#types of arthritis and their symptoms

[dubaiblogs]

Types of Arthritis you must know about Arthritis is a painful bone condition that can escalate, eventually hindering your day-to-day life. Get to know the different types of arthritis and their symptoms so that you can avail the right treatment.

[dilfsisko]

Ugh the squeezing chest pain is back.

[unitedhospital]

What are the Different Types and Treatments of Arthritis?

Leading a beautiful life doesn’t come without challenges. Our body goes through a lot of stress and grind in the process and there comes a stage when it needs more attention and care than ever before.

The Best Orthopedic Doctor in Bangalore at United Hospital explains that the wear and tear, our body is subjected to, leads to pain in the ankles and knees. Sometimes, it can get pretty hard to walk!

Are we welcoming Arthritis in this case?! Well, in the worst case, unfortunately, we may be. However, experts indicate that there is no need to panic. With rapid advancements in medical science, there is not just hope, but more confidence that we can defeat Arthritis.

It is all about being aware of what Arthritis exactly is and taking precautions at the right time that could be the best beginning to arrive at a successful solution.

Understanding Arthritis?

Experts at United Hospital, a dedicated Orthopedic Centre in Bangalore focusing on Arthritis care, explain that Arthritis is a medical condition involving swelling and tenderness of one or more joints. It may worsen with age and is a prevalent cause of discomfort among senior citizens

Types of Arthritis

Arthritis can affect individuals of any age, but the elderly are more vulnerable.

Some of the common forms of Arthritis are:

Osteoarthritis - It is a condition that affects joints in your Hands, Knees, Hips and Spine.

Psoriatic Arthritis - This a condition that develops in people due to a very challenging skin disease called Psoriasis.

Reactive Arthritis – This causes joint pain and swelling triggered by an infection in prominent parts of your body — most often your intestines, genitals or urinary tract.

Rheumatoid Arthritis – This is a chronic inflammatory disorder which can affect more than just joints including premier organs like lungs, heart, eyes and blood vessels.

Some of the other conditions faced notably by the elderly include Ankylosing Spondylitis.

Symptoms of Arthritis

The most common signs and symptoms of arthritis involve the joints. Hence, it is important to seek an expert opinion if you observe one or more of the following symptoms:

Pain in the joints.

Stiffness felt in the joints.

Swelling observed in or around the joints.

Redness observed in the joints.

Difficulty in moving.

Treatment for Arthritis

Arthritis, if untreated, can be a really painful thing to handle. However, what really matters is the right type of medical attention at the right time and from the right source. Your treatment is based on how severe is your condition and can include:

Medications

Depending upon the type of Arthritis diagnosed, your medications may include:

Non-steroidal anti-inflammatory drugs.

Creams and Ointments.

Steroids

Physical therapies and exercises.

Surgical Interventions

In case you do not get any relief from the above medications your doctor might recommend surgical interventions to bring you back to your routine lifestyles in quick time. Some of the types of surgeries performed include,

Joint Repairs

Joint Replacements

Joint fusions

Let’s say Goodbye to Arthritis forever and welcome a painless life. For many of us, life may begin at 40, but so does Arthritis! Hence, if you are wondering as to, “Which is the Best Orthopaedic Clinic near me to treat Arthritis”? feel free to connect with United Hospital.

[rsg-energya]

Arthritis

Here get detailed info on: Arthritis. Know about, Arthritis Treatment. Arthritis Symptoms. Arthritis Causes. Arthritis Types. Know, how Energya Flexifood is the best Arthritis Medicine.

[hardikortho]

Explore essential information about Osteoarthritis (OA) and its effects on joints. Discover common symptoms, causes, diagnosis methods, and available treatments to manage OA effectively and improve joint health.

[healthcareplatform]

https://www.scribd.com/document/705409908/What-s-Causing-Your-Arthritis

[cripplecharacters]

Where to Start Your Research When Writing a Disabled Character

[large text: Where to Start Your Research When Writing a Disabled Character]

So you have decided that you want to make a disabled character! Awesome. But what's next? What information should you decide on at the early phrase of making the character?

