Q. My arthritic knee pain has worsened and there is edema of feet as well. Please help.

Answered by
Dr. Ashaq Hussain Parrey
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Aug 22, 2017 and last reviewed on: Feb 21, 2022

Hello doctor,

I am regularly taking 6 oz of warm water with half a slice of a medium-sized lemon and one medium spoon of honey right in the morning for the last 15 days. Whatever be the benefits, I find my arthritic knee pains have slightly increased along with edema of both feet and ankles and pain while walking. Sitting up and walking are becoming increasingly difficult. Should I stop this drink? I am taking DMARD for my ankylosing spondylitis and osteoarthritis.



Welcome to

I went through your post.

  • You have mentioned that you are suffering from ankylosing spondylitis (AS) with osteoarthritis. But, you have not mentioned which DMARD (disease-modifying antirheumatic drug) you are taking.
  • Anyways, I would suggest the following. NSAIDS (non-steroidal anti-inflammatory drugs), which are the first line of drugs for AS can cause swelling of the legs. The only drugs which are known to be effective in osteoarthritis are sustained release Paracetamol like XT Para 1 g twice daily and intraarticular steroids. Only B DMARDs (Biologic DMARDs) are effective in AS. Very few patients report an improvement with Methotrexate and Sulfasalazine.


For further queries consult an internal medicine physician online -->

Thank you doctor,

I have stopped DMARD Sulfasalazine 2 g after informing my doctor. I take only NSAID Etoshine 120-90-60 as prescribed. My question is whether taking the lemon and honey has generated excess uric acid, which has caused these symptoms.



Welcome back to

  • Well, that could be a cause. But, in your case, it is most likely a different issue. People over 70 years are more susceptible to NSAID-induced edema and nephritis. The best thing for you will be to take an intra-articular Triamcinolone that will settle the issue of your knees.

For more information consult an internal medicine physician online -->

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Please give some advice for my mother's painless swollen feet.

.. understand your concern about your mother's health. I have gone through the reports (attachment removed to protect patient identity) and found that her ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) are high. As her ESR and CRP...   Read full

Can HLA B27 positve male with ankylosing spondylitis affect his children?

I have joint pain since last fourteen years ...   Read full

Osteoarthritis of Knee

Osteoarthritis can affect any joint in the body ... Osteoarthritis of The Knee Joint Produces: Bone wear leading to asymmetric shape...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Missed Miscarriage - An Overview
Sometimes a miscarriage occurs without knowledge, as typical signs may be absent. This is called a missed miscarriage. L...  Read more»
H3N2v Influenza - Treatment and Prevention
Management and prevention of an Influenza A virus variant include various treatment options and measures. The below arti...  Read more»
Flu A - Symptoms, Causes, Diagnosis, Treatment and Prevention
The flu, or influenza, is a contagious viral infection that attacks the respiratory system. Flu A and B viruses are resp...  Read more»

Ask your health query to a doctor online?

Ask an Internal Medicine Physician Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.