Five years ago my mother was diagnosed with fibromyalgia. I think she also has rheumatoid arthritis. For the past five years, she was managing the pain with anti-inflammatory medicine, Lyrica, Mythycobal, Voltaren injections, herbal creams, etc. You can see the veins in her hands popping out. I also realized that the pain has got worse now.
For about 12 months the doctor put her only on Prednisolone 5 mg/day and painkiller when necessary. She was fine till last month but the pain increased in her hands now. In the daytime she is fine and the pain starts mildly in the evening. When she lies down in the bed she gets electrical tingling in her legs by which her sleep gets disturbed. She has undergone several tests last week and I attached them for your reference. She did not consult a rheumatologist yet. What medication can I give to reduce the inflammation and cure her? Her ESR, CPR, and ANA are quite high. The pain in her hands and the tingling in her legs at night are agonizing her life. Kindly provide your expert advice.
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First of all your mother does not have rheumatoid arthritis or fibromyalgia. From her reports (attachment removed to protect patient identity) I found that she has connective tissue disorder and the most possible diagnosis would be systemic lupus erythematosus (SLE). The joint pain, high ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), positive ANA (antinuclear antibody) and response to Prednisolone favors the diagnosis of connective tissue disorder.
She definitely does not have functional pain which occurs in fibromyalgia. Her pain and suffering are very true.Now to help you better I need some more details:
Revert back with the answers for the above questions to a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist
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She is suffering with this condition for past five years. In the first two years, the pain hit her ankle, then moved to the neck, then the wrist and so forth. It started when my dad was a kind off paralyzed and she took full care of him. She does not suffer with any frequent reddening of eyes. She denies oral ulcer and rash on sun exposure. There is no relevant past medical history of note. The anti-ds DNA test has not been done yet.
Welcome back to icliniq.com.
For further information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist
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