This post will only talk about the disability part of the character creation process. Obviously, a disabled character needs a personality, interests, and backstory as every other one. But by including their disability early in the process, you can actually get it to have a deeper effect on the character - disability shouldn't be their whole life, but it should impact it. That's what disabilities do.

If you don't know what disability you would want to give them in the first place;

[large text: If you don't know what disability you would want to give them in the first place;]

Start broad. Is it sensory, mobility related, cognitive, developmental, autoimmune, neurodegenerative; maybe multiple of these, or maybe something else completely? Pick one and see what disabilities it encompasses; see if anything works for your character. Or...

If you have a specific symptom or aid in mind, see what could cause them. Don't assume or guess; not every wheelchair user is vaguely paralyzed below the waist with no other symptoms, not everyone with extensive scarring got it via physical trauma. Or...

Consider which disabilities are common in real life. Cerebral palsy, muscular dystrophy, stroke, cataracts, diabetes, intellectual disability, neuropathy, multiple sclerosis, epilepsy, thyroid disorders, autism, dwarfism, arthritis, cancers, brain damage, just to name a few.

Decide what specific type of condition they will have. If you're thinking about them having albinism, will it be ocular, oculocutaneous, or one of the rare syndrome-types? If you want to give them spinal muscular atrophy, which of the many possible onsets will they have? If they have Ehlers-Danlos Syndrome, which one out of the 13 different types do they have? Is their amputation below, or above the knee (it's a major difference)? Not all conditions will have subtypes, but it's worth looking into to not be surprised later. This will help you with further research.

If you're really struggling with figuring out what exact disability would make sense for your character, you can send an ask. Just make sure that you have tried the above and put actual specifics in your ask to give us something to work with. You can also check out our "disabled character ideas" tag.

Here are some ideas for a character using crutches.

Here are some ideas for a character with a facial difference (obligatory link: what is a facial difference?).

If you already know what disability your character is going to have;

[large text: If you already know what disability your character is going to have;]

Start by reading about the onset and cause of the condition. It could be acquired, congenital, progressive, potentially multiple of these. They could be caused by an illness, trauma, or something else entirely. Is your character a congenital amputee, or is it acquired? If acquired - how recently? Has it been a week, or 10 years? What caused them to become disabled - did they have meningitis, or was it an accident? Again, check what your options are - there are going to be more diverse than you expect.

Read about the symptoms. Do not assume or guess what they are. You will almost definitely discover something new. Example: a lot of people making a character with albinism don't realize that it has other symptoms than just lack of melanin, like nystagmus, visual impairment, and photophobia. Decide what your character experiences, to what degree, how frequently, and what do they do (or don't do) to deal with it.

Don't give your character only the most "acceptable" symptoms of their disability and ignore everything else. Example: many writers will omit the topic of incontinence in their para- and tetraplegic characters, even though it's extremely common. Don't shy away from aspects of disability that aren't romanticized.

Don't just... make them abled "because magic". If they're Deaf, don't give them some ability that will make them into an essentially hearing person. Don't give your blind character some "cheat" so that they can see, give them a cane. Don't give an amputee prosthetics that work better than meat limbs. To have a disabled character you need to have a character that's actually disabled. There's no way around it.

Think about complications your character could experience within the story. If your character wears their prosthetic a lot, they might start to experience skin breakdown or pain. Someone who uses a wheelchair a lot has a risk of pressure sores. Glowing and Flickering Fantasy Item might cause problems for someone photophobic or photosensitive. What do they do when that happens, or how do they prevent that from happening?

Look out for comorbidities. It's rare for disabled people to only have one medical condition and nothing else. Disabilities like to show up in pairs. Or dozens.

