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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In Joints, Inflammation. High ESR, Increase In Lymh Cells. Diagnosed As Autoimmune Disease. Advice?

hello doctor ......i am 26 yr female and i am suffering from ESR (Range 40) and i also have increase in lymh cells .......i hv pain in my joints and also inflammation..............what to do........i consult doctors but every doctor said that this is an auto immune disease....they told me to take a good diet......plz doctor.....help me
Fri, 4 Oct 2013
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General & Family Physician,  's  Response
Hello,
Thanks for the query to H.C.M. Forum.
If I were your treating doctor for this case of severe pain & inflammation of joints , I would come come up with these possibilities, these includes.
1 Rheumatoid arthritis , diagnosis can be confirmed by C B C , E S R ( 40 mm ) , rheumatic factor.
Consult a rheumatologist and get his opinion and treatment .As there are severe pain in numerous joints , swelling with redness ( inflammation ) raised E S R and involvement of many joints , is an indication of rheumatoid arthritis.
2 Osteoarthritis your age is against ( but can't be ruled out) . usually osteoarthritis involves larger joint first but exception may be there . Diagnosis can be confirmed with consultation with an orthopedic surgeon.
3 Gouty arthritis , diagnosis confirmed by blood examination for uric acid level, if found elevated then chance of gouty arthritis . Consult an orthopedician and get his opinion.
4 In acute cases chickenguniea may be responsible for joint pain , so if fever history present then consult a physician.
So consult a rheumatologist and get his opinion first of all.
Good luck. Dr. HET
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Pain In Joints, Inflammation. High ESR, Increase In Lymh Cells. Diagnosed As Autoimmune Disease. Advice?

Hello, Thanks for the query to H.C.M. Forum. If I were your treating doctor for this case of severe pain & inflammation of joints , I would come come up with these possibilities, these includes. 1 Rheumatoid arthritis , diagnosis can be confirmed by C B C , E S R ( 40 mm ) , rheumatic factor. Consult a rheumatologist and get his opinion and treatment .As there are severe pain in numerous joints , swelling with redness ( inflammation ) raised E S R and involvement of many joints , is an indication of rheumatoid arthritis. 2 Osteoarthritis your age is against ( but can t be ruled out) . usually osteoarthritis involves larger joint first but exception may be there . Diagnosis can be confirmed with consultation with an orthopedic surgeon. 3 Gouty arthritis , diagnosis confirmed by blood examination for uric acid level, if found elevated then chance of gouty arthritis . Consult an orthopedician and get his opinion. 4 In acute cases chickenguniea may be responsible for joint pain , so if fever history present then consult a physician. So consult a rheumatologist and get his opinion first of all. Good luck. Dr. HET