Medical Advice on "Rheumatology"

Would taking Infliximab endanger pregnancy?

Hi, Welcome to icliniq.com. We are here to help you. Infliximab is a pregnancy category B drug that is it has not shown till now any birth defects in babies in trials. So, it can be used if required. I would not recommend SI joint (sacroiliac...  View thread »

Answered by Dr. Anshul Varshney

How long should I take Humira?

Hello, Welcome to icliniq.com. The recommendations are that you should get Adalimumab for at least 12 weeks, before we can say that you are a nonresponder to the drug. So, it would be the same 12 weeks. There are other anti-TNF drugs (anti-tum...  View thread »

Answered by Dr. Divya Agarwal

How to manage and treat pain which is due to tailbone dislocation during delivery of the child?

Hello, Welcome to icliniq.com. Yes, tailbone pain may be due to injury during delivery of baby or trauma during procedure. You may suffer pain during sitting or defecation, or intercourse. Use a doughnut shape pillow, and sit in a leaning forward p...  View thread »

Answered by Dr. Penchilaprasad Kandikattu

My grandmother has hand and shoulder pain. Is it because of taking two medications for gout?

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 ...  View thread »

Answered by Dr. Rajiv Ranjan Kumar

Do elevated erythrocyte sedimentation rate and C-reactive protein levels suggest cancer?

Hello, Welcome to icliniq.com. I went through your query and understood your concern. I went through your reports (the attachment removed to protect the patient's identity). ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) are nonspe...  View thread »

Answered by Dr. Anshul Varshney

Is it safe to take Gabapentin for back stiffness?

Hello, Welcome to icliniq.com. I have seen the attached reports (attachment removed to protect patient identity). The diagnosis of ankylosing spondylitis is a clinical and radiological diagnosis. The clinical criteria is a history of inflammatory...  View thread »

Answered by Dr. Divya Agarwal

My c-ANCA levels are 5.6 U/ml. What is the general prognosis?

Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: C-ANCA (Antineutrophil cytoplasmic antibodies) positivity indicates Wegener's Granulomatosis. In this condition, there is involvement of upper and lower respiratory tract a...  View thread »

Answered by Dr. Anshul Varshney

Post chemotherapy, there is remission of RA with pain in joints. Please help.

Hello, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity). It seems her arthritis is flaring up again. Eventually, Cyclosporine and HCQs are both very mild when it comes to arthritis managemen...  View thread »

Answered by Dr. Naval Mendiratta

I am suffering from swollen feet and unbearble pain due to RA. Kindly help.

Hello, Welcome to icliniq.com. I think you need more DMARDs (disease-modifying antirheumatic drugs), preferably a combination of Leflunomide, and Methotrexate should be tried. And Prednisolone will be required until the Dmards combo works. It does ...  View thread »

Answered by Dr. Srivastava Durgesh

I am getting severe headache on taking Arava for inflammatory arthritis. Why?

Hello, Welcome to icliniq.com. The headache is likely to have been caused by a combination of the Arava (Leflunomide) and your raised blood pressure. Although we cannot know how much each of these contributed? Anyway, if your blood pressure rose a l...  View thread »

Answered by Dr. Catherine Bevington