HomeAnswersGeneral Practitionerrheumatoid arthritisWhy do I get swollen hands and feet post fever treatment?

I have swollen joints, hands and feet with pain post fever treatment. Why?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Aleph

Medically reviewed by

Dr. Vinodhini J.

Published At March 25, 2020
Reviewed AtJuly 5, 2023

Patient's Query

Hello doctor,

I am 32 years old. My sickness started with a slight fever Tuesday night, then Wednesday I got a higher temperature 100 degree Fahrenheit. Then Thursday night rashes appeared. I went to a local doctor Friday morning as my fever reach 102 degree Fahrenheit . They gave me a fast drip to lower my temperature. Then Saturday morning my temperature went down to 98.6 degree Fahrenheit but I still have few rashes. Then I started feeling my swollen joint, hands, and feet pain. Now I already took a bath as my temperature is 97.34 degree Fahrenheit. I am just worried about my swollen feet and hands and the pain is troubling. I am currently takin Biogesic Paracetamol.

Answered by Dr. Aleph

Hi,

Welcome to icliniq.com.

Has this happened before or is it the first time? Can you describe the rashes or better a photo of it? Is it itchy, is it generalized or located in specific areas, blanching, flat or elevated? Regarding the swelling of the hands and feet, Is it the first time? Does taking Paracetamol help with the pain? Is it swollen or just painful? And which joints are specifically affected? The wrist or joints along with the fingers? What about feet and ankle? What did the CBC (complete blood test) reveal? Kindly, revert back. Thank you.

Patient's Query

Thank you doctor,

The rashes are already gone but my hands and feet are swollen. From time to time I am getting pulsating pain in them. I applied ice cold packs and somehow it lessens the pain and swelling.

Answered by Dr. Aleph

Hi,

Welcome back to icliniq.com.

So far from what you have disclosed, it looks like a case of rheumatoid arthritis. But I will need to see the CBC results and to please add the following tests: Rheumatoid factor, CRP (C-reactive protein), ESR (erythrocyte sedimentation rate). If there is still swelling, suggest to take Prednisone 5 mg one tablet at bedtime for seven days only then stop. Please do a follow-up. Thank you and take care.

Treatment plan

The treatment plan is Prednisone 5 mg, one tablet at bedtime for seven days only, and then stop.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Aleph

Dr. Aleph

General Practitioner

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