common symptoms are migraine, personality changes, seizures, or stroke, but these aren't typical for MS.
Inflammation: Any time your body is experiencing excess inflammation, such as during a lupus flare, you will feel more tired. Anemia: Anemia occurs when your red blood cell count gets low. This means that the amount of oxygen going to your organs will decrease, which can increase your level of fatigue.
Get Enough Rest to Prevent Fatigue
If you have lupus you may need even more sleep. “It's important to develop good sleeping habits,” says Jolly. “It can really make the difference in getting a good night's sleep.” Take time to relax before bedtime.
The main treatment for both muscle and joint pain from lupus is nonsteroidal anti-inflammatory drugs – aka NSAIDs – such as ibuprofen or naproxen sodium. Joint rest and physical therapy can ease pain caused by tendinitis and myalgia.
Joint and muscle pain are common in both conditions. But people with lupus often have stiffness and swelling in their joints. It can be hard for people with this condition to move. In people with fibromyalgia, on the other hand, the joints move normally and aren't swollen.
If you have lupus, you may have times of more symptoms (flares) and times of feeling better (remission). Lupus flares can be mild to serious, and they do not follow a pattern. However, with treatment, many people with lupus can manage the disease.
Severe abdominal pain. Chest pain or shortness of breath. Seizures. New onset of a fever or if your fever is much higher than usual.
No one test can diagnose lupus. The combination of blood and urine tests, signs and symptoms, and physical examination findings leads to the diagnosis.
Common symptoms include fatigue, hair loss, sun sensitivity, painful and swollen joints, unexplained fever, skin rashes, and kidney problems. There is no one test for SLE. Usually, your doctor will ask you about your family and personal medical history and your symptoms. Your doctor will also do some laboratory tests.
Lupus and the abdomen
Lupus can also cause other problems in the abdomen, including peritonitis (inflammation of the abdominal lining) and ascites (a build-up of fluids in the abdomen). Symptoms of peritonitis and ascites include: Abdominal pain and swelling. Nausea and vomiting.
Lupus symptoms can also be unclear, can come and go, and can change. On average, it takes nearly six years for people with lupus to be diagnosed, from the time they first notice their lupus symptoms.
A tell-tale sign of lupus is a butterfly-shaped rash across the cheeks and bridge of the nose. Other common skin problems include sensitivity to the sun with flaky, red spots or a scaly, purple rash on various parts of the body, including the face, neck, and arms. Some people also develop mouth sores.
Antinuclear antibody (ANA) autoantibodies, or antibodies produced by the immune system that attack the body's own cells, are a hallmark of lupus. ANA is usually measured as 0 to 4+ or as a titer (the number of times a blood sample can be diluted and still be positive).