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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Soreness In The Wrist,elbow And Knee?

my bilirubin is at 1.8 and and has been high for almost 2 yrs. I have sore right wrist, elbow, and armpit. last week both knees and elbows had pain. It seemed to have faded over the weekend but this morning came back on my right wrist elbow and armpit?
Fri, 28 Feb 2020
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General & Family Physician,  's  Response
Hi,

With such migrating joint pains or arthralgias, baseline autoimmune work up should be down for any inflammatory arthritis and rheumatologist review may be needed with baseline work up like ESR and CRP as well as RA factor and uric acid levels. The borderline raised bilirubin might be due to Gilbert's syndrome which may need much intervention and management of joint condition but any multisystem infection or autoimmune cause should also be ruled out. Meanwhile, OTC analgesics like acetaminophen or Ibuprofen can be helpful for symptomatic relief.

Wishing you a speedy recovery. Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Saddiq Ulabidin, General & Family Physician
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What Causes Soreness In The Wrist,elbow And Knee?

Hi, With such migrating joint pains or arthralgias, baseline autoimmune work up should be down for any inflammatory arthritis and rheumatologist review may be needed with baseline work up like ESR and CRP as well as RA factor and uric acid levels. The borderline raised bilirubin might be due to Gilbert s syndrome which may need much intervention and management of joint condition but any multisystem infection or autoimmune cause should also be ruled out. Meanwhile, OTC analgesics like acetaminophen or Ibuprofen can be helpful for symptomatic relief. Wishing you a speedy recovery. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Saddiq Ulabidin, General & Family Physician