Rheumatologist Questions Rheumatoid Arthritis

Can RA cause problems with swallowing?

I have RA, i’m on methotrexate, sulfasalazine & about to start on humira. My hands & right wrist are affected, also my left shoulder & my neck & more recently my feet. I've been having problems with swallowing food, i can swallow ok when i’m not eating, it’s only when i’m trying to swallow food it can be difficult and painful. Could this be linked to my RA?

Female | 52 years old
Complaint duration: 10/04/00
Medications: Methotrexate, Sulfasalazine
Conditions: Rheumatoid Arthritis

1 Answer

There are many causes of your symptoms, so to further determine what is causing, you will need further evaluation. Historically, the most common sites of rheumatoid arthritis (RA) are the metatarsophalangeal joints, followed by the metacarpophalangeal joints and the cervical spine. Given your symptoms, these are very concerning and you should seek medical attention as soon as possible (your PMD or Rheumatologist). Abnormalities of the rheumatoid cervical spine generally can be grouped into 3 categories that may be seen in isolation or combined involvement, of which atlantoaxial instability (AAI) or atlantoaxial subluxation (AAS) is the most common abnormality. Please see the following link for more information: https://emedicine.medscape.com/article/1266195-overview