Suggest Treatment For Left Hand Joint Pain And Inflammation
Multiple Issues
Detailed Answer:
Good evening
Thank you for writing on health care magic
Well, you seem to have a lot of problems going on and there is a chance that all of them are related than different problems going on.
I would like to ask you a few more details before guiding you further:
1. When did you have Pleurisy episode? Was it one sided or both sided??Did it subside with medications or itself?
2. Did you have any arthritis before this episode or is it the first one?? If you could attach a picture of the joint it would be helpful.
3. Any history of oral ulcers/Hair fall/Rashes over the face and limbs??
4. How bad it the colitis right now??Is it well controlled or does it still flare?
5. Any history of dry eyes or dry mouth
6. Did they perform any blood tests for you recently? I understand in UK they do tests in a very limited way, not till the time they are sure and it does delay the diagnosis, more than that it hampers the patient as they dont get the diagnosis
Do let me know these queries
Would guide you further from here
Regards
Dr Naval
Thank you XXXXXXX XXXX
Is it autoimmune
Detailed Answer:
Good evening
Thanks for your reply
Well, I have seen your results but could not find the autoimmune markers in it. But as you have said they were negative to start with.
The rashes over the knuckles look more of an allergic/ urticaria one but we need to observe it to look if they increase or disappear with time.
But yes considering the episodes of pleurisy, oral ulcers we need to look into some other autoimmune causes as well, like Bechets Disease. Also all the joint pains rashes and oral ulcers can be a part of Inflammatory Bowel Disease. I am not sure if colonoscopy and Biopsy were performed to give us the exact picture of what is going on. If it was done, do let me know the results
With ANA negative, lot of rheumatologist find it hard to label it as Lupus. The other way round is to repeat the test as advised after 3 months.
On a fair note, I still wont label you as Lupus as once labelled you will need long term and heavier medicines for yourself. I would like to observe you over time to see for the developement of new symptoms. Meanwhile do get HLA B 51 done for Bechets as well
I hope the information was useful
DO let me know for more queries
Regards
Dr Naval
REsults
Detailed Answer:
Good evening
Sorry for the late reply. Was caught up in a long day shift
Well, that s good that they have run your tests again.
yeah, do let me know the results. Will like to see if we can interpret anything from it
Dont worry, it will get sorted out for you
Regards
Dr Naval
and my tongue has become inflamed in the last 5 days see images
? Drug reaction
Detailed Answer:
Good evening
Well, your tongue is quite red and swollen up. Have you tried this medicine before?? Did the tongue swelling happen after taking the drug or before it??
What sort of gastric symptoms are you experiencing? Is it acidity or loose stools?
If it is an acidity it is more of a side effect but if it is loose stools, then there is a chance it is affecting your ulcers in the intestine. We normally tend to avoid all strong pain killers when a patient has ulcers proven on Biopsy
Dont take any more etoricoxib for now. Consider starting on Tylenol for pain along with Anti histaminics like allergra for the toungue swelling to go . It shouldnt swell up any further
Do let me know these queries
REgards
Dr Naval
Allergic Process
Detailed Answer:
Good evening
Well, it is definitely not a normal tongue, looks more of strawberry tongue. Ask your GP if it could be a sign of Vasculitis since you are already having so many problems elsewhere as well
Secondly, I wont suggest you continue with NSAIDS, it is probably harming your stomach ulcers causing increased loose stools. If any pain, Tylenol would be a better option
Do let me know what he says
REgards
Dr Naval
ive also just had quite a few ectopic beats in the space of half an hour should I be concerned I have been seen by cardiology and discharged with superventicular ectopics.
Ectopics
Detailed Answer:
Good evening
Well, firstly I really dont know which bug will go bite you on your tongue and cause such swelling and color change. It is very unusual for something like that to happen.I feel somewhere something is being missed which need s to be looked into. See if your XXXXXXX has been performed yet as STrawberry tounge is very particular with this antibody
Well, for now keep a watch on your pulse rate. Maybe take an anxiolytic prior to sleeping. Incase you feel the palpitations are high, get an ECG done to be sure it is nothing something which is persisting. Guess you will be in hospital at the moment , so getting an ECG would be ok, just to be on safer side
Do let me know for more queries
REgards
Dr Naval