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Why do I get pain in my fingers, especially in the morning?

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

Patient's Query

Hello doctor,

I have pain in my fingers hands and feet in the morning when I wake up. After I do some exercise the pain reduces. What must I do? I am currently on T4 levothyroxine.

Answered by Dr. Puri Divya Inder

Education:

MBBS

Professional Bio:

Dr. Puri Divya Inder is a Rheumatologist specializing in diagnosing and managing autoimmune and inflammatory disorders such as rheumatoid arthritis, lupus, and vasculitis. Her expertise also includes joint pain evaluation, biologic therapies, and long-term management of chronic rheumatic diseases.

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

Hi,

Welcome to icliniq.com.

I have gone through your reports (attachment removed to protect patient identity), it shows that you have a high ANA (antinuclear antibodies). These are antibodies related to arthritis. I suggest that the pain in your fingers and toes may be associated with the same. In such cases, we generally put you on a medication called Plaquenil (Hydroxychloroquine). This is a medication for arthritis that needs to be taken regularly. As the medication is continued, the pain will come down. I also suggest that you get other tests done like ENA (extractable nuclear antigen) and urine routine examination. Your tests also show that vitamin D levels in your blood are low, so you need to take a supplement for calcium and vitamin D.

I hope this helps.

Patient's Query

Hello doctor,

These are the test of ENA (extractable nuclear antigen) and urine routine. I have passed DVT in the left leg.

Answered by Dr. Puri Divya Inder

Education:

MBBS

Professional Bio:

Dr. Puri Divya Inder is a Rheumatologist specializing in diagnosing and managing autoimmune and inflammatory disorders such as rheumatoid arthritis, lupus, and vasculitis. Her expertise also includes joint pain evaluation, biologic therapies, and long-term management of chronic rheumatic diseases.

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

Hi,

Welcome back to icliniq.com.

Yes, these are also positive. I suggest starting Plaquenil, that should help you. DVT (deep vein thrombosis) may also be related to this disease. You should feel better, but it will take time a few weeks.

Patient's Query

Thank you doctor,

I do not get Plaquenil. What should I take instead of this?

Answered by Dr. Puri Divya Inder

Education:

MBBS

Professional Bio:

Dr. Puri Divya Inder is a Rheumatologist specializing in diagnosing and managing autoimmune and inflammatory disorders such as rheumatoid arthritis, lupus, and vasculitis. Her expertise also includes joint pain evaluation, biologic therapies, and long-term management of chronic rheumatic diseases.

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

Hello,

Welcome back to icliniq.com.

The drug name is Hydroxychloroquine. I am sure it is available under some other trade name.

Patient's Query

Thank you doctor,

I am not getting this in the pharmacy due to COVID-19.

Answered by Dr. Puri Divya Inder

Education:

MBBS

Professional Bio:

Dr. Puri Divya Inder is a Rheumatologist specializing in diagnosing and managing autoimmune and inflammatory disorders such as rheumatoid arthritis, lupus, and vasculitis. Her expertise also includes joint pain evaluation, biologic therapies, and long-term management of chronic rheumatic diseases.

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

Hello,

Welcome back to icliniq.com.

Then you can start Methotrexate 10 mg once a week along with tablet Folic acid 5 mg on alternate days. Check your CBC (complete blood count) and liver function test after one month.

Medically reviewed by Dr. Vinodhini J.
Published At December 16, 2020
Reviewed At May 30, 2024

Education:

MBBS

Professional Bio:

Dr. Puri Divya Inder is a Rheumatologist specializing in diagnosing and managing autoimmune and inflammatory disorders such as rheumatoid arthritis, lupus, and vasculitis. Her expertise also includes joint pain evaluation, biologic therapies, and long-term management of chronic rheumatic diseases.

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

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

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. Puri Divya Inder is a Rheumatologist specializing in diagnosing and managing autoimmune and inflammatory disorders such as rheumatoid arthritis, lupus, and vasculitis. Her expertise also includes joint pain evaluation, biologic therapies, and long-term management of chronic rheumatic diseases.

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

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