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What could be the reason for red, swollen, and weak hands?

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

Patient's Query

Hi doctor,

My dad is having a really hard time. l. He is 55 years old and now he is not able to use his. He can barely open a jar or turn a wrench. His hands are constantly red, and swollen, and he also has a burning sensation. Every morning, he struggles just to get dressed. His blood tests came back with some concerning numbers, high inflammation markers, and RF. He is also losing weight and seems down. This does not seem normal, something is wrong. What should we do? How can we manage this?

Kindly help.

Thanks.

Answered by Dr. Ali Osman

Education:

MBBS

Professional Bio:

Dr. Ali Osman is a dedicated obstetrics and gynecology specialist committed to providing compassionate and comprehensive care for women at every stage of life. He has experience in managing a wide range of women’s health concerns, including pregnancy care, menstrual disorders, reproductive health, and gynecological conditions. Dr. Osman focuses on patient education, preventive care, and personalized treatment plans to ensure the best possible outcomes. Known for his supportive and professional approach, he strives to create a comfortable environment where patients feel heard, respected, and confident in their healthcare journey.      

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

Hi,

Welcome to icliniq.com.

I can understand your concern.

Your father should consult a rheumatologist for further management. I suggest the following investigations for him.

  1. Check rheumatoid factor (RA factor).

  2. Anti-cyclic citrullinated peptide (anti-CCP) antibody tests.

  3. X-ray of the hands and feet.

  4. C- reactive protein and disease activity test.

His condition can be managed with the following measures.

  1. The first line of the treatment is a conventional disease-modifying anti-rheumatoid drugs.

  2. Methotrexate, Leflunomide, and Sulfasalazine for mid palindromic disease.

  3. Short-term treatment with glucocorticoids for managing flares in adults with recent onset.

  4. In adults with established rheumatoid arthritis (RA) long-term treatment with glucocorticoids is needed.

  5. Consider oral nonsteroidal anti-inflammatory drugs (NSAIDs) for pain and stiffness (for example, Piroxicam 20 mg two times a day for one month). He can consult a specialist doctor and take the medications with their consent.

I hope this information helps you.

Feel free to ask further queries.

Thank you.

Answered by Dr. Ali Osman
Medically reviewed by iCliniq medical review team
Published At January 12, 2025
Reviewed At January 12, 2025

Education:

MBBS

Professional Bio:

Dr. Ali Osman is a dedicated obstetrics and gynecology specialist committed to providing compassionate and comprehensive care for women at every stage of life. He has experience in managing a wide range of women’s health concerns, including pregnancy care, menstrual disorders, reproductive health, and gynecological conditions. Dr. Osman focuses on patient education, preventive care, and personalized treatment plans to ensure the best possible outcomes. Known for his supportive and professional approach, he strives to create a comfortable environment where patients feel heard, respected, and confident in their healthcare journey.      

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. Ali Osman is a dedicated obstetrics and gynecology specialist committed to providing compassionate and comprehensive care for women at every stage of life. He has experience in managing a wide range of women’s health concerns, including pregnancy care, menstrual disorders, reproductive health, and gynecological conditions. Dr. Osman focuses on patient education, preventive care, and personalized treatment plans to ensure the best possible outcomes. Known for his supportive and professional approach, he strives to create a comfortable environment where patients feel heard, respected, and confident in their healthcare journey.      

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

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