My mother is 57 years old, and suffering from joint pain for the last 20 years and still not able to get rid off it. We just got her full body checkup done. Please help.
Thank you doctor,
She has intermittent pain in shoulders, knees, ankles, wrists, elbows, and finger joints. Pain is a bit severe like arthritis. Doctor sometimes say it is arthritis, and some says it is due to unbalanced uric acid. But we did not find a permanent solution to this.
Please find the attached reports.
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Anti-CCP (anti-cyclic citrullinated protein) levels are high and she has high TSH (thyroid-stimulating hormone) levels, and some other changes in blood reports. Anti-CCP suggests rheumatoid arthritis and TSH suggests hypothyroidism. With high anti-CCP, there is a pain in multiple joints with pain in hand and fingers more early in the morning and with stiffness. Pain in back and other joints. Pain is more in winter months. This is a type of inflammatory arthritis which is called rheumatoid arthritis.
With high TSH levels, she is at risk of hypothyroidism and she has lethargy, fatigue, weight gain in the last few years, and other discomforts. It is advisable to start medication for both conditions to control the pain and symptoms of hypothyroidism.
Initial medications for rheumatoid arthritis are:
1. Tablet Alovac SP (Aceclofenac, Paracetamol, and Serratiopeptidase) twice a day for five days.
2. Tablet Pantodac D (Pantoprazole and Domperidone) twice a day for five days.
3. Tablet HCQS (Hydroxychloroquine sulfate) 400mg twice a day for 10 days.
For Hypothyroidism you need to give her tablet Thyroxin 50 mcg once every morning for 15 days. These conditions require medications. Follow up with me in one week to let me know if medications have helped her or it is aggravated.
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