Thank you sm for this advice it truly helps me so much, I just realized you asked what my symptoms are, for the past year my issues are pain in chest, back & trachea with loss of voice & some hearing loss in right ear I have had multiple ear flareups I still get pain & lots of popping in my ears, I have been getting symptoms of pain in my chest for about 3 years & now I am being told it could be symptoms of RP all along I am taking 12.5 mg of methotrexate 1 x weekly & 20 mg of prednisone a day which I want to get off of asap, I was diagnosed by my ENT then he referred me to Rheumatologist & she isn’t experienced with RP I am pretty sure she just researched how to treat me on the spot by researching RP & that’s how she found out how to test me with these meds she has me on The prednisone really makes my GERD react & gives me severe heartburn so I went from sometimes taking a 10 mg if Fomotidine as needed which was very rare to 40mg a day & I have a lingering cough which my ENT prescribed Benzonatate two 100mg 3 x a day& Odansetron for nausea from the methotrexate I haven’t had any tests besides the scope from my ENT of my nose & trachea he said the inflammation in trachea is minimal but can’t help with the chest pain my Rheumatologist says I need to see a Pulmonary specialist