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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Headache, Tiredness And Arthritis In One Ankle

Hi I am constantly tired wake up with bad headache very lethargic - I have arthritis in one ankle for which I take medication - recently had I v treatment for this and apparently should have been given vitamin D and calcium but the hospital forgot could this be the reason?
Wed, 26 Jun 2019
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General & Family Physician 's  Response
Hello,

In my opinion, tiredness with arthritis can be due to psoriatic arthritis
I would like to give some tests:
1. Ankle X-Ray
2. Complete Blood Tests including RF, anti-citrullinated antibodies
3. Head CT

Also, there may be back pain, joint stiffness.

You can start this medication:
Paracetamol if headaches or there is a pain in the joint.
Continue Vitamin D and calcium
Aspirin

Please post the results of the tests here so that a doctor can follow you up. Then the doctor can tell you which medication to start the regimen.

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

Regards,
Dr. Dipan Samanta, General & Family Physician
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Suggest Treatment For Headache, Tiredness And Arthritis In One Ankle

Hello, In my opinion, tiredness with arthritis can be due to psoriatic arthritis I would like to give some tests: 1. Ankle X-Ray 2. Complete Blood Tests including RF, anti-citrullinated antibodies 3. Head CT Also, there may be back pain, joint stiffness. You can start this medication: Paracetamol if headaches or there is a pain in the joint. Continue Vitamin D and calcium Aspirin Please post the results of the tests here so that a doctor can follow you up. Then the doctor can tell you which medication to start the regimen. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dipan Samanta, General & Family Physician