Low Fat Diet - Treatment Of Reactive Arthritis

I am a woman of 56 and have never been overweight and up to these eleven years ago enjoyed good health.

My first symptoms started eleven years ago whilst on holiday in France. My elbow and knee joints became difficult to move and painful, particularly when carrying shopping. A fortnight later on my return to England the pain had increased, my ankles had started to swell and I felt generally very unwell, not unlike an onset of influenza. My doctor thought it may have been an insect bite and prescribed a course of antibiotics which had no effect. He then tested me for Lyme's Disease and put me on a further two courses of antibiotics, none of which made any difference. The Lyme's Disease test was negative.

By this time, six weeks from the first symptoms I was almost bed-ridden. The joint pains were almost unbearable, I felt itchy all over and isolated little bumps that were extremely painful to touch appeared under my skin, two on my hand and one on my rib bone. After a couple of days they disappeared and I was left with bruises. Some of my knuckle and finger joints were swollen and started to become slightly deformed. I found that I was passing water about every 30 minutes and had pronounced anxieties, insomnia and depression....I had never suffered from depression before. I also started to experience heart flutters and eczema in my ears.

In desperation I began searching (pre-Google days) for clues in some home medical dictionaries. I came across gout and one of the recommendations for managing this affliction was to cut out all rich and fatty food. Although I knew I did not have gout I thought my problem may have been related, particularly with my swollen ankles which by then had turned a rather nasty brown colour. I decided to experiment and immediately cut out cheese, butter, mayonnaise, oils and fatty meats to achieve a very low fat diet.

Within two days I was feeling much better and over the course of the next month I continued with my experiment and found that within about 24 hours of starting on a higher fat diet again my symptoms would begin to return. Over the next four years and after spending a lot of money on private consultations with no diagnosis being given my doctor eventually referred me to the Royal National Hospital for Rheumatic Diseases in Bath. The consultant diagnosed Poly-Reactive Arthritis. I told him about my very low fat diet (under 20 grams a day) which I had been trying. He said if that worked for me I should keep doing it. Subsequently I developed lactose intolerance. Symptoms from this appear two hours after eating any dairy but I have not found any known connection between this and Reactive Arthritis. I also developed problems in my lower back and X-Rays confirmed that this was caused by arthritis. I am unable to lift even fairly light weights and cannot operate a vacuum cleaner without getting severe back pains for a couple of days.

The diagnosis of Reactive Arthritis was six years ago and if I keep to my very low fat diet I am able to lead an almost normal life. However, I now find that in the past year I have had an increasing amount of urological problems such as cystitis and what were though to be bladder infections, although all the urine tests proved negative. I have also been investigated for possible kidney stones but again this has been negative although on one occasion there was blood in the sample. I have found out in the past few days through Google that symptoms like this are often associated with Reactive Arthritis and called Interstitial Cystitis.

Recently I found the web site for the Arthritis Research Campaign which has a very good information booklet on Reactive Arthritis and in an answer to my questions advised me that cutting down on fat can make a difference in most types of arthritis including inflammatory arthritis, particularly saturated fats which can increase pain and inflammation in the body.

They directed me to their information booklet Diet and Arthritis on their web site at www.arc.org.uk. In this publication they recommend concentrating on oils such as olive oil, walnut oil and oil from fatty fish. I thought I would again experiment and only eat the fats they recommended even though I felt sure that too many olives and olive oil dressing would cause a reaction. Twenty four hours after crossing my 20 gram threshold my symptoms reappeared then slowly subsided after I returned to my strict diet.

In all of my research I have not come across any suggestion for treatment of Reactive Arthritis by a low fat diet. I only know that it has worked for me so far.