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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Rheumatoid Arthritis?

I have had gout for several years but have been able to control it pretty well with diet and some supplements. But lately my hand swelled up in a tight fist and through all kinds of x-rays and exams it seems as though I have rheumatoid arthritis. I haven t had a gout flareup for a month or so but I still have swelling in my fingers on that hand and i am so tired and so far not treating the RA at all except for some rub-on oil. I am on an all veggie diet except for things that agree with the gout, I have been on Felodipine, Spironolactone, Metoprolol and Levothyroxin for several years and have experienced quite good health until that flareup. Is there something for RA without serious, awful side effects or should I go on as usual?
Wed, 29 Jul 2015
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Orthopaedic Surgeon,  's  Response

Hello,

I have studied your case with diligence.

I can help you better if you post x ray reports and blood reports to me.

You can take dose of methotrexate.
I will advise dose 7.5mg weekly.
You can start combination consulting your treating doctor

NSAIDs, DMARDs (disease-modifying anti-rheumatic drugs) are sometimes prescribed in severe cases.
Newer biologics have role in RA.

Stop spironolactone consulting your doctor,this may aggravate symptoms.
There is good role of diet and achieve correction through it, for details you can directly contact on my profile
http://doctor.healthcaremagic.com/doctors/dr-vaibhav-gandhi/63503

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.
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How To Treat Rheumatoid Arthritis?

Hello, I have studied your case with diligence. I can help you better if you post x ray reports and blood reports to me. You can take dose of methotrexate. I will advise dose 7.5mg weekly. You can start combination consulting your treating doctor NSAIDs, DMARDs (disease-modifying anti-rheumatic drugs) are sometimes prescribed in severe cases. Newer biologics have role in RA. Stop spironolactone consulting your doctor,this may aggravate symptoms. There is good role of diet and achieve correction through it, for details you can directly contact on my profile http://doctor.healthcaremagic.com/doctors/dr-vaibhav-gandhi/63503 Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.