Medical Advice on "Rheumatology"

Can the Methotrexate dose be increased if a rheumatoid arthritis patient has an increase in pain?

Hello, Welcome to icliniq.com. I have gone through your query. As such, the medicines need modification for her if the joint pain is increasing. The reports show a very high ESR (erythrocyte sedimentation rate) of 71 mm/hour, which may indicate infla...  View thread »

Answered by Dr. Naval Mendiratta

How can I manage pain and numbness in hands and feet caused due to SPA?

Hello, Welcome to icliniq.com. I went through your post. You are suffering from spondyloarthropathy. However, small joint involvement like hand and feet joints are rare in SPA. You should restart Sulfasalazine 1 g morning, evening and do a C-reacti...  View thread »

Answered by Dr. Ashaq Hussain Parrey

How to treat recurrent granulomatosis with polyangiitis in me?

Hello, Welcome to icliniq.com. I reviewed your post and image (attachment removed to protect the patient's identity). You have ecchymosis, which is resolving, which is why they look blue. One of the skin manifestations of GPA (granulomatosis with p...  View thread »

Answered by Dr. Ashaq Hussain Parrey

Small patch of psoriasis in ankle has flareups with joint pain and stiffness. Is this psoriatic arthritis?

Hi, Welcome to icliniq.com. Your symptoms include swelling of joint as well as morning stiffness and it looks associated with psoriatic arthritis. I would rather say it is seronegative rheumatoid arthritis associated with psoriasis also known as mixe...  View thread »

Answered by Dr. Anshul Varshney

I am ANA positive with limb and muscle weakness. Is this UCTD or MCTD?

Hello, Welcome to icliniq.com. I believe your diagnosis is Overlap syndrome, scleroderma with myositis overlap. Your symptoms do not fit into one connective tissue disease. It is probably overlap of two diseases going on. Lupus I will not be too su...  View thread »

Answered by Dr. Naval Mendiratta

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

Why do I always have blood or protein in the urine?

Hi, Welcome to icliniq.com. I went through your post and laboratory tests (attachments removed to protect the patient's identity). I did not find anything suggestive of lupus (autoimmune disease). It looks like IgA (immunoglobulin A) nephropathy, w...  View thread »

Answered by Dr. Ashaq Hussain Parrey

I am pregnant and I am unable to sit or stand due to pain. Please suggest.

Hello, Welcome to icliniq.com. It probably comes from your ligaments becoming looser, getting ready for birth. It is very common in pregnancy. I suggest you take Paracetamol 1 g up to four times a day (safe in pregnancy). Consult your specialist doc...  View thread »

Answered by Dr. Catherine Bevington

Can arthritis cause pain, inflammation, and stiffness of the joints?

Hello, Welcome to icliniq.com. I understand your concern. I suggest the below treatment plan for five days: Tablet Emanzen-D (Diclofenac and Serratiopeptidase) twice daily. Tablet Pan 40 (Pantoprazole) once daily on an empty stomach. Consul...  View thread »

Answered by Dr. Rajesh Jain

What is the treatment for dermatomyositis other than medications?

Hello, Welcome to icliniq.com. I read your query and can understand your concern. I reviewed your report (attachments removed to protect the patient's identity). We generally diagnose dermatomyositis with five things. Muscle weakness Elevated ...  View thread »

Answered by Dr. Ashaq Hussain Parrey