Dr. Sharoff Lokesh Mohan
Orthopedician and Traumatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I have been suffering from joint pain for the last two years. I get pain in fingers, palms, knee joints, heels, and soles. I consulted many doctors, and they suggested tablets Colchicine, Dolo, Myotop, and Nucoxia whenever I get pain. But these days, I am getting the pain very frequently, approximately three to four times a month. Can you please suggest what to do? I have attached my reports for your reference.
Hi,
Welcome to icliniq.com.
It seems to be related to inflammatory arthritis. Your laboratory reports are not clear (attachment removed to protect the patient's identity). Please attach them again.
Patient's Query
Hi doctor,
Thanks for the reply.
I have attached my reports for your reference. Now, I have pain in the little finger of my right hand, along with swelling. Generally, the pain gets better after taking medicines, but I get pain in some other joints next time. It has been happening for the last two years. I am totally confused. If I take these painkillers regularly, it is not good for my health. I also took Vitamin D medicine for two months. I request you to suggest what might be my exact disease and how to cure the same.
Hi,
Welcome back to icliniq.com.
I have checked the reports (attachment removed to protect the patient's identity).It seems that you have seronegative inflammatory arthritis. I suggest you get the following tests:
1. Anti-CCP (anti-cyclic citrullinated peptide).
2. HLA-B27 (human leukocyte antigen).
You need to start with the following medication to get better:
1. Tablet Wysolone (Prednisolone) 5 mg thrice for three days. Then twice daily for three days and finally once for three days. It is a complete course of nine days.
2. Tablet Rabeprazole 20 mg, twice daily for ten days after food.
3. Tablet Shelcal (Calcium) 500 mg, twice for thirty days before food.
4. Tablet Vitamin D (60 K) units, once daily for ten days, then once a month for eleven months.
Take these tablets only if you are not allergic to them. Follow-up immediately in case of any adverse reaction. This professional advice I provided stands subject to the actual examination of the report or image and is based entirely on my inputs.
Patient's Query
Hi doctor,
I got the HLA B27 report as Negative but I did not do the Anti-CCP test. I do masturbate sometimes. Can it cause joint pains? Is this HLA B27 report enough, or should I do more tests?
I also want to mention that I visited a doctor who recently advised me to take Gabaprime TR 10 tablet for one week and asked me to consult again.
Please share your suggestion.
Hi,
Welcome back to icliniq.com.
You need to get an Anti-CCP test and then follow up as it is an important test. Yes, the tablet given to you is fine, and you can continue. Masturbation is not the cause of joint pains, but you should masturbate only when you feel the need. It should not become an addiction.
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Orthopedician and Traumatology
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