Intestinal symptoms of rheumatoid arthritis can be uncomfortable and make daily living unbearable. These symptoms can be treated by modifying the diet and when necessary, with medications prescribed by a rheumatologist. It is important to seek the advice of a physician for the correct diagnosis of the intestinal problem, especially if the symptoms are chronic.

The Facts
Intestinal symptoms of rheumatoid arthritis may be limited to the swelling and inflammation of the large colon or inflammation of the entire digestive tract, from the mouth to the anus. The most common symptom that can occur with this disease is diarrhea. In some cases, intestinal symptoms are caused by the very medications prescribed to help control rheumatoid arthritis.
Symptoms
The most common intestinal symptoms are diarrhea, loose stools, gas, bloating, fever, chills, blood in the stools, mucus in the stools and heartburn. These symptoms may appear together or individually. In some people, the symptoms may appear after they have eaten certain foods, while in others there seems to be no causal association between the foods and the onset of symptoms.
Effects
Individuals who suffer from chronic intestinal problems may be dehydrated, feel nauseous and tired. When the symptoms are ongoing, it can lead to rapid weight loss and low levels of potassium. If the symptoms persist for more than two days, seek the advice of a physician. Serious side effects may occur if left untreated and hospitalization may be required.
Treatment
Treating intestinal symptoms of rheumatoid arthritis can be difficult, especially if the patient is taking multiple drugs that have similar side effects. Certain drugs may cause heartburn, while other drugs can cause bloating and loose stools. A process of elimination can help a physician discover which drug is causing the problem. In some cases, the dosage may be reduced, the drug may be eliminated altogether or a new drug with fewer negative side effects may be prescribed.
Diet
In some people, food appears to be the culprit of intestinal distress. Many rheumatologists will suggest a food elimination diet. This diet can help patients discover which foods cause stomach problems and flare-ups of rheumatoid arthritis symptoms. Common foods that are eliminated include dairy, wheat, corn, yeast, peppers, tomatoes, mushrooms, onions, eggs, red meat and caffeine. Patients can eliminate foods one at a time in their diet, then adding them back in to see if there is any change in symptoms. If a certain food causes intestinal distress or a flare, it should be eliminated from the diet.
