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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swelling And Pain In Knuckles And Ankles?

I have horrible pain in my wrist joints, knuckles, and ankles. My knuckles are swollen and my ankles are swollen. I do have heart problems - I take plavex and liptor. I do not believe that my heart is the issue. I just had a physical not to long ago but the last 6 days have been very hard because of the painful joints. I just starting taking gabapentin for my diabetic nerve pain in my feet. I have been on it for about two weeks. I have been taking Ibuprofen 800 MG and it is not doing anything for me. What do you recommend?
Wed, 27 May 2015
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  User's Response
Thank you for following up. We should exclude rheumatoid arthritis,osteoarthritis, gout,reactive arthritis. I suggest-
1.Consult rheumatologist or your doctor to get examined for
-blood test
-rheumatoid factor,ASLO-antistreptolysine O
-uric acid in blood
-IgM,G to Chl.,Myc.pneumonii
-Calcium
2.Try to take Diclofenac potassium 1 tablet 2 times for 5 days,better after meal.
3.Massage with Diclofenac gel 2 times daily, compress with Camphora(crash tablets with water and apply for night).
4.If nothing is helpful,then start to drink ofloxacin 200mg 1 tablet 2 times for 5 days.
5.Allegra(Fexofenadine)1 tablet one a day for 10 days
Recovery soon.
Dr.Sagar Gaurav Shrivastva
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What Causes Swelling And Pain In Knuckles And Ankles?

Thank you for following up. We should exclude rheumatoid arthritis,osteoarthritis, gout,reactive arthritis. I suggest- 1.Consult rheumatologist or your doctor to get examined for -blood test -rheumatoid factor,ASLO-antistreptolysine O -uric acid in blood -IgM,G to Chl.,Myc.pneumonii -Calcium 2.Try to take Diclofenac potassium 1 tablet 2 times for 5 days,better after meal. 3.Massage with Diclofenac gel 2 times daily, compress with Camphora(crash tablets with water and apply for night). 4.If nothing is helpful,then start to drink ofloxacin 200mg 1 tablet 2 times for 5 days. 5.Allegra(Fexofenadine)1 tablet one a day for 10 days Recovery soon. Dr.Sagar Gaurav Shrivastva