Which medicine to be used to reduce symptoms - #9645

Get blood investigations done like RA factor, ESR, CBC CRP and uric acid. If RA factor is positive should start DMARDS. For now take NSAIDS like piroxicam 1-0-1*(a/f) 5 days along with pan40/ omez 1-0- 0(b/f). If she isn't diabetic a short course steroids will help. But before taking steroids consult once

Have she undergone any tests If not first get blood tests done - RA factor, Anti CCP, CBC, esr, CRP Can you also specify the joints involved. Does she have other disease like diabetes, hypertension, any heart or kidney disease For now start for pain management and symptomatic relief start- Tab ultracet twice daily Tab Pan 40 mg once daily empty stomach Treatment for arthritis can be initiated after the tests reports Review for further management

Patient Name: [Name Not Mentioned – Mother of Prachi Bisht] Age: Not provided Chief Complaint: Severe joint pain No prior treatment or medications started Arthritis suspected but not formally diagnosed Clinical Impression: The patient appears to be experiencing symptoms suggestive of inflammatory or degenerative arthritis. Since no prior medications have been initiated, it is important to establish a proper diagnosis before starting long-term therapy. Provisional Diagnosis: Osteoarthritis / Rheumatoid Arthritis (to be differentiated through clinical and lab assessment) Recommended Investigations (Before Starting Long-Term Medications): X-ray of affected joints (e.g., knees, hands) Rheumatoid Factor (RF), Anti-CCP antibodies ESR and CRP (to assess inflammation) Uric Acid (to rule out gout) Vitamin D and Calcium levels Initial Symptomatic Treatment Options (Short-Term Relief): 1. Oral Medications (Consult before use if patient has other health conditions): Tab. Paracetamol 500mg–650mg – up to 3 times/day for pain relief Tab. Aceclofenac 100mg + Paracetamol 325mg – 1 tab twice daily after meals (for stronger pain relief, short term only – 5 days max) Tab. Calcium + Vitamin D3 – once daily Tab. Shelcal 500 / D-rise (Vitamin D3) once a week (based on test results) 2. Topical Pain Relief: Volini Gel / Moov / Diclofenac Gel – apply to affected joints 2–3 times daily Lifestyle Modifications: Warm compress or hot water bag application Avoid stairs or joint strain Maintain a healthy weight Gentle yoga/stretching to keep joints mobile These are symptomatic treatment. You need to follow up with reports then we can start the proper treatment. Please share your valueable review. Dr Shayeque Reza MD 9800280276