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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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Category: HIV- AIDS Specialist
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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.


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. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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