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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Can my grandmother discontinue one of her gout medicines?
Query: Hi doctor, My 83-year-old mother is taking two different medications for gout. She has consistent hand and shoulder pain with weakness. She is unable to catch her walker grip and even she is unable to catch her water bottle. One of the pharmacists told me that one of the medications taken by her ... Read Full »
Answer: Hi, Welcome to icliniq.com. Her symptoms are not related to gout or it can be due to chronic tophaceous gout. She can also have CTS (carpal tunnel syndrome) or a flare of RA (rheumatoid arthritis). If the symptoms are more in the early morning and then it decreases gradually, then it can be due to R... Read Full »
What are the causes of pain radiating from the hip to toe?
Query: Hi doctor, My mother is 43 years old and she was diagnosed with rheumatoid arthritis three months back. She has a serum uric acid level of 4.3 mg/dl and an RF IgM antibody of 132.1 units/ml. Her treatment was started by taking Defcort 6 mg for a week, Methotrexate 15 mg for three months, HCQS 200... Read Full »
Answer: Hi, Welcome to icliniq.com. Pain radiating from hip to toe occurs due to sciatica and it does not occur due to rheumatoid arthritis. Your mother needs to take nerve suppressing painkillers and physiotherapy. Regarding other joint pains, we need to rule out the cause after having a detailed history... Read Full »
Query: Hi doctor, One year ago, I was diagnosed with RA. I believe that there is more going on. I am currently taking Methotrexate 20 mg once a week, Folic acid 1 mg daily, Hydrochlorothiazide 25 mg daily and Cyclobenzaprine 10 mg twice a day. Also, I just began taking Celecoxib 200 mg for pain. I saw the ... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query and attached report (attachment removed to protect patient identity), my opinion is as follows: The C-reactive protein level is highly elevated indicating ongoing high level of damage in the tissues of the body.Now, the immediate need is to reduce infl... Read Full »
Why do I have trigger problems in the middle finger of both hands?
Query: Hi doctor, I am having trigger problem in the middle finger of my left hand over a year. But, the same finger of my right hand has now developed the same problem. They are especially bad in the morning and it is difficult to straighten them. I can feel a very heavy click when I do it. I had blood te... Read Full »
Answer: Hi, Welcome to icliniq.com. The most important information to know would be x-ray of your hands. There are different types of arthritis like autoimmune, osteoarthritis and gout. It could also become worse with your new medications as they can cause bone loss and pain. It may also occur if you... Read Full »
Can rheumatoid arthritis cause joint pain, anemia, swollen lymph node, and fever?
Query: Hi doctor, I am a 22-year-old female. My height is 5 feet 3 inches and my weight is 97 lbs. I started experiencing pain in my joints an year ago. The pain continued and increased in intensity. Before eight months I was told that my blood was a bit low. I fractured my arm very easily seven months ag... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand that you have been diagnosed with rheumatic arthritis through your blood and clinical parameters. You have been treated for anemia and arm fracture. Your blood reports say you have high inflammatory markers. To diagnose rheumatic arthritis, we need to have ... Read Full »
What can cause sudden multiple joint pain in the morning?
Query: Hi doctor, I am a 20-year-old female. Two days back, I started to have slight pain in two different joints. After waking up in the morning, my joint pain was awful. Finally, I waked up with severe pain today morning. I cried a lot. I do not have any arthritis. What is the cause? Do I need to consul... Read Full »
Answer: Hi, Welcome to icliniq.com. You have sudden pain and swelling in the joint. It is a sign of acute inflammation of joints. You seem to have rheumatoid arthritis. It is a common problem causing multiple joint pain. For now, do RICE (rest, elevation, and ice compression) on the affected area. I sugge... 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 »
Will TB lungs exhibit honey comb damage in radiology?
Query: Hello doctor, I am a 67-year-old female. I have a significant past medical history of TB and a lifetime history of bronchitis. My arthritis is currently being treated with Remicade. Last month, while in a temporary job I developed severe altitude sickness (SOB, fatigue, and confusion) followed by b... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. According to your statement, you have been suffering from chronic bronchitis with rheumatoid arthritis with recently diagnosed with RA related interstitial lung disease or idiopathic pulmonary fibrosis. You had a history of PTB and taki... Read Full »
I am a 42-year-old female suffering from nodule formation and pain in the joints of my fingers and toes. Kindly help.
Query: Hello doctor,I am a 42-year-old female with a history of joint pain and stiffness (since age 8), primarily in my hands, neck, back, knees, and feet. I have recently developed nodules on the joints of my fingers and toes, and I have lost some strength and agility in my hands. My maternal grandmother ... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. You have sublime inflammatory arthritis as you have Symptoms. Family history. Raised CRP (C-reactive portein). Raised RF (rheumatoid factor) borderline. Raised TSH (thyroid stimulating hormone). Low-vitamin D... 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 »
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 »