question-icon

She Is Having Pain Both Plam For More Than A

default
Posted on Mon, 7 Oct 2019
Question: She is having pain both plam for more than a year and followed up with doctors and taken medicine. Recently the pain was increased and it extended on both legs aswell and consulted with doctor. Attached the report.

I'm concerned with prescribed medicine since one was steroid. Kindly review the report and let me know the your suggestions.
doctor
Answered by Dr. Divya Agarwal (1 hour later)
Brief Answer:
short course will cause no harm

Detailed Answer:
hi
she is suffering from arthritis.
Has her test for rheumatoid factor, anti CCP been done?
If not, it will be good if you can get it done.
The doctor has prescribed a short course of steroid, to take care of the inflammation, in case you are apprehensive about it, you can take an anti inflammatory like tablet voveran instead of it, or take a smaller dose of prednisone i.e 5 mg tablet.
in case her arthritis is progressing the only option will be to step up the dose of the DMARD medication - like tab hcqs.
but before that her tests need to be communicated to me.
regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
default
Follow up: Dr. Divya Agarwal (51 minutes later)
Attached the Anit CCP report which was done on 19/09/2018. Let me know if she need to repeat this test again.
doctor
Answered by Dr. Divya Agarwal (52 minutes later)
Brief Answer:
repeat RF , ANA

Detailed Answer:
hi
this is negative.
i suggest get RA factor and ANA.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Divya Agarwal (43 minutes later)
Ok, we will do all three tests 1. RF, 2. ANA & 3. Anti-CCP.

As per the below links there are 8 Blood tests for rheumatoid arthritis. Is only above three tests sufficient to confirm the arthritis?

https://www.medicalnewstoday.com/articles/323473.php
doctor
Answered by Dr. Divya Agarwal (30 minutes later)
Brief Answer:
check these

Detailed Answer:
there are various types of arthritis, if u want to get a comprehensive workup done , i suggest, RF, ANA(IIF), ESR, CRP .
that should help us with the diagnosis
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. Yogesh D
doctor
Answered by
Dr.
Dr. Divya Agarwal

Rheumatologist

Practicing since :1999

Answered : 659 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
She Is Having Pain Both Plam For More Than A

Brief Answer: short course will cause no harm Detailed Answer: hi she is suffering from arthritis. Has her test for rheumatoid factor, anti CCP been done? If not, it will be good if you can get it done. The doctor has prescribed a short course of steroid, to take care of the inflammation, in case you are apprehensive about it, you can take an anti inflammatory like tablet voveran instead of it, or take a smaller dose of prednisone i.e 5 mg tablet. in case her arthritis is progressing the only option will be to step up the dose of the DMARD medication - like tab hcqs. but before that her tests need to be communicated to me. regards