What are these symptoms? Unhelpful GP

[MeinKraft]

So i have psoriasis and all of the toes on one of my foot are swollen and painful. Went to the doctor 3 times and on the last time she basically said i think its psoriatic arthritis but i'm not referring you until any bigger joints are involved, and that was that.

I was so put off by this that i just don’t want to go back to the GP but i now have other symptoms. One of my knees is now affected and is often warm and swollen (this pain is manageable though)

What I am struggling with though isn’t the joint problems. The last few weeks i keep getting hot flushes, where my cheeks go bright red and i feel hot and shaky and just generally weird. It goes away after about half an hour. Thinking about it, it seems to happen more when i eat or drink but maybe that’s just coincidence. i also get some mild stomach pains around my pelvis (3 years post c section so probably normal?) but last week i had weird poo that looked like it had red blobs of jelly in it 😬 I am 39 with regular periods so i don’t think menopause related but it is possible.

Anyway i know i have to go back to the GP but honestly the thought of explaining this to the receptionist and then to the GP just for them to tell me to go away again is just too depressing! Does anyone have these symptoms, is it all linked to PA?

Have you been back to Gp to report the change in bowel habit?

Can you ask to see a different GP?

Please do what you need to do and go back to the doctor. She may have had an off putting manner but it sounds as if she took you seriously and gave you advice to come back if a large joint was effected which it now is. Not going harms no one but yourself. Failing that see a different doctor.

Sounds like dactylitis

Hello

If you haven’t already told them about your bleeding you really should. It may be a sign of something like diverticulitis and that needs to be ruled in or out.

And your toes certainly sound like it could be dactylitis, which is a classic symptom of PsA. Worth seeing a doctor - a different one if need be - and making sure they follow the Nice guidelines which say you should be referred if you have dactylitis even if there aren’t any other symptoms. I have PsA and it’s really useful to know what the standard of treatment you should expect is.

good luck!! ☺️

https://cks.nice.org.uk/topics/spondyloarthritis-psoriatic-arthropathy/management/suspected-spondyloarthritis-or-psoriatic-arthropathy/

You may have more than one thing going on.

Please do go back about the change in bowel habit but also even if you make a seperate appt about the PsA.

Blood in your poo is absolutely a need for a GP appointment and the receptionist should book you in quickly (ie within a day or so)for this. You should also go back about the joint pain especially now your knee is affected. Hopefully by now you have been seen since I see you posted a while ago

Psoriatic arthritis- “sausage toe” is a common symptom. You need to see rheumatology

That is shocking. The earlier treatment for PsA is started the better. Why on earth would she wait until your joints are potentially permanently damaged? Some forms of PsA may never affect large joints.

You need to go back to the GP and basically demand an urgent referral to a rheumotologist.

I agree entirely with other posters. You need to be referred to rheumatology as a matter of urgency for the swollen toes - they’re classic symptoms of Psoristic arthritis(I’m a fellow sufferer) and the sooner treatment is started the better your long term outlook is. Back to the GP and don’t take no for an answer. Good luck