Treatment for POST STREPTOCOCCAL REACTIVE ARTHRITIS.

Hello.
Thank you for your query at DoctorSpring.com
Kindly revert back with ESR, CRP, Blood culture 3 samples to be taken from three sites each at interval of 1 hour, ASO titres and Repeat ECHO.
Your reactive arthritis is unique in a way that you also have abnormality of mitral leaflet and ASD.
Please take naprosyn 500 mg twice a day.
After the culture samples have been taken please start ZOCEF CV 500 twice a day for 5 days.
Continue your previous treatment till reports are available and revert back
Regards.

Dear Doctor saheb Here she got blood test for ANA, SSB, came normal while ESR is 62 and CRP-32, CBC LEVER ENZYMES AND CREATININE are fine Regards Sanjay

Thanks for getting the investigation. what is the present echo report vis a vis last echo?
Kindly send both the old and the new echo reports, for comparison sake.
For the time being continue the same medicines.
Regards.

Dear Doctor Saheb, I have undergone through Echo test, Please find attached both report for reference. Presently I feel better now. Now i am having minor pain in right hand only not taking any pain killer. I am taking medicine as follows - 1. DAFF 6 MG alternate days
2. IROBISH daily one tablet
3. VRX Gold Q10 daily one tablet
4. HCQ 200 daily one tablet
5. Folictrax 15 MG Weekly
6. Folic acid Weekly
I would like to know whether any change in medicine is required. I have taken appointment in Hammad Hospital for cardiac issues.
Regards Pinki

Hello,
The report is fine, there is no vegetation, I am relieved.
Please continue the same medicine nothing serious and i am convinced that there is no vegetation.
Get in touch with ESR, CRP, CBC, LFT every month
Regards