If relevant, consider mobility aids, assistive devices, and disability aids. Wheelchairs, canes, rollators, braces, AAC, walkers, nasal cannulas, crutches, white canes, feeding tubes, braillers, ostomy bags, insulin pumps, service dogs, trach tubes, hearing aids, orthoses, splints... the list is basically endless, and there's a lot of everyday things that might count as a disability aid as well - even just a hat could be one for someone whose disability requires them to stay out of the sun. Make sure that it's actually based on symptoms, not just your assumptions - most blind people don't wear sunglasses, not all people with SCI use a wheelchair, upper limb prosthetics aren't nearly as useful as you think. Decide which ones your character could have, how often they would use them, and if they switch between different aids.

Basically all of the above aids will have subtypes or variants. There is a lot of options. Does your character use an active manual wheelchair, a powerchair, or a generic hospital wheelchair? Are they using high-, or low-tech AAC? What would be available to them? Does it change over the course of their story, or their life in general?

If relevant, think about what treatment your character might receive. Do they need medication? Physical therapy? Occupational therapy? Orientation and mobility training? Speech therapy? Do they have access to it, and why or why not?

What is your character's support system? Do they have a carer; if yes, then what do they help your character with and what kind of relationship do they have? Is your character happy about it or not at all?

How did their life change after becoming disabled? If your character goes from being an extreme athlete to suddenly being a full-time wheelchair user, it will have an effect - are they going to stop doing sports at all, are they going to just do extreme wheelchair sports now, or are they going to try out wheelchair table tennis instead? Do they know and respect their new limitations? Did they have to get a different job or had to make their house accessible? Do they have support in this transition, or are they on their own - do they wish they had that support?

What about *other* characters? Your character isn't going to be the only disabled person in existence. Do they know other disabled people? Do they have a community? If your character manages their disability with something that's only available to them, what about all the other people with the same disability?

What is the society that your character lives in like? Is the architecture accessible? How do they treat disabled people? Are abled characters knowledgeable about disabilities? How many people speak the local sign language(s)? Are accessible bathrooms common, or does your character have to go home every few hours? Is there access to prosthetists and ocularists, or what do they do when their prosthetic leg or eye requires the routine check-up?

Know the tropes. If a burn survivor character is an evil mask-wearer, if a powerchair user is a constantly rude and ungrateful to everyone villain, if an amputee is a genius mechanic who fixes their own prosthetics, you have A Trope. Not all tropes are made equal; some are actively harmful to real people, while others are just annoying or boring by the nature of having been done to death. During the character creation process, research what tropes might apply and just try to trace your logic. Does your blind character see the future because it's a common superpower in their world, or are you doing the ancient "Blind Seer" trope?

Remember, that not all of the above questions will come up in your writing, but to know which ones won't you need to know the answers to them first. Even if you don't decide to explicitly name your character's condition, you will be aware of what they might function like. You will be able to add more depth to your character if you decide that they have T6 spina bifida, rather than if you made them into an ambiguous wheelchair user with ambiguous symptoms and ambiguous needs. Embrace research as part of your process and your characters will be better representation, sure, but they will also make more sense and seem more like actual people; same with the world that they are a part of.

This post exists to help you establish the basics of your character's disability so that you can do research on your own and answer some of the most common ("what are symptoms of x?") questions by yourself. If you have these things already established, it will also be easier for us to answer any possible questions you might have - e.g. "what would a character with complete high-level paraplegia do in a world where the modern kind of wheelchair has not been invented yet?" is more concise than just "how do I write a character with paralysis?" - I think it's more helpful for askers as well; a vague answer won't be of much help.

I hope that this post is helpful,

mod Sasza

[fantasy-store]

bit of a ramble in tags

arthritis haver flags

flags specifically/exclusively for folks with these conditions, general arthritis flag found on an older post

made because i recently found out not only does it run in the family (both osteo and rheumatoid) but i am highly suspected to have it myself.

transx/transid stay the fuck off my posts. not for you

Osteoarthritis/OA + Rheumatoid/RA

Osteoarthritis(left) <- a flag for those with osteoarthritis, a form of arthritis where the cartilage in joints begins to break down causing mobility issues, pain and so on.

