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Suggest Remedy For Joint Pain

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Posted on Fri, 6 Nov 2015
Question: I had routine blood work on September 5th. My alkaline phosphate came back at 134. All other liver functions were normal but I do have joint paint in my middle knuckles on most finers, small me tarsal on both feet and bone on left wrist. I am really worried.
doctor
Answered by Dr. Ram Choudhary (6 hours later)
Brief Answer:
some diagnostic tests are required

Detailed Answer:
Hi XXX.....
Thanks for writing in to healthcare magic.
The alkaline phosphatase levels that you are having are not much elevated and are frequently seen in cases of ulcerative colitis.
The pain in small joints of limbs is a feature of many diseases like rheumatoid arthritis, SLE and per se Ulcerative colitis may cause such problem.
You should get blood tests, RA factor, ANA, dsDNA, CRP, Hepatitis C serology and ESR.
You should also get evaluated by a local rheumatologist after investigations.
I hope the advise will be helpful for you.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Ram Choudhary (1 hour later)
Ok thank you. I already had RA factor and crp - both were negative. I do have an apt. with a Rheumatologist set up. My UC has been in remission for a long time and I just had my colonoscopy in XXXXXXX - all was really good. I had Hepatitis C test a long time ago and it was negative but unless it can come from nothing I don't know how I could have contracted as I don't fall under the risk category. Also just got other testing for thyroid functions which are not in yet.
doctor
Answered by Dr. Ram Choudhary (13 hours later)
Brief Answer:
no need for hepC

Detailed Answer:
Hi
Welcome back.
Hepatitis C can be a cause for such manifestations but does seem a possibility in your case due to no exposure risk.
Still get ANA, dsDNA and ESR tests to check for SLE.
A clinical assessment will provide more insight.
Let's see.
Take care.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ram Choudhary

Internal Medicine Specialist

Practicing since :2001

Answered : 2270 Questions

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Suggest Remedy For Joint Pain

Brief Answer: some diagnostic tests are required Detailed Answer: Hi XXX..... Thanks for writing in to healthcare magic. The alkaline phosphatase levels that you are having are not much elevated and are frequently seen in cases of ulcerative colitis. The pain in small joints of limbs is a feature of many diseases like rheumatoid arthritis, SLE and per se Ulcerative colitis may cause such problem. You should get blood tests, RA factor, ANA, dsDNA, CRP, Hepatitis C serology and ESR. You should also get evaluated by a local rheumatologist after investigations. I hope the advise will be helpful for you.