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PMR initial diagnosis: Can there be an underlying disease?

Polymyalgia Rheumatica (PMR) | Last Active: Jul 4, 2022 | Replies (49)
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@kathylovgren

My blood work confirmed the pmr diagnosis 9 months ago. I’m doing ok on 2 mg prednisone daily after initial taper down. Having bowel problems alternating from diarrhea to normal but lately waking up with pains like labor contractions. Any thoughts on this?

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Replies to "My blood work confirmed the pmr diagnosis 9 months ago. I’m doing ok on 2 mg..."
John, Volunteer Mentor | @johnbishop | Sep 22, 2020

@kathylovgren, The prednisone may be masking other symptoms that are causing the intermittent diarrhea and abdominal pains. I think this may be serious and if it were me I would contact my doctor right away.

Excerpt from the article below - "...the dramatic clinical response of anorexia, diarrhea, tenesmus, and cramping pains to low doses of prednisone, we believe that his gastrointestinal symptoms may ..."
Giant cell arteritis with polymyalgia rheumatica, loss of vision ... -- https://onlinelibrary.wiley.com/doi/pdf/10.1002/art.1780120211

"Polymyalgia rheumatica is an increasingly common disease in older people, which gives rise to arthralgia and is mainly treated with corticosteroids. ... She had had intermittent diarrhea over the past four weeks but no bleeding or ... She also had left-sided abdominal pains for six months, which were treated ..."
Presentations of perforated colonic pathology in patients with polymyalgia rheumatica: two case reports:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2944188/
Have you discussed the symptoms with your doctor?

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