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 be the reason for swelling and pain in my right wrist?

Query: Hi doctor, I am a 27 year old female, and I was diagnosed with RA late last year. It has been persistent in my wrists this year. I was told to take Zycel 200 mg, but I feel something else could be wrong, as the pain and swelling are only in the wrists, more in the right hand. In my country, we do n...  Read Full »


Dr. Naval Mendiratta

Answer: Hi, Welcome to icliniq.com. If you have been diagnosed with rheumatoid arthritis, then it is possible the swelling in the wrists is due to it. And moreover, we need to step up the treatment as only Zycel (Celecoxib) 200 mg is not enough to control it. It would be better if one could add Methotrexate...  Read Full »

What is the reason for the abnormal blood test reports?

Query: Hi doctor, I have RA and I do the blood tests every three months. The last few CBCs with differential counts are slightly abnormal. When I asked my doctor, they said it was not anything in particular and did not explain clearly. I have mild to moderate sensorineural hearing loss in the left ear at ...  Read Full »


Dr. Mubashir Razzaq Khan

Answer: Hi, Welcome to icliniq.com. The word leukemia means white blood cell cancer in peripheral blood. Leukemia is a relatively old term. Nowadays, it is called hematopoietic and lymphoid neoplasm. A good share of circulating white cells comes from lymphoid tissues such as lymph nodes, spleen, t...  Read Full »

I am suffering from joint pain after my delivery. Kindly help.

Query: Hello doctor,I am 33 and since having my baby a year ago I am suffering from joint pain, especially in my wrists and fingers. I have pins and needles sensation at times and writing is becoming difficult. I just got my reports and have elevated CRP and low folate. Any idea what could be wrong?  Read Full »


Dr. Ashaq Hussain Parrey

Answer: Hello, Welcome to icliniq.com. I went through your post. You have pain in the small joints of your body with an elevated CRP (C-reactive protein) level. I suggest you go for an investigation to rule out rheumatoid arthritis. Do anti-CCP (anti-cyclic citrullinated peptide) and RF (Rheumatoid factor)...  Read Full »

Is there a therapy for painful swollen joints?

Query: Hi doctor, My mother is 45 years old female. Her weight is usually between 35 kg to 42 kg. She has been suffering from severe pain and swollen joints for the past 15 years. Due to a lack of financial resources, we could not get treatment. Is there any therapy to heal her? She is unable to move her j...  Read Full »


Dr. Divakara P

Answer: Hi, Welcome to icliniq.com. First of all, a proper diagnosis has to be made for the cause of her swollen joints. It could be osteoarthritis, rheumatoid arthritis (RA), or gout. Once a correct diagnosis is made, then the treatment can be initiated. So, I need to know whether any tests have be...  Read Full »

What are the reasons for my child's high fever, joint pain, and rashes on anti-tubercular treatment?

Query: Hi doctor, My daughter, who is 7 years old, is on ATT for the last five months. She had fever and knee joint pain on the right side for over one and a half month. Mantoux was positive and CT and x-ray showed hilar lymphadenopathy. Bronchoscopy, GL, bone marrow and CSF were done, but no AFB found. M...  Read Full »


Dr. Sirisha

Answer: Hello, Welcome to icliniq.com. Tuberculosis is a worrisome disease. As the kid has been already diagnosed with it and you have already started treatment, the symptoms should start resolving by now, since it has been two months already. If symptoms not resolving we should think of medication ...  Read Full »

How to manage rheumatoid arthritis until I meet a specialist?

Query: Hello doctor, My primary care physician said that I may 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 that you have RA (rheumatoid arthritis) or are 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,...  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 »

I have rheumatoid arthritis with degenerative changes and reduced space between bones. Kindly help.

Query: Hello doctor,I was diagnosed with rheumatoid arthritis, my rheumatoid factor was above 200 IU/mL, and I was under treatment with HCQS for about six months. Now, my rheumatoid factor is 42 IU/mL. The x-ray that I took a couple of years ago suggests degenerative changes and reduced space between bones...  Read Full »


Dr. Anshul Varshney

Answer: Hi,Welcome to icliniq.com.Rheumatoid arthritis cannot be cured entirely, but it can be well controlled. I would suggest you discuss with your doctor to start you on HCQS (Hydroxychloroquine), Etoricoxib, Calcium, vitamin D3, and Prednisolone. Based on your liver and kidney function tests, it is advi...  Read Full »

Can I take Xelijanz for rheumatoid arthritis?

Query: Hi doctor, I was diagnosed with rheumatoid arthritis, and my doctor advised to take Xeljanz, as it has no side effects. Is it true? It is very expensive. I want to take a second opinion on the medicine. How safe is it to take?  Read Full »


Dr. Divya Agarwal

Answer: Hi, Welcome to icliniq.com. Yes, it is a very good option for rheumatoid arthritis. However, every medicine has its side effects. It is recommended to start with the time-tested DMARDs (disease-modifying antirheumatic drugs) like Methotrexate and sometimes, even combination of DMARDs. If they fail...  Read Full »

Do positive ANA and atrial flutter confirm rheumatoid arthritis?

Query: Hi doctor,I am 41 years old and I never had any health issues. Currently, I have an atrial flutter and I am trying to find the cause. My CRP and sedimentation rate in Westergren remains high. I also have positive ANA. Does this confirm that I have rheumatoid arthritis? Could this inflammation be the...  Read Full »


Dr. Naval Mendiratta

Answer: Hi, Welcome to icliniq.com. Thank you for writing. I have gone through your reports and history (attachment removed to protect patient identity). Your ANA (anti-nuclear antibody) remains positive. I would like to ask you a few more questions to be sure of how much ANA is impacting your body. Pleas...  Read Full »

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