Hi doctor,
I am 27 years old. I have knee pain in both the legs and it is paining alternatively for the past 1.5 years. Pain starts with swelling around the knee and stay for three to four hours and the pain will be at least once in one to two months. I feel like pinching with needle in the feet. I also get backbone pain in the early morning. I have consulted a specialist and he told to do the attached laboratory tests. I have ASO titer 800 IU/mL and I do not have any tiredness, headache, fever, history of jaundice, joint pain, etc. Please help.
Hello,
Welcome to icliniq.com.
I have noted your complaints and also gone through the reports carefully (attachment removed to protect patient identity).
Anti-DNAse B and echocardiogram.
Probable diagnosis:Rheumatic fever.
Treatment plan:NSAIDs (nonsteroidal anti-inflammatory drugs) like Celecoxib 200 mg, Piroxicam 20 mg twice a day. It can help to reduce the symptoms of pain and swelling.
Regarding follow up:For further information consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner
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