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Suggest Treatment For Joint Pain , Nerve Pain And Weight Loss

Posted on Mon, 11 Aug 2014

Question: 32F, joint pain in hands, nerve pain in lower back, swelling, recent 42 lb weight loss with no diet/activity change. + ANA with homogeneous & speckled pattern

Answered by Dr. Dr.Raju.A.T (4 hours later)

Brief Answer:
Test result is not significant

Detailed Answer:
Hi,

Thanks for your query.

ANA titre of 1:320 may not be considered diagnostic. The homogenous and speckled pattern of antibody reaction can be sen in normal individuals too.

I suggest you to get a test called C-reactive protein and RA factor estimation. These can provide a link between your symptoms and the weakly positive ANA titre.

If you are on medication please do mention the same.
Is the pain in the joints more in the mornings ?
Do you face stiffness in the joints specially in the mornings?

Waiting for your response,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.Raju.A.T (48 minutes later)

Joint pain, stiffness and swelling is all the time not just in the morning. Rheumatoid factor was 8. Crp scheduled for monday.

Also suffering from chronic heart burn. Flakey nails.

Answered by Dr. Dr.Raju.A.T (14 hours later)

Brief Answer:
Shall wait for the CRP report

Detailed Answer:
Hi,

Thanks for writing back.

The symptoms you have can also be seen in Lupus, I would like to rule other forms of inflammatory disorders. Let me wait for the CRP report. Please upload it once you receive it.

Regards,

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar