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What could cause an increased ASO and joint pain?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My ASO is 203, and creatinine is 0.80. I am having a joint pain and stomach upset problem from the last four years. The RA factor is nil and hemoglobin is 11. I am sending my LFT and ASO reports. Please suggest.

Answered by Dr. Janrao Smit Uttam

Education:

MBBS

Professional Bio:

Dr. Janrao Smit Uttam is a General Practitioner. He specializes in treating both acute and chronic illnesses while also focusing on preventive care. He is committed to providing comprehensive health education and patient-centered medical support.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

  • According to your complaints and reports attached (attachment removed to protect patient identity), I suspect a rheumatic heart disease in your case. I would recommend you get evaluated further.
    • Increased ASO (antistreptolysin O) with joint pain could be due to a streptococcus infection which is one of the causes of rheumatic heart disease.
      • I will suggest some investigations for you. If it is negative, then it could be reactive arthritis secondary to streptococcal infection.
        • Investigations to be done:
          1. ECG (electrocardiogram).
          2. 2D echo (echocardiogram).

          For more information consult an internal medicine physician online

Medically reviewed by iCliniq medical review team
Published At December 9, 2017
Reviewed At April 23, 2025

Education:

MBBS

Professional Bio:

Dr. Janrao Smit Uttam is a General Practitioner. He specializes in treating both acute and chronic illnesses while also focusing on preventive care. He is committed to providing comprehensive health education and patient-centered medical support.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Janrao Smit Uttam is a General Practitioner. He specializes in treating both acute and chronic illnesses while also focusing on preventive care. He is committed to providing comprehensive health education and patient-centered medical support.

This doctor is not available for online consultations on the platform anymore.

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