Rheumatoid Arthritis

Rheumatoid arthritis is an autoimmune disorder that results in chronic inflammation and can affect the joints, skin, eyes, heart, and blood vessels. The symptoms include tender and warm joints, joint stiffness, fatigue, fever, and loss of appetite. Rheumatoid arthritis increases the risk of osteoporosis, infections, heart and lung problems, and lymphoma.

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What can cause pain in and around the ankles after waking up in the morning?

Query: My wife feels pain in and around the ankle of her both feet just after sleeping in the morning. She gets some relief after walking some steps within half an hour. There is small lump like swelling at the anterior side of the ankle region. The problem started 1 year ago with mild symptom but at pr...  Read Full »


Dr. Nupoor Acharya

Rheumatologist

Answer: Hello. Welcome to iclinique. The symptoms you have described in your wife is suggestive of inflammatory arthritis. Ankle arthritis can be seen in different conditions like rheumatoid arthritis, spondyloarthropathy, sarcoidosis, Ponset's disease etc. It is essential to know if your wife have other 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 »


Dr. Rohit Jain

Cardiologist, Criticalcare Physician, Diabetologist, Endocrinologist, Family Physician, General Medicine Physician, Internal Medicine Physician, Pulmonologist, Sexologist

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 »

Please suggest a solution to my increasing hip pain and swollen ankle.

Query: Hello doctor, I am a 44-year-old male. I have left hip pain for two and half months. Left hip pain started gradually two and a half months back, while doing repetitive hip hyper flexing exercises, jogging, and stretching exercises. Initially, the pain is present on the back of the hip, while doing ...  Read Full »


Dr. Divya Agarwal

Rheumatologist

Answer: Hi, Welcome to icliniq.com. There seems to be arthritis going on. The MRI report shows (attachment removed to protect patient identity) an effusion of the hip joint, and as you explain, the ankle also swelled up once. The blood reports seem normal, except for mildly elevated WBC (white blood c...  Read Full »

I married my first cousin. Will my child be affected genetically?

Query: Hi doctor, I have married my first cousin, daughter of my maternal uncle. I would like to know, will there be any genetic issue with our future kid. What are the things we need to take care off? Do we need to take any test? Could you please give some guidance on this. Thank you.  Read Full »


Dr. Megha Tuli Gupta

Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. I understand your situation. Genetic disorders are more likely in such marriages. I am not trying to scare you but if there is any familial disease in your family it would be good to get it checked in early pregnancy. Any autoimmune disease like rheumatoid arthritis, any ...  Read Full »

What is the treatment for rheumatoid arthritis pain?

Query: Hello doctor, I am suffering from rheumatoid arthritis for the past four years and it was diagnosed six months ago. I feel excruciating pain in my lower and upper limb joints and I am not feeling relief even after taking NSAIDs. I was given steroids and penicillin, and it did not work properly. The...  Read Full »


Dr. Rajiv Ranjan Kumar

Rheumatologist, General Medicine Physician, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. A diagnosed case of rheumatoid arthritis on biological agent, still having pain needs to evaluated in detail. Pain can originate from muscle, nerves, or joints. The odd point is diarrhea for a month and it needs to be evaluated. It can be due to drug-related or disease-...  Read Full »

How long will it take for the elevated D-dimer level to decrease after an infection in an older person?

Query: Hello doctor, My uncle is 63 years old. He was detected positive and had some issues with the oxygen level so was admitted in the hospital for around 15 days. He was tested negative and brought home. In a day the situation changed and his sugar level was high that it could not even get detected on...  Read Full »


Dr. S D Sinha

Family Physician, Infectious Diseases Specialist

Answer: Hello, Welcome to icliniq.com. D-dimer is a portion of the blood clotting proteins that get elevated during increased clotting states like disseminated intravascular coagulation (DIC) (or simply widespread coagulation in various organs in the body). The latter gets also activated in this disease, ...  Read Full »

Can my grandmother discontinue one of her gout medicines?

Query: My 83 year old mother is taking two different medications for gout. She is having lots of hand and shoulder pain, as well as weakness (unable to grip her walker and even at times hold a water bottle) I was told by the pharmacist that one of the prescriptions she's on daily is usually for flare up...  Read Full »


Dr. Rajiv Ranjan Kumar

Rheumatologist, General Medicine Physician, Internal Medicine Physician

Answer: Hi, The symptoms you are describing is not usually seen or not usually related to gout unless it is chronic tophaceous gout. This may be the symptoms of : 1. CTS 2. Flare of RA If the symptoms are more in early morning and gradually decreases to some extent then it may be due to RA. If the sym...  Read Full »

My finger joints are stiff every morning. Is it a type of arthritis?

Query: Hello doctor, I get stiff joints in the fingers (like an elastic effect) when I get up from bed in the morning. I also get ankle pain. After a few movements, I am fine. I consulted a rheumatologist who mentioned that it is psoriatic arthritis. My joint pain is very mild and comes only when I am id...  Read Full »


Dr. Ashaq Hussain Parrey

General Medicine Physician, Internal Medicine Physician, Rheumatologist

Answer: Hello, Welcome to icliniq.com. I went through your post. You have an inflammatory joint pain which is causing a stiffness of the joints once they are rested. This is called jelly phenomenon. If you have psoriasis or any member in your family has psoriasis then one can call it psoriatic arthritis. Th...  Read Full »

I developed RA during pregnancy and getting pain post delivery. Please help.

Query: Hi doctor, I have 2 months old baby now. I had rheumatoid arthritis while I am pregnant. I had no pain so I was not in medication. After delivery, I am getting pain in the hand and elbows. I wanted to get rid of this. Please help.  Read Full »


Dr. Rajiv Ranjan Kumar

Rheumatologist, General Medicine Physician, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. Rheumatoid arthritis flare (increase in disease activity) usually occurs after delivery. It is pretty common to have joint pain and swelling after delivery. Since you have two months old baby, the first-line medication of RA that is Folitrax (Methotrexate) is contraindi...  Read Full »

What can cause sudden multiple joint pain in the morning?

Query: About 2 days ago I started to notice some slight pain in a couple different joints. Then upon waking up yesterday morning my jount pain was awful . Finally I woke up this morning in severe Pain to where I was screaming and crying . I do not have any arthritis nor has this ever happen to me . What co...  Read Full »


Dr. Santosh-kumar Bashyal

Orthopaedician And Traumatologist

Answer: Dear, Sending You and healing energy! Dear I check your city you live in is warm not cold.If you were living in very cold and had this problem then I would have think about some disease which affect joint in cold session. Since you said you had short history of joint pain it is be raise in level of...  Read Full »

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Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care 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.