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Hi Doctor, I Am Having Pain In My Fingers And

Posted on Fri, 7 Dec 2018

Question: Hi Doctor, I am having pain in my fingers and stiffness for 15 to 20 mins in the morning. mild pain on and off rest of the day. Don't have any other symptoms. I had done all the test like cbc,crp,ths, glucose,creatinine, gfr, sgpt tests. everything is normal except protein electrophoresis test. have attached the report. what disease I am having? Is it curable? I am worried. Please help me.

Answered by Dr. Divya Agarwal (53 minutes later)

Brief Answer:
Related to inflammation

Detailed Answer:
hello nothing specific about the report that you have attached it is showing that your Gamma globulin levels are high ,gamma globulins are a type of protein in our body which may be raised when there is some inflammation going on in the body,so what we need to find out is that whether your joint pains are related to inflammation or not for which you need to check test related to Arthritis Rheumatoid factor ,anti CCP, antinuclear antibody and inflammatory markers like ESR and CRP, if all these are also clear then we need to just check you clinically that whether the joint pain and stiffness is related to inflammatory Arthritis ,in case it is related to inflammatory Arthritis it may be re checked by doing an ultrasound of the joints or an MRI if it suggests Arthritis then you may require treatment for the same.
regards

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Divya Agarwal (6 hours later)

Thanks doctor for the response. Doctor has prescribed below medication weekly once for 5 weeks for now. 1) Tab.Folitrax 15mg 2) Tab. Folvite 5mg Then Hifenac p whenever I have pain. Can I take these medicines? Is there any side effects? I am worried if I have any major problem.. I am attaching all the reports.. ESR has come 5. CRP less than 5. Antibody ccp 3.83 Thanks and waiting for u r response.

Follow up: Dr. Divya Agarwal (0 minute later)

Follow up: Dr. Divya Agarwal (1 minute later)

Answered by Dr. Divya Agarwal (10 hours later)

Brief Answer:
Yes it looks like the right medicine

Detailed Answer:
hi,i think you are on the right track,continue with the medication and you should get relief within 4 to 6 weeks.
continue with mild exercises and take pain killers if required
regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Divya Agarwal (14 hours later)

Thanks doctor for your response. Will taking this immunosuppressant medicine folitrax damage my immune system? Will I be prone to fall sick quite often due to damage of immune system. Please let me know.

Answered by Dr. Divya Agarwal (9 hours later)

Brief Answer:
No

Detailed Answer:
hi,
it will actually reset your immune system so that you are not prone to autoimmunity.
in the process it will help your arthritis.
regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Divya Agarwal (23 minutes later)

Thanks you so much doctor for your response. I am getting confident now. Can you let me know if I need to do any other tests related to immunity or auto immune disorder etc. .Other than photoelectolysis SERP which already done. Thanks a lot again.

Answered by Dr. Divya Agarwal (45 hours later)

Brief Answer:
No not required

Detailed Answer:
hi not really,however you need to do some tests on follow-up like blood counts and liver function tests.
in case there are any fresh development or any new symptoms doctors may advise some more tests.
regards

Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Raju A.T