Rheumatoid(right) <- a flag for those with Rheumatoid Arthritis, a form of arthritis where the body's immune system attacks healthy cells in the joints causing pain, inflammation, mobility issues and so on.

Psoriatic/PsA + Fibromyalgia

Psoriatic(left) <- a flag for those with psoriatic arthritis, a form of arthritis where the skin develops rashes. this effects the skin and nails, causing large red rashes and pitted nails.

Fibromyalgia(right) <- a flag for those with fibromyalgia, where the body has pain, soreness and tiredness all throughout, causing sleep issues and heightened sensitivity.

Gout

a flag for those with gout, when urate builds up as needle-shaped crystals in the joints, leading to swelling, pain and more.

[id: a green to white gradient box with a gif of candles and witchcraft tools on a shelf in the background and dark green text on top of the image reading "dni if transx/transid, radqueer, terf. more in pinned post. free to use/identify so long as you respect my boundaries. exclusive terms/flags are non-debatable". :end id]

[ladyfarona]

.

[psrihospital]

Arthritis: Symptoms, Causes, Types & Treatment

A condition that affects your joints is arthritis (areas where your bones meet and move). The most common symptoms of arthritis are joint inflammation or degeneration (breakdown). When you utilise the affected joint, these reactive arthritis symptoms may be painful.

[fairytaleendingss]

Room for One More?

Chapter 4

Summary: Your heating system breaks and you and the boys have to come up with an unconventional way to combat the cold.

CW: Description/Talk of Chronic Illness, swearing.

Pairing: Poly!Marauders x fem!reader

Chapter 1, Chapter 2, Chapter 3

Hey everyone! Thanks so much to all of you who have been reading and following along!

I just want to preface this chapter by saying that I am not a doctor nor do I have any personal experience with RA. I have done some research on it but I am definitely not an expert on the condition and I apologize for any inaccuracies that may be present in this story

My goal was to include a condition that mimicked symptoms of Remus' lycanthropy as I feel that is an important part of his character and I wanted to make reference to that. But if anyone reading who has more experience in this area has noticed anything they'd like changed or corrected, feel free to reach out and let me know :).

Otherwise, enjoy the chapter!

--

"Ah, fuck! Damnit!"

You jolted awake at the sound of a crash coming from the kitchen and a slew of curses that followed. A quick glance at your clock on your bedside table told you it was nearing 2am.

Everyone should've been long asleep by now in your apartment but that didn't always mean they were. You'd grown accustomed over the last few weeks to being woken up at odd hours by your noisy roommates watching international sporting matches on TV or attempting to cook an unusually complicated late night snack.

This voice, however, you were not particularly used to hearing at this time of night.

You rolled out of bed, pulling on a robe as the harsh winter air hit you. You reminded yourself to ask Sirius about the heating in the morning.

Then you tiptoed out in the hall, a light flutter of concern in your stomach, to see what all the fuss was about.

You peaked around the corner to see a pajama clad Remus, leaning against the kitchen counter, a hand pressed into his forehead and eyes clamped shut in frustration. There was a wheat bag discarded on the kitchen floor beside him.

You approached cautiously, like you were approaching a wild animal. Then you cleared your throat lightly so as not to startle him.

He looked up, hurriedly trying to regain his composure.

"S-sorry, I didn't mean to wake you," he muttered bashfully, as if he was a child who'd been caught sneaking cookies after bedtime.

"It's fine," you gave him a tight lipped smile. "Is everything okay?"

He huffed and rolled his eyes, only this time you could tell that his frustrations weren't directed towards you.

"Yeah, I just have this... thing." He stumbled over his wording, clearly embarrassed about whatever was going on. "It's called RA. It's a type of arthritis. The symptoms get worse in the cold weather. I was just trying to heat up my pack but my fingers aren't working properly."

