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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should Medical Tests Be Done For Pain And Swelling In The Joints While Suffering From Rheumatoid Arthritis?

I have been diagnosed with rheumatoid arthritis but feel there is still something else going on....I have the joint pain, swelling and fatigue but also have a itchy, burning rash around my nose moving up towards my eyes. I have used everything with no results. I also have severe tingling in my left arm that comes and goes but now starting in my right arm. I have random sharp pains in my feet, painful hip. My eyelids feel very heavy. Could the doctor have missed something? Are there more blood tests that should be done? I am a 62 year old female
Thu, 8 Nov 2018
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General & Family Physician,  's  Response
Hi,

When you have been diagnosed with RA, obviously who have had diagnostic tests like CRP, anti-CCP, ESR (elevated) already done. Joint stiffness & swelling, fatigue, fever or weight loss are symptoms of RA. Take the medications as prescribed & do joint exercises (consult physiotherapist) as suggested to get relieve.

If you are diabetic, take proper medications & keep your sugar levels under control. Severe tingling in the arms & pain in the feet may be the indications of developing peripheral neuropathy.

Sometimes neurological problems can cause itching in the face (Trigeminal nerve-neurological itch). It will be better if you get all the Nerve function tests (EMG & Nerve conduction study) done.

Consult a Neurologist & get treated. In the meantime take vitamin B6, B12 with Folic acid.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Nupur K,
General & Family Physician
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General Surgeon,  Dr. Shinas Hussain's  Response
Hello,

You can consult your doctors and plan for an MRI scan. Most probably it will be due to the fluid collection as a part of arthritis.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Shinas Hussain, General & Family Physician
I find this answer helpful
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
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Should Medical Tests Be Done For Pain And Swelling In The Joints While Suffering From Rheumatoid Arthritis?

Hi, When you have been diagnosed with RA, obviously who have had diagnostic tests like CRP, anti-CCP, ESR (elevated) already done. Joint stiffness & swelling, fatigue, fever or weight loss are symptoms of RA. Take the medications as prescribed & do joint exercises (consult physiotherapist) as suggested to get relieve. If you are diabetic, take proper medications & keep your sugar levels under control. Severe tingling in the arms & pain in the feet may be the indications of developing peripheral neuropathy. Sometimes neurological problems can cause itching in the face (Trigeminal nerve-neurological itch). It will be better if you get all the Nerve function tests (EMG & Nerve conduction study) done. Consult a Neurologist & get treated. In the meantime take vitamin B6, B12 with Folic acid. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician