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Sir My Ki D Is Having Swelling And Fluid Accumalated

Posted on Mon, 7 Sep 2020

Question: sir my ki d is having swelling and fluid accumalated in left knee. taken saaz kenacort since 6 months their is no relief please guide

Answered by Dr. Aashish Raghu (19 hours later)

Brief Answer:
Answer

Detailed Answer:
Hi there

Thanks for the query

Was there any trauma to the knee?

Any fever, inability to stand on the affected leg or redness of the knee?

Why and by whom was the medicine prescribed?

There could be many causes for knee swelling like infection or arthritis. It would be best to find out more about the knee swelling and need to do blood tests like full blood count, Rheumatoid factor and CRP to look for any infection or arthritis.

Please provide me the above information for me to be in a better position to help you.

Regards,

Aashish Raghu

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

Follow up: Dr. Aashish Raghu (2 days later)

sir crp is postive hlba is also positive saaz was prescribed by pgimer XXXXXXX and kenacort injection by rheumatologist from XXXXXXX No fever is their and no problem in standing or sitting only swelling is their since starting till now six month passed also fluid is present rh factor is negative

Answered by Dr. Aashish Raghu (12 hours later)

Brief Answer:
Answer

Detailed Answer:
Hi

Thanks for your reply.

The images attached are extremely poor quality and cannot be read at all.

It looks like inflammatory arthritis.

This would need Rheumatologist treatment. It could be Juvenile rheumatoid arthritis.

Other than steroids Methotrexate may be helpful which may be prescribed by a Rheumatologist.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Aashish Raghu (45 hours later)

Hello sir Now my son gets vibration in the leg after standing or walking for a longer time .also some deep holes can be felt on the body while touching with the fingers on the back and on the hip region.Please prescribe the dosage of methotrexate to be taken. For how much time saaz has to be taken we are currently taking 2000mg in a day .Also tablet medrol 8mg was taken for 2wks. But still their is no relief in swelling and fluid is still acculmated in knee 6 months have been passed. test for tb is negative and mri for bilateral sacroiliac joints was normal.Please guide for the methotrexate dosage and other medicines which could solve the problem. Thanks

Answered by Dr. Aashish Raghu (6 minutes later)

Brief Answer:
Answer

Detailed Answer:
Hi

Thanks for the reply

Unfortunately I am unable to prescribe medicine doses especially for such medicines which are not over the counter medicines. Since sacroiliac joints are not involved then it is not Ankylosing spondylitis at this time.

It is best to consult an experienced Rheumatologist who will be able to prescribe the required medication.

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

Follow up: Dr. Aashish Raghu (4 days later)

Dear sir Please tell me that would my son's knee will return to normal or not. is this juvenile arthritis treatable or not.Is their need to do other test also so that i can reports to you. How long he has to undergo treatment. How long methotrexate has to be taken .Should we continue saaz with methotrexate or we should stop saaz.

Answered by Dr. Aashish Raghu (3 minutes later)

Brief Answer:
Answer

Detailed Answer:
Hi

It is best you consult a Rheumatologist for the best treatment possible. If you are in XXXXXXX you can go to St.Johns Hospital or Sakra Hospital.

Methotrexate is a good drug for treatment but it cannot be started without Rheumatologist advice as it has side effects.

Saaz may not be needed if Methotrexate works.

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Above answer was peer-reviewed by : Dr. Prasad