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Pain in both knees - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1762 Questions
Doctor :   hi
Doctor :   how can i help you?
User :   hello
Doctor :   hello
User :   sir my sister is getting joint pain on both her knees
Doctor :   ok
Doctor :   For Administrative and health purposes, Please fill these details -Age: Gender: Occupation: Location: Marital Status: Dependents: Yes/ No
User :   and the problem is from 5yrs,we got her SLE tests done
Doctor :   ok
Doctor :   could you give the details?
Doctor :   age
Doctor :   etc
Doctor :   Age: Gender: Occupation: Location: Marital Status: Dependents: Yes/ No
User :   and the test show negatine on ANA WITH RATIO B/W 0-1
Doctor :   of your sister
Doctor :   ok
User :   AGE 21 ,F,STUDENT,ON PARENTS
Doctor :   ok
Doctor :   does she have any rash on her body
User :   AND WHEN SHE GOES OUT TO THE SUN HER SKIN TURNS RED
Doctor :   ok
Doctor :   does she have any other complaints?
User :   NO RASHES ARE HEAVLY VISABLE,AND HER CALCIUM LEVEL IS 6.8
Doctor :   any bruising of her body?
Doctor :   any cough or respiratory complaint?
User :   NO,BUT COMPLAIN ABOUT FEELING WEAK
Doctor :   ok
Doctor :   have you got he tested for anti-DSDNA?
User :   YES,AND IS NEGATIVE ,RATIO 0.2 AND PREVALENCE 60-90
Doctor :   ok
Doctor :   did she have any frequent
Doctor :   attacks of sore throeat with fever?
User :   EXCEPT FOR A COLD
Doctor :   ok
Doctor :   have you checked her RF?
Doctor :   RHEUMATOID FACTOR?
User :   YES NEGATIVE
User :   HER HB IS 10.8
Doctor :   she would require a short course of steroids
Doctor :   ok
User :   WHAT DO YOU THINK IS WRONG WITH HER
Doctor :   she probably has a seronegative connective tissue disorder
Doctor :   the tests may or maynot be positive in all cases
Doctor :   what treatment is she taking now?
User :   SHE HAS BEEN ON JOINT ACE FOR 3YRS
Doctor :   did she take any steroids?
User :   NO,STEORIDS
Doctor :   only joint and skin involvement
Doctor :   means a milder variant
Doctor :   you got a full CT profile done?
User :   NO,WE HAVE AN MRI REPORT
Doctor :   ok
Doctor :   any abnormality?
User :   SHOWING BOTH KNEE WITH MILD SINOVIL EFFUSION
Doctor :   ok
Doctor :   i suggest that she consult a good rheumatologist
User :   COULD SHE HAVE SLE
Doctor :   she may not
Doctor :   as she's -ve on both anti dsdna and ana
Doctor :   she probably has a seronegative ct disorder
Doctor :   a rheumatologist would help her with the treatment
Doctor :   she may need to start steroids
User :   BUT THE LAB