Recently Answered Questions
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I have pain in my left knee and wrist. Please help.
Query: Hello doctor,I was diagnosed with RA two years back and I am taking treatment for the same. My left knee is affected badly and the swelling is not coming down. Initially, I was not able to walk, but now I can walk slowly but cannot climb the staircase or fold my left leg completely. Recently I am ge... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your post and have seen the reports (attachment removed to protect patient identity). Your rheumatoid arthritis is not controlled which is evident from your high ESR (erythrocyte sedimentation rate) of 60. The reason for this is that you are not adequa... Read Full »
I am suffering from CFIDS and low thyroid. Please advise.
Query: Hello doctor, I have been searching for answers for over three years. The past two years, my quality of life on a scale of 1 to 10, has been a 2. I am grasping at anything to find the answers. My doctors have not helped. I was diagnosed 15 years ago with fibro/CFIDS, and very low thyroid, which they... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your post. I will try to address each point one by one. You have been labeled as having chronic fatigue syndrome (CFS). It is a diagram of exclusion, and there are no effective meds except sometimes treatment with antivirals has been seen as effectiv... Read Full »
Is it safe to take the COVID vaccine in patients with rheumatoid arthritis?
Query: Hello doctor, My mother aging 56-year-old, has rheumatoid arthritis for almost seven years. She also has high blood pressure for 20 years. She has got an appointment for a the COVID-19 vaccine in a few days. I wondered if it is reasonably safe for her to get the vaccine given her condition, which I... Read Full »
Answer: Hello, Welcome to icliniq.com I went through your report (attachments removed to protect the patient's identity). It is absolutely safe to get the COVID vaccine, and for the patient with rheumatoid arthritis, it is mandatory to get vaccinated as early as possible because these patients are on ... Read Full »
Does vitiligo and recurrent iritis suggest arthritis?
Query: Hello doctor, I am a 31-year-old male. I have vitiligo and recurrent iritis in my right eye, it started 12 years ago. It has been only a month since I started running 5 km every day. And also, I have walked and played soccer a lot on the beach for the last few days. One of these days, a sharp pain ... Read Full »
Answer: Hello, Welcome to icliniq.com. The symptoms that you have described do not classically fit rheumatoid arthritis. However, these symptoms suggest trauma more than inflammatory arthritis, but simultaneously considering your iritis we need to rule out enthesitis and rheumatoid arthritis both of w... Read Full »
I have high uric acid levels and consistent pain in my right hand. Can they be related?
Query: Hi doctor, I have had high uric acid for a very long time. I often get pain in my feet and it continues for about a week. This time I have consistent pain in my right hand. I got an MRI done, which revealed synovitis. My Rh factor and anti-CCP (cyclic citrullinated peptide antibodies) are normal. Pl... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concern. The condition you have is arthritis. Can you tell me if there is any other joint involved? In rheumatoid arthritis, multiple joints are affected and the tests can be negative sometimes. Whereas, in gout, only a single joint is affected. Tha... Read Full »
What is the treatment for rheumatoid arthritis?
Query: Hello doctor,I am diagnosed with rheumatoid arthritis. I have swelling on my ankles, elbows, and some fingers along with deformity in my right wrist. Currently, I am taking Ayurvedic medication. I need a consultation. Read Full »
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 a... Read Full »
I have developed rheumatoid arthritis symptoms and diabetes post COVID. Why so?
Query: Hi doctor, I have developed rheumatoid arthritis (RA) symptoms after covid. Upon receiving the second booster from Pfizer, it became more apparent. I am now taking tablet Prednisolone 10 mg regularly. Last week, I took a blood test that revealed a rheumatoid factor (RF) of 65. I have developed diabe... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. I suggest you take tablet Methotrexate (Rheumatrex) 10 mg once a week only on Mondays and tablet Folic acid (Folvite) 10 mg weekly on Tuesdays. Decrease the dose of tablet Prednisolone (Flo-pred) to 5 mg. Tablet Methotrexate will take about ... 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 »
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 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 »
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 »