Rheumatic fever is a severe complication of strep throat, usually seen in children between the ages of 5 and 15. It is caused by a group of bacteria called A Streptococcus. The common symptoms include swollen and painful lymph nodes, red rashes, swallowing problems, headache, nausea, vomiting, fever, and red spots on the roof of the mouth.
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Query: Hi doctor, My maid has a heart problem since her birth. She complains of pain in heart, a sudden increase in heartbeat, feels hot and leg pain. Now, she feels very weak. Her echo was done recently and I have attached that here. Read Full »
Answer: Hi, Welcome to icliniq.com. Her echocardiogram (attachment removed to protect patient identity) shows three heart valves have been affected, mitral regurgitation (MR), tricuspid valve regurgitation (TR) and aortic valve regurgitation (AR). Her LVEF is 38% (left ventricular ejection fraction). Her h... Read Full »
Query: Hi doctor,My daughter is seven and a half years old. She is suffering from tonsillitis for five years. During every month, she takes antibiotics with Paracetamol. Now, she is having swelling in her knees for the past five months, and sometimes, it gets migrated from one knee to another with little f... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. First, swelling in the knee and throat infection can occur related to each other or it can be a condition called rheumatic fever. You need to discuss this with your pediatrician to have a definitve diagnosis. It needs to be differentiated ... Read Full »
Query: 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 ... Read Full »
Answer: Hello, Welcome to icliniq.com. I have noted your complaints and also gone through the reports carefully (attachment removed to protect patient identity). You seem to have a preceding streptococcal A infection. I would like to know if you had any history of skin or throat infection left untreated or ... Read Full »
Query: Hello doctor,My ASO is 203, and creatinine is 0.80. I am having a joint pain and stomach upset problem from the last four years. The RA factor is nil and hemoglobin is 11. I am sending my LFT and ASO reports. Please suggest. Read Full »
Answer: Hello, Welcome to icliniq.com. According to your complaints and reports attached (attachment removed to protect patient identity), I suspect a rheumatic heart disease in your case. I would recommend you get evaluated further. Increased ASO (antistreptolysin O) with joint pain could be due to a stre... Read Full »
Query: Hi doctor, I am suffering from hiatal hernia. Now, I feel pain in my left hand, shoulder, chest and both sides of the shoulder blade. So, I consulted a cardiologist. He asked me to take an echo and it is normal. Still, I feel pain in the hand while working. When I was a child, I suffered with rheum... Read Full »
Answer: Hello, Welcome to icliniq.com. Though you suffered from rheumatic fever in childhood, when echo is normal there is no damage to the heart. You must be young with no risk factors like obesity, smoking, family history or diabetes. That is why the further test may not advised by your cardiologist as no... Read Full »
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 knee joints which is mild to severe and also a mild pain in the toes of the foot. I am also having a headache. Further, I took Sinarest last night and in the mo... Read Full »
Answer: 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 CB... Read Full »