Your brows furrowed as a jolt of sympathy washed over you. It was no secret that you and Remus didn't have the most friendly of relationships but you still felt for him nonetheless.

"Well, here," you said gently as you moved towards him. "Let me help."

You lifted the wheat bag from the floor and placed it into the microwave. You expected some form of protest from the man beside you but were surprised when he stepped aside in compliance.

"Thank you," he muttered distantly. You expected that on another occasioned he may have rejected the assistance, especially from you. From what you knew of Remus, he was headstrong and independent, almost to a fault. However, tonight you could tell he was exhausted and probably in a lot of pain.

He leaned back on the counter as the microwave began to turn and a low humming filled the room. In the low light, you could make out the lines of his face and the dark circles beneath his eyes. He looked slightly older than 23, you observed.

It seemed as thought the stressed of life had worn him down. Yet even at 2am with his hair crumpled from sleep and his eyes weary, he was still devastatingly handsome.

"If it's not out of turn to ask, how long has this been going on?"

"A while, since I was a teenager, at least. Maybe before that. I was diagnosed at 16 but I've had some level of aches and pains as long as I can remember."

You grimaced. "I'm sorry. That must have made things hard for you."

He shrugged in response. “It’s okay usually. I mean, I can deal with it most of the time. It’s just when I have these flare ups that it becomes a problem.”

“You’ve never mentioned it before.”

He sighed. “I don’t like to make an ordeal out of it if I can avoid it.”

You could tell from the look in his eyes that he was uncomfortable. You assumed he didn’t bring it up on purpose so as to not seem weak or needy.

“Well I hope you feel better soon,” you told him gently.

The microwave beeped and you removed the heat pack. You’re fingers brushed as you passed it too him.

“Thank you, really.”

He gave you a small smile which you couldn’t help but return.

“Don’t mention it.”

Going back to bed, you felt a little lighter. Things were far from perfect in your relationship with Remus but tonight had felt like progress. Who knows, maybe you were finally on the verge of a breakthrough with him.

Maybe soon you’d actually be able to become friends.

The thought comforted you as you drifted back off to sleep.

—

Stepping out of bed in the morning felt like stepping straight into a freezer. You shivered immediately and put your robe on. When that still wasn't enough to shield you from the cold, you pulled your fluffy blanket off the end of the bed before waddling out into the living room looking like a medieval peasant.

"Yep, this thing's buggered," you heard Sirius say as you stepped out into the living area.

"What's buggered?"

He looked up at you from where he was crouched in the corner of the room.

"The radiator," he replied, tapping it with his knuckle. "I'll call the landlord about it but he's a right git so It might be some time before he bothers to get it looked at."

"Well, I suppose we'll all just have to freeze to death then," James teased. "What a shame. I was really looking forward to New Years."

"You'd probably hold out a little longer if you ever bothered to put a shirt on," Remus deadpanned from his spot on the sofa. He was half listening to the conversation while also clearly immersed in a book.

James was standing in the kitchen pouring himself a bowl of cereal, his bare chest on display, showing off his perfectly chiseled abs.

"Oh come on Remus. Admit it, you know you love the view."

He sent his friend a wink as he rounded the counter and came to flop down beside him on the couch. He was met with an eyeroll in response.

"Sorry to interrupt the fun," you murmured. "But seriously, what are we going to do about the heating? I'm freezing."

Sirius stood up, looking at you with a mischievous twinkle in his eye. "Well, you know, we could always cuddle for warmth."

"Ha-ha. Very funny Sirius," you scoffed but the suggestion had James sitting up straight, coming very close to sloshing his bowl of cereal all over his lap.

"You know that's not actually such a bad idea!"

You raised a brow at him. "You can't be serious."

"I'm not Sirius, actually, I'm James," he teased. "But I'm not joking about this idea! We all have the day off today don't we? Why don't we all grab our bedspreads and we can huddle up on the couch and spend the day watching Christmas movies!"

