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.
Submitted:
4 Days
Category:
Internal Medicine Specialist
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
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.
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