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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat The Pain In Joint After A Rheumatic Fever?

My 16 year brother suffering from rheumatic fever from 6 days . he has no strep throat and ESR on 2nd day of infection was 31.
docter prescribed the following medicine

1-Augmentin(amoxycillin) 625mg 1+1 daily
2-ascard 75(acetylsalicylic acid) 2+2+2 daily
3-Neoprox(naproxen) 1+1 daily

now his fever is under control but pain in joint re-occur after 3 days in hand and feet differ from the areas at the start ...
is medicine is ok..? how much it takes to recover..?
Fri, 13 Jun 2014
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General & Family Physician,  's  Response
Hi
Thank you for asking HCM
I have gone through your query.Most common sites affected in Rheumatic fever is heart valves and joints.Penicillins eg which you got amoxicillin is for prophylaxis and to control existing infection.Acetylsalicylic acid and NSAID like naproxen is used to control the acute episode. An echocardiography should be done to rule out affection of heart.ESR and C reactive protein is also checked to find out activeness of disease.Penicillin G prophylaxis should be continued for a long term.I usually give my patients for 2 to 5 years.Hope this may help you.
Let me know if you have any further query.
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How To Treat The Pain In Joint After A Rheumatic Fever?

Hi Thank you for asking HCM I have gone through your query.Most common sites affected in Rheumatic fever is heart valves and joints.Penicillins eg which you got amoxicillin is for prophylaxis and to control existing infection.Acetylsalicylic acid and NSAID like naproxen is used to control the acute episode. An echocardiography should be done to rule out affection of heart.ESR and C reactive protein is also checked to find out activeness of disease.Penicillin G prophylaxis should be continued for a long term.I usually give my patients for 2 to 5 years.Hope this may help you. Let me know if you have any further query.