His eyes were bright like a little kids and you couldn't help but smile in return.

"Okay. That sounds like fun."

"Hey, it'll be like those sleepovers we had at your Mum's place back in high-school!" Sirius exclaimed.

"What about you, Rem?" he turned to his friend. "You in?"

The boy looked between the three of you for a moment as if considering the offer.

"I really should be studying today."

James groaned, clapping him on the shoulder. "Come on! It'll be fun."

He stood up, closing his book and began to retreat down the hallway.

"Sorry, guys. I can't today. You all enjoy though."

With that he was gone, the door of his bedroom falling shut behind him.

James sighed but it was quickly replaced by his usual lopsided smile. "Oh well! Let's get going then."

--

It wasn't long after when you found yourself situated on the couch beside Sirius, with James on his other side, practically swaddled in blankets. James had made you all teas and a large array of snacks were splayed out on the coffee table, however, none of you were willing to poke a hand out of your cocoon to reach for them.

You all decided to start with Elf (which James had suggested as his favourite Christmas film) and work your way through the list of classics.

Laughter emitted through the air as you watched Buddy the Elf discover New York city. However, you noticed the way that Sirius glanced down the hall towards Remus' closed door every so often, as if he was disappointed that Remus wasn't there to enjoy the fun with you.

You couldn't help but feel slightly guilty at the situation. You felt responsible for Remus choosing not to spend the day with his two best friends. You were sure if it wasn't for your participation he wouldn't have hesitated to agree to the day's events.

You had thought that last night had been progress but now you weren't so sure. Remus, for whatever reason, still hadn't warmed up to you, despite not knowing what you did to warrant his reaction and all the attempts you'd made at a peace offering. Whatever it was, it was starting to really frustrate you.

You tried to wipe the thought from your mind as the movie progressed, instead enjoying the time with the two boys you did get along with.

By the time the end credits were rolling, you'd almost forgotten all about your plight with Remus and were just enjoying the laughter that rang through the air at some of the commentary Sirius had made throughout the film.

"Alright! What's next on the list?" James called, leaning forward to grab the remote.

“I vote Home Alone!” You chimed in.

Sirius sent you an odd look. “What? Home Alone isn’t a Christmas movie.”

James gasped and you flashed him a dramatic look of mock offence.

“Yes it absolutely is!” James argued.

“Yeah, the best one at that,” you declared.

“No it’s not! It’s just a movie that happens to be set at Christmas time. That doesn’t make it a Christmas movie!”

You rolled your eyes. “Sirius, that’s literally the entire criteria for what a Christmas movie is.”

James shook his head at his friend. “Yeah! Next you’ll be claiming that Die Hard isn’t a Christmas movie either!”

Sirius looked at him with a deadpan expression. “It’s not.”

James put a hand on his chest and pretended to faint at the notion.

“How dare you! Die Hard is a fabulous Christmas movie!”

“Okay, now you’ve gone too far!”

Sirius threw his hands up in surrender. “Okay okay, fine. Let’s watch Home Alone.”

You smiled at him. “Good, I knew you’d come to your senses.”

James chucked in response as he put the movie.

You nestled down into your blanket nest, feeling a shiver run through you as the opening credits began.

“Are you cold, love?” Sirius leaned down, almost whispering the words into your ear.

“Just a little,” you mumbled. “But really it’s fine.”

“Well that won’t do!” He shook his head playfully. “Here!”

He stood up from the sofa, gesturing for you to shuffle over. When you did, he sat back down on your other side, slinging an arm around your shoulders. James, who was now to your right, pulled your curled up knees into his lap so that you were sandwiched between the two boys.

You felt your face heat up as you sat there, surrounded by their gentle embrace. You hoped they were too distracted with the movie to notice the way your pulse began to climb.

“Feeling better now?” Sirius murmured into your hair. A chill ran up your spine but this one you knew wasn’t from the cold.

