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Multiple joint pain and swelling

Resolved Question:

Good Day.

I have severe joint pain at the top of my wrists with swelling and redness, also ankle join pain and swelling of the feet, neck and shoulder pain also.


Category: Internal Medicine Specialist

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Expert:  Dr. Deepu Sebin Sebastian replied 4 Days ago

Hello,
Good Day!
Thank you for choosing DoctorSpring.

I would like to know some additional information from you so that I can provide my best and learned opinion. You can reply as a followup.

1. For how long are you having these symptoms ?
2. Do you have any fever ?
3. Do you have any pain in urination / loose stools / eye pain / sore throat?
4. What about the knee joins ? Elbow ? is there any pain or swelling ?
5. Is there any history of similar symptoms in the past ?

You can reply as a followup
Thank you


Patient replied :

Thank you for your reply, Dr. Sebastian. Here are my answers below:
1. 1 week
2. No fever
3. No pain in urination, stools, etc.
4. No swelling with knees and elbows. I do have pain with both.
5. I've had swelling before of feet but not other areas.


Expert:  Dr. Deepu Sebin Sebastian replied 3 Days ago

Hello,

Thank you for choosing DoctorSpring.

You are having a Polyarthralgia of short duration. At this stage it is difficult to come to a single diagnosis and it is not required either. The most likely cause is a viral infection causing arthralgia (joint pain and swelling).

The natural course of this disease is self resolution. I will recommend you a step by step approach here :

1. Rest, plenty of fluids for 1 more weeks
2. OTC pain medication like Ibuprofen 400 mg two to three times a day with food
(if you have any history of allergy, take the meds in consult with your Doctor)
3. The pain and swelling should resolve in a week.
4. But if it is NOT resolving (or if it is worsening ) you will require to some blood tests to rule out other causes of join pain .

The following tests are recommended.

- Complete blood count
- ESR
- CRP
- RA Factor / Anti CCP
- ANA

5. Incase if you have recurrence then also these blood tests are required.

Hope this helps
Feel free to ask followup questions
Thank you


Dr. Deepu Sebin Sebastian
Category: Select Speciality
Experience: 
MD, Internal Medicine - Stanley Medical School
Medical School - MBBS - Govt. Medical College, Kottyaam

Diagnostic Prediction - Stanford School of Medicine
Received Specialty training in Critical Care, Cardiology, Neurology, Gastroenterology, Nephrology from Stanley Medical College and in Endocrinology, Rheumatology.

Hematology and Geriatrics from Madras Medical College.
Dr. Deepu Sebin Sebastian and 4 other Medical Specialists are ready to help you

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