Rheumatology Online Doctors Consultation

Patient Name: Anannya Chatterjee Age: Not mentioned Complaint: Multiple joint pain (finger joints, wrist, shoulders, knees, heels) with worsening knee pain at night and morning joint swelling. Duration: 2 years Provisional Diagnosis: Suspected Inflammatory Arthritis (e.g., Rheumatoid Arthritis, Psoriatic Arthritis, or others) / Autoimmune etiology Recommended Diagnostic Tests: Blood Investigations: Rheumatoid Factor (RF) Anti-Cyclic Citrullinated Peptide (Anti-CCP) Antibody Erythrocyte Sedimentation Rate (ESR) C-Reactive Protein (CRP) Complete Blood Count (CBC) Vitamin D3 Serum Uric Acid Thyroid Function Test (T3, T4, TSH) ANA (Antinuclear Antibody) Panel HbA1c (if not done in the past 6 months) Imaging (as needed based on symptoms): X-ray of affected joints (hands, knees, etc.) Ultrasound or MRI of joints (if swelling or synovitis is suspected and plain X-ray is inconclusive) Temporary Symptomatic Relief Medications (Short-Term Use Only): Tab. Paracetamol 650 mg – 1 tablet every 6-8 hours after food if pain is severe. (Max 3/day) Tab. Aceclofenac 100 mg + Paracetamol 325 mg – 1 tablet after food twice daily for 5 days. (Only if Paracetamol alone is ineffective and no gastric issues) Cap. Pantoprazole 40 mg – 1 capsule daily before breakfast to protect stomach while on painkillers. Topical Application: Diclofenac gel – Apply on painful joints 2–3 times daily. Supportive Measures: Warm water compress on painful joints (especially knees and shoulders). Gentle stretching and low-impact exercise (like swimming or yoga, as tolerated). Use orthopedic footwear or cushioned slippers for heel pain. Elevate legs with a pillow at night if swelling is present. Advice: Avoid excessive joint strain or heavy lifting. Keep a pain and swelling diary to help your doctor assess triggers and progression. PLEASE MENTION YOUR AGE . ALSO SEND ME ANY REPORTS YOU HAVE OR TAKING ANY MEDICATIONS. YOU CAN GET PAID CONSULTATION HERE OR CONTACT ME ON WHATSAPP. THANK YOU DR Shayeque Reza MD 9800280276

Hello anannya by looking at your symptoms and duration it's most probably RHEUMATOID ARTHRITIS. Get blood investigations like 1. RA factor 2. Anti CCP antibodies 3.CBC 4.ESR,CRP, S. URIC ACID Now for pain take Tab. Etoricoxib 1-0-1* 5 days after food Tab. Pan 40 1-0-0* 5 days beforehand food. Tab. Methyl prednisolone 8mg In tapering dose after getting your diabetic profile done. If diabetic steroids are not advisable* After these investigations consult a rheumatologist If any doubts dm me.

Hello Nitin, For your knowledge I wanna state that there is no proper study that cholecystectomy can raise your uric acid. Do you any of these symptoms: Sudden joint pain/swelling (especially in feet or toes) Red, hot, stiff joints (classic gout attack) Kidney stone symptoms: back pain, blood in urine, frequent urination

Are you on any medications? If not start DMARDS like HCQ 200mg, MTX 7.5 mg once weekly along with supplements. BUT IT'S MANDATORY TO GET BLOOD INVESTIGATIONS ( LFT,RFT) BEFORE STARTING THESE TABLETS. FOR NOW if not DIABETIC start course of steroids in tapering dose. For pain now can take tab piroxicam 1-0-1* 5 days