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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All the answers published in this website are written by Verified medical doctors, therapists and health experts. The Content has been moderated by iCliniq medical review team before publication. Post your medical clarifications on iCliniq by choosing the right specialty and get them answered. Your medical queries will be answered 24/7 by top doctors from iCliniq.

What is the cause of lower back pain despite taking medications?

Query: Hi doctor,I have seen many doctors regarding lower back problems since the past two years. I have had two courses of physiotherapy with no real improvement and cortisone injections, which also did not help. I have also had two CT scans and an MRI, and I have attached the reports. I am also prescrib...  Read Full »


Dr. Ambekar Sudheer

Answer: Hello, Welcome to icliniq.com. Looking at your symptoms and all the attached reports (attachment removed to protect patient identity), it makes me think that you need to be investigated by a rheumatologist or an immunologist for possible rheumatoid or other arthropathies. There is no evidence of ...  Read Full »

Do X-rays help in differentiating rheumatoid arthritis from osteoarthritis?

Query: Hi doctor, I have been having joint pain in my left foot on the first joint of big toe for two weeks. It came on upon waking. The pain was inconvenient, but bearable for the first 36 hours. Then, it was extremely painful on the second day ( a worse pain I have ever had). Then, it has got slightly be...  Read Full »


Dr. Divya Agarwal

Answer: Hi,Welcome to icliniq.com.There is a strong possibility that this is gout. Considering that it occurred relatively acute, it is possible that it is gout.The diagnosis of gout is by crystal examination in joint fluid and on clinical examination of joints.Of course, osteoarthritis is one of the leadin...  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

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 »

I am 44 years old and noticed a breast lump. Should I be concerned about it?

Query: Hello doctor, I am 44 years old and suffering from rheumatoid arthritis. I cannot walk, so my son lifts me every day and takes me to the restroom. He holds me tightly while lifting. I have recently noticed a lump on my breast, which is red, and when I press that, a white-colored liquid leaks out of ...  Read Full »


Dr. Dr.saurabh Raj

Answer: Hello, Welcome to icliniq.com. The symptoms you are experiencing are not suggestive of rheumatoid arthritis. The breast lump looks like a galactocele, which is a milk-filled cyst. I suggest you avoid squeezing it. It would help if you get an ultrasound of the breast done. It can be cured by the ne...  Read Full »

What causes bilateral metatarsalgia?

Query: Hello doctor, I have hypertension and bilateral metatarsalgia. I am seeking a second opinion on my medical reports. I have attached them for your reference.  Read Full »


Dr. Ashaq Hussain Parrey

Answer: Hello, Welcome to icliniq.com. I went through your post and investigations (attachment removed to protect patient identity). There are a few things which will need to be addressed. Your ESR (erythrocyte sedimentation rate) is 45 which is high and simultaneously you are complaining of arthralgias...  Read Full »

I have an enlarged lymph node on the side of my neck with a low fever and ANA 1:16. What might it be?

Query: Hi doctor, I have enlarged lymph nodes on the side of my neck and experienced a low fever on and off for four days. I tested positive for ANA (Antinuclear antibody) 1:16, speckled pattern. No sign of abnormality in my chest x-ray result. I do not have any other symptoms, such as skin rash or muscle...  Read Full »


Dr. Sugreev Singh

Answer: Hi, Welcome to icliniq.com. Thank you for writing, and I understand your concern. When actually in large lymph nodes, it can be due to infection. Bacterial infection can lead to such swollen lymph nodes. But at the same time, positive ANA indicates for them, so there might be rheumatoid arthriti...  Read Full »

What is the frequency of consultation in the treatment for rheumatoid arthritis?

Query: Hello doctor, I have rheumatoid arthritis. There is a long waiting list to see a rheumatologist in my place. I am thinking of seeing a private doctor but I have limited funds. How often would I need to see a rheumatologist? I cannot afford it every week or maybe every few months. How often do you t...  Read Full »


Dr. Naval Mendiratta

Answer: Hello, Welcome to icliniq.com. I have gone through your history. The only part I did not get was, that how come there have been no DMARDs (disease-modifying anti-rheumatic drugs) for 10 years. It is a bit unusual. If you could throw some light on the history of arthritis, it would be helpful. If i...  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

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 »

How to manage rheumatoid arthritis until I meet a specialist?

Query: Hello doctor, My primary care physician said that I might have RA. My ESR rate was 27, my CRP was 14.1, and my CCP antibody IgG was 500. What does this mean? I have heard a high CCP result could indicate more aggression in my RA if that is what I have.   Read Full »


Dr. Divya Agarwal

Answer: Hello, Welcome to icliniq.com. Yes, the chances of having RA (rheumatoid arthritis) or developing it are high. Anti-CCP antibodies are associated with RA and may also indicate an aggressive disease. However, there are various prognostic markers. This is only one of them. A high ESR and CRP and an ...  Read Full »

What is the treatment for rheumatoid arthritis?

Query: Hello doctor, I am diagnosed with rheumatoid arthritis. I have swelling on ankles, elbows and some fingers along with deformity in right wrist. Currently, I am taking ayurvedic medication. I need consultation.  Read Full »


Dr. Ashaq Hussain Parrey

Answer: Hello, Welcome to icliniq.com. If you are diagnosed with rheumatoid arthritis, have completed your family, and do not want to conceive further, then start DMARDS (disease-modifying antirheumatic drugs), Methotrexate 15 mg once a week and Hydroxychloroquine 200 mg morning and evening if you have ac...  Read Full »

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