Dr. Settipalli Saravan Pramod
Internal Medicine
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
Hello doctor,
I had very mild pain in my finger joints about 10 days ago. But, with due course of time, I also developed pain in my knee joints which is mild to severe, and also a mild pain in the toes of the foot. I also have a headache. Further, I took Sinarest last night, and in the morning, I was feeling better. With the onset of the evening, my symptoms resurfaced, and now I have a fever of 99 degrees. Please help.
Hello,
Welcome to icliniq.com.
There are a number of causes that clinically present with symptoms like joint pains and fever. The few conditions are chikungunya and rheumatic fever.
A detailed history needs to be obtained, and I advise you to go for blood investigation like CBP (complete blood profile), ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), and rheumatoid factor.
There are a few things that I would like to know:
I suggest you take tablet Diclofenac twice daily for five days and tablet Pantop (Pantoprazole) 40 mg once daily for five days. Consult your specialist doctor, discuss with him or her, and with their consent, take the medicines.
Patient's Query
Thank you doctor,
There was no early morning stiffness. Further, pain in joints is not that severe. It is easily tolerable. Fever was very mild up to 99 degrees Fahrenheit. Also, I often feel weak and I am having persistent body ache and headache. My symptoms often get worse in the evening. Also, I vomited once but after vomiting, I felt a little better. Major joints involved are the joints of both knees, finger joints, leg joints, and hand joints. The pain is very mild in these joints. There is no noticeable pain in shoulders, elbows, and other joints. What could it be?
Hello,
Welcome back to icliniq.com.
As per your history, it seems like viral arthritis, which usually subsides once the infection gets under control.
Adding to the previous treatment, I suggest you take tablet Metrogyl (Metronidazole) 400 mg three times a day for seven days and follow up on previous investigations as advised. Consult your specialist doctor, discuss with him or her, and with their consent, take the medicines.
Stay healthy and blessed.
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Internal Medicine
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