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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fever And Chills While Suffering From Rheumatoid Arthritis?

My name is Tammy and I have Rheumatoid Arthritis. I am use to my normal joint pain but I have been having fevers, chills, wide spread pain in the back of my shoulders and arms and legs. Normally in the mornings to mid afternoon I do okay but as it get s later in the day I get very sick, tired, weak, I hurt really bad start having fever and all I can do is lay down until it passes. Normally by the next morning, I am able to get up and go to work. then the next day I do it all over again. Any ideas of what my be causing this?
Wed, 9 May 2018
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General & Family Physician,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Rheumatoid arthritis is a systemic inflammatory disease and in that fever can occur. You might have uncontrolled rheumatoid arthritis and so by the release of inflammatory mediator fever can occur. You can be prescribed NSAIDs (Nonsteroidal anti-inflammatory drugs) group of the drug for that.

If inflammation is more then a steroid course can be prescribed. Disease-modifying agents like methotrexate or hydroxychloroquine can be prescribed and biological agent are also useful. Your ESR, CBC, blood culture also needs to be done. Consult rheumatologist for examination and discuss all these.

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

Regards,
Dr. Parth Goswami
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What Causes Fever And Chills While Suffering From Rheumatoid Arthritis?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Rheumatoid arthritis is a systemic inflammatory disease and in that fever can occur. You might have uncontrolled rheumatoid arthritis and so by the release of inflammatory mediator fever can occur. You can be prescribed NSAIDs (Nonsteroidal anti-inflammatory drugs) group of the drug for that. If inflammation is more then a steroid course can be prescribed. Disease-modifying agents like methotrexate or hydroxychloroquine can be prescribed and biological agent are also useful. Your ESR, CBC, blood culture also needs to be done. Consult rheumatologist for examination and discuss all these. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami