Recently Answered Questions
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What could cause intense pain in thighs and shoulder girdle in a 85-year-old man?
Query: Hello doctor, My 85-year-old father had mild pain in his thighs and shoulder girdle for two months which intensified in the past two weeks to the point that he could not get up from his bed. He was started on oral steroids 30 mg once daily for the past three days and has shown a 40% response but ca... Read Full »
Answer: Hello, Welcome to icliniq.com. Well as per your history, it does look like a diagnosis of polymyalgia rheumatica. I would like to ask you a few more queries related to his illness. When is the pattern of pain more mornings or evenings? Does he experience morning stiffness as well? Any history ... Read Full »
I have had joint pain along with other symptoms. Kindly help.
Query: Hello doctor, Since childhood, I have experienced joint pains. I had food aversion and was taken to the ER once for fainting with a high fever. I developed food allergies, severe joint aches, chest pains, depression, and anxiety as an adult. Now that I am 54 years old, my depression is somewhat man... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your reports and investigations (attachments removed to protect the patient's identity). It seems like you have polymyalgia rheumatica. I would suggest a single intramuscular dose of Depo-Medrol (Methylprednisolone Acetate) 40 mg. If the response in sy... Read Full »
What does it mean if you have an elevated ESR?
Query: Hi doctor, My wife is 32 years old, and she recently got a blood test done and her ESR is 120. She frequently falls sick and suffers from leg pains, body pains, and sore throat. We consulted the doctor, and he said some infection is hidden but not coming out. I am much worried about her health. Can... Read Full »
Answer: Hi, Welcome to icliniq.com. Only ESR (erythrocyte sedimentation rate) does not tell us anything specific. We need more details to find out where the infection is. In arthritic diseases, an elevated ESR is most closely associated with polymyalgia rheumatica (PMR) and giant cell arteritis (GCA). Rhe... Read Full »
I am experiencing muscle and bone pain along with malaise. Are they signs of polymyalgia rheumatica?
Query: Hi doctor, I am a 55-year-old male who has had asthma since childhood. It got severe during covid last year, and I recovered fully. Last seven months, I have been healthy. Three months back, I came down with flu-like symptoms, generalized muscle pain, and bone pain. I lost 20 pounds of weight and h... Read Full »
Answer: Hi, Welcome to icliniq.com. Your symptoms suggest Churg Strauss; however, we should also consider other diseases with negative antineutrophil cytoplasmic antibodies (ANCA) and occasional eosinophilia. Also, your history of asthma is pertinent for Churg Strauss.For now, I can call your disease small ... Read Full »