“Much,” you murmured nestling your head back against his warm chest.

You felt it rumble as he let out a chuckle, rubbing and hand up and down your arm soothingly.

—

About halfway through the film, you were interrupted by the sound of a door swinging open. Three sets of eyes looked up to see Remus shuffling rather bashfully into the room.

He was dressed in a large knitted jumper and long brown pants but even under all the layers, he was visibly shivering. You weren’t surprised. Those bedrooms were like ice boxes.

“Do you mind if I join you?” He asked quietly, scratching the back of his neck.

You smirked in response.

“Couldn’t hold out any longer, could you mate?” Sirius teased.

“Come on, Sirius, don’t be mean. He looks freezing!” James exclaimed, lifting up the blanket and gesturing Remus to join you under it.

Sirius rolled his eyes.

“I’m just kidding. Of course you can join. Here, sit, I’ll make you a tea.”

Sirius stood up abruptly, heading into the kitchen and opening a space beside you for Remus on the couch.

He looked hesitant at first, as if he wasn’t sure if you would want him with you, but you gave him a small smile and lifted up your blanket.

He sat down then, sighing as he nestled under the warm covers and you splayed the bed-spread over his lap.

Sirius returned moments later with fresh cups of tea for the four of you and plonked himself down beside Remus. You noticed the way the taller boy leaned into him, almost as if they were unconsciously pulled towards each other.

Sirius reached out a hand and softly rubbed the other boy’s knee. You raked your eyes away from the scene focusing back onto the movie. But every so often you couldn’t help but watched the way they drew together, like they were puzzle pieces perfectly made to fit into each others embrace.

It made you feel odd, and you didn’t quite know why. You had no reason to be jealous and you weren’t even fully sure who there was to be jealous of. But the feeling in your stomach had become all too familiar over the recent weeks.

You moved closer to James, snuggling in to his side.

—

Several hours, and four movies later, the sun had faded outside over the horizon. The room had become dark, the only light coming from the flickering TV screen as the Polar Express played.

Sirius sat up to stretch and looked around. It was then that he noticed you and James, fast asleep, your head leaning against his chest and one of his arms thrown lazily over your shoulder.

His glasses were askew and your cheek was smushed against the front of his t-shirt, hair falling across your face.

A smirk blossomed on Sirius’s lips at the sight and he gently nudged Remus in the ribs and gestured towards the two of you.

He raised a brow. “They look… uh, comfortable.”

Sirius chuckled. “That they do.”

He stood up from the couch, shedding his blanket and pulling his phone from his pocket to take a snapshot of the two of you, which he definitely intended to send to your friends.

“Leave them be,” Remus chided, grasping the boy by the arm and pulling him back down onto the couch.

“What? It’s cute. And it will be perfect blackmail material. It’s a win win.”

Remus rolled his eyes. “You’re cruel. You know that?”

“I’m wonderful, thank you very much.”

Remus shook his head fondly. Then he glanced over again as you shifted in your sleep. Without thinking, he leaned over and tugged the blanket up where it had fallen off your shoulder.

Then he sat back, nestling back into Sirius’ side. The other boy raised a brow at the display but chose to say nothing as he wrapped an arm around his friend and let the movie continue.

—

Taglist:

@hisparentsgallerryy

@navs-bhat

@shushbruv

@magicwithaknife

@eeviee4

@notapoetjustscar

@gugggu6gvai

@robertsmithclone

@ilovesugurugeto69

[megpricephotography]

It's so tough watching dogs get older... Flynn's had to start a new medication today & oh boy, I'm stressing out about it - hopefully unnecessarily! More under the cut - discussions of blood tests, urine samples, kidney issues, medication...

*UPDATE* 20th Dec also under the cut!!

