Lupus can slow the digestive process, and this can cause a wide variety of GI issues. Digestive problems may be the direct result of an attack by the immune system or from medications to treat lupus. These digestive difficulties include nausea, vomiting, diarrhea, or constipation.
GI manifestations of SLE include mouth ulcers, dysphagia, anorexia, nausea, vomiting, haemorrhage and abdominal pain. GI vasculitis is usually accompanied by evidence of active disease in other organs.
One rare GI complication of SLE is lupus enteritis, a complex of manifestations including intestinal vasculitis and enteric ischemia, which presents with vague symptoms of severe abdominal pain, nausea, vomiting, and diarrhea.
Lupus is an autoimmune condition leading to inflammation that can affect several parts of the body, including the gastrointestinal (GI) system. Both lupus and treatments for the condition can interact with the GI system. The symptoms are nonspecific and can include nausea and abdominal pain.
Lupus and the intestines
Lupus can rarely cause vasculitis (inflammation of the blood vessels) in the intestines, sometimes called lupus enteritis. Symptoms include: Abdominal pain (pain in the belly area) Feeling very full or bloated.
Weight changes — Lupus can sometimes cause weight loss or weight gain. Weight loss may be unintentional and due to decreased appetite or problems with the digestive system (see 'Digestive system' below). It can also be a side effect of some medications used to treat lupus.
There are warning signs that the body will use to communicate that a lupus flare is coming, such as tiredness, pain, rash, stomachache, severe headache and dizziness.
Kidneys About one half of people with lupus experience kidney involvement, and the kidney has become the most extensively studied organ affected by lupus. Lungs About 50% of people with SLE will experience lung involvement during the course of their disease.
Lupus flare-ups can be triggered by stress, infection, or missed doses of medication. To prevent a lupus flare, focus on your medication schedule, self-care, and sun protection. Hydroxychloroquine is the best medication to help prevent lupus flares.
Crohn's disease is a chronic, inflammatory disease of the gastrointestinal tract. It is an autoimmune disorder, meaning your body's immune system mistakenly attacks healthy tissue in your body. Crohn's disease is chronic (ongoing), and may appear and disappear at various times.
The differentiation between Crohn's disease and lupus enteritis is difficult because both the two diseases can show similar clinical signs and symptoms such as abdominal pain, bloating, intestinal obstruction and so on. In addition, it is known that coexistence of SLE and Crohn's disease is very rare.
Common symptoms that indicate a flare are: Ongoing fever not due to an infection. Painful, swollen joints. An increase in fatigue.
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.
Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: Your symptoms get worse or you develop any new symptoms. These may include aching or swollen joints, increased fatigue, loss of appetite, hair loss, skin rashes, or new sores in your mouth or nose.
Research has established links but not whether those factors cause lupus symptoms to worsen. The best places to live may be those with moderate temperature fluctuations and low levels of wind, humidity, and air pollution.
Thick, scaly patch of skin (discoid lupus)
People who have discoid lupus develop these patches. Most patches appear on the face, scalp, or ears, but patches can develop elsewhere on the skin. Without prompt treatment, these patches tend to stay on the skin for a long time — sometimes for years.
Weight changes, high blood pressure, and kidney disease
Often, people with lupus experience weight loss or gain due to loss of appetite, unhealthy dietary habits, or decreased energy and mobility. If you experience weight loss or loss of appetite, talk to your doctor.
Lupus nephritis is one of the most serious complications of lupus. It occurs when SLE causes your immune system to attack your kidneys — specifically, the parts of your kidney that filter your blood for waste products. The kidneys play a vital part in your body's functioning.
With close follow-up and treatment, 80-90% of people with lupus can expect to live a normal life span. It is true that medical science has not yet developed a method for curing lupus, and some people do die from the disease. However, for the majority of people living with the disease today, it will not be fatal.
For example, untreated lupus can lead to blood disorders such as anemia or thrombosis. Other potential serious complications include: Chronic digestive distress that could include difficulty swallowing, dry mouth, indigestion, intestinal inflammation, liver enlargement, or pain when vomiting or feeling nauseous.