I get pain in my fingers while waking up in the morning. Please help.

Hi,

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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.

Hi,

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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.

Hello,

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

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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.