Longtime followers may remember Flynnie only has 1 kidney. The other one was removed when he was 2.5 yrs old but it'd been effectively non-functional from when he was around 5 months old (due to an abscess forming in it). So for the vast majority of his life, Flynn's had 1 functioning kidney & it's worked like a champ! But. At 11.5 years old, age is perhaps catching up with him. Flynn's last blood test was done a couple of weeks ago & overall, his kidney function is, to use the vet's description: "great". However... for over a year now, we've been monitoring an issue with Flynn's urine. He has protein in his pee & that's not great - it means the fine structures in his kidney aren't filtering properly & as this issue continues, it will inevitably cause kidney damage. So, while Flynn does not currently have "chronic kidney disease"... it's a concern, particularly given at best his kidney function is 50% of a normal dog.

Unfortunately, Flynn's UPC level (the measurement of protein in urine) has risen recently. Not scarily high but vets feel drugs are now needed - especially as, although bloods were generally good, Flynn's blood albumin level (protein in the blood) was really quite low - indicating the loss in his urine is having an impact. He's already on a renal diet, so trying meds is the next step.

Anyway, the drugs are ACE-inhibitors - same stuff as humans take for high BP. The hope is they'll lower blood pressure in the kidney & that will help reduce protein loss. Sadly, meds won't fix the problem 100%, the aim is just to slow things down. I do think starting Flynn on the meds is for the best but I'm stressed because there's a small chance it could actually make things worse. Very occasionally dogs don't react well to ACE-inhibitors & the meds actually cause kidney damage. I'm going to monitor him closely & he'll be having bloods/urine rechecked in a couple of weeks but it's scary! Also... we've had to stop giving Flynn regular NSAIDs for his arthritis pain. He can take paracetamol (tylenol) but regularly combining ACE-inhibitors with NSAIDs increases risk of kidney damage. Once he's hopefully stable on the ACE-inhibitors, I'll ask about trying alternative painkillers - but I don't want to start him on multiple drugs at once. It's tough trying to juggle multiple different factors! I'm aware I'm more twitchy than I used to be about all this because in May 2023, Flynn had an appalling reaction to Librela (actually, that was when we picked up on the issue with his pee). Librela is a new-ish medication & usually a safe way to treat arthritic pain in dogs. It's given as a monthly injection. Flynn had 1 dose & unfortunately, it made him very sick. His bloods were checked a week prior & everything looked good - but within days of the injection, his kidney, liver & pancreas were struggling & he suffered kidney disease type symptoms. Luckily, everything - except the high protein in his urine - fully resolved within 2-3 months but the entire ordeal was awful & logical or not, I felt so guilty about it. I do not want to go through that again!

Anyway, if you've made it this far - thank you! I just needed to write my thoughts down really! For now all I can do is monitor Flynn until he has his next blood test, hope the ACE-inhibitors work well & help his kidney stay relatively healthy & that we can then also find a safe, effective way to keep him physically comfortable for a long time to come. It's just hard because there are no perfect solutions...

*THE UPDATE* Soo… Flynn's been on the new ACE-inhibitor for about 2.5 weeks now. He went in for a blood test on Tuesday & we also checked his urine this week. I got the results today (Dec 20th)… Good news is that his blood work is OK & his worryingly low blood protein level has risen. However… we started him on the new meds specifically to LOWER the amount of protein in his urine & unfortunately, his UPC level has actually gone UP!!! It's higher than ever… It's possible this is a blip, or the meds haven't had time to improve this issue but very occasionally, dogs react badly to it & it can actually reduce kidney function (& increase protein in urine) instead of helping. Anyway, physically, Flynn seems to feeling alright in himself, so that's something. He's actually coping very well off the NSAIDs - paracetamol/tylenol is keeping him comfortable enough. We've been told to carry on with the ACE-inhibitors for now & Flynn's got to go have his blood pressure checked on Dec 30th & I will request they check his pee again then. Guess if he's got worse, we may need to change the type of meds he takes at that point. I am just so stressed - really hoping things have improved by the time we go back to the vets!Gah!!! Pets… why do they get problems over the holidays?!! Think good thoughts for Flynnie!

[rsg-energya]

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