Hi doctor,
I am a 45 year old male. I had an accident before 10 years. At that time, my knee x-ray was done and I was reported to have osteoarthritis. I have been suffering from pain for few years. I have lower back pain and pain in some of the joints. For the past few weeks, I have pain in my left palm, particularly in my finger joints and more on left middle finger joint. Also, on my foot joints. I also feel very fatigued and tired. My blood pressure (BP) was 110/70 mmHg a week back. I am enclosing a comprehensive blood test report, which was done very recently and I have advised to take tablet Nusam 400 for six months. I have been taking for the past two months. Please suggest me the remedy and preventive measures.
Hi,
Welcome to icliniq.com.
The Probable causes:
Vitamin D deficiency and autoimmune cause.
Investigations to be done:Ultrasound abdomen and pelvis, rheumatoid factor, MRI of spine with sacroiliac joint and MRI of the whole spine, screening and ultrasound of hands to look for active arthritis, HBsAg (hepatitis B surface antigen) and HCV (hepatitis C virus).
Differential diagnosis:Seronegative spondyloarthropathy.
Probable diagnosis:1. Rheumatoid arthritis.
2. Seronegative spondyloarthropathy.
Calcirol sachets (vitamin D) 60000 units once in a week with a glass of water for six weeks and tablet Dolo 650 mg (Acetaminophen) for pain.
Preventive measures:1. Avoid alcohol and excessive weight lifting.
2. Also, try to avoid painkillers as your liver functions are abnormal.
For further information consult a rheumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/rheumatologist
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