Originally Answered: could it be lupus?
Hi Im Chris, I have Lupus, and several other autoimmune diseases. First going by your user name I can guess you 20ish. Second the first doctor who blew you off, is rude, but not all that uncommon, it happened to me for years. I started getting ill younger than you, and was not diagnosed until my late 20's. Im 40 now.
Also you asked if you can have Lupus and Rhuematoid Arthritis at the same time. Yes you can. In fact you can, and many do devlop more than 1 autoimmune disease once they have one. I have more than 1, I have relatives who only have 1, I know several from a yahoo support group I co-own who have one, some with more. It just depends.
Your lucky though that you saw that other Doctor. If he did a test to see if you have a positive rhuematoid factor, he probablly did some other tests, in the same family.
You also mentioned you have been doing some research, and you mentioned Fibromyalgia. I do not know if you know how they test for it, but there is no blood test for it, they will ask you some questions, including how do you sleep, if it is mostly joint or muscle pain, etc. But physically, they will do a pressure point/tender point test which we have 18 areas if you move, wince, or cry out. they will diagnose you with Fibromyalgia. Fibro can go with an autoimmune, escpecially if you are not sleeping.
As far as Lupus goes, to have it, you must meet 4 of 11 critera to have it and 3 to have probable Lupus. Here is the critera:
Diagnostic criteria for lupus
Last Updated: June 29, 2004
Diagnostic criteria for lupus
The following criteria are used to distinguish lupus (systemic lupus erythematosus, or SLE) from other autoimmune and rheumatic diseases.
A person with 4 of these 11 conditions can be diagnosed with lupus; 3 symptoms suggest that lupus is probably present, and 2 raise the possibility of lupus. Symptoms may be present all at once or appear in succession over a period of time. 1
Butterfly (malar) rash on cheeks
Rash on face, arms, neck, torso (discoid rash)
Skin rashes that result from exposure to sunlight or ultraviolet light (photosensitivity)
Mouth or nasal ulcers, usually painless
Joint swelling, stiffness, pain involving two or more joints (arthritis)
Inflammation of the membranes surrounding the lungs (pleuritis) or heart (pericarditis). This inflammation is called serositis.
Abnormalities in urine, such as increased protein or clumps of red blood cells or kidney cells, called cell casts, in the urine
Nervous system problems, such as seizures or psychosis, without known cause
Problems with the blood, such as reduced numbers of red blood cells (anemia), platelets, or white blood cells
Positive antinuclear antibody (ANA) test
Signs of increased autoimmunity (antibodies against normal tissue), as shown by laboratory tests
Diagnoses, even with positive tests may take a bit, since you would need to be sent to a rhuematologist for further evaluation. They would observe maybe even test some medications, if blood work was highly positive.
If you have to go back to the doctor who blew you off, for a refferal, bring all lab work with you, be polite but insistant. I have been dealing with doctors of all types for many years. If possible, change your primary care doctor, and tell the insurance company why, they will do it right away, without making you wait until the 1st of the month for the change.
I know you already looked up a lot of information up yourself, but I do have a lot of information on various similar autoimmunes, and files in the support group.
email me anytime
Like you I was very young when this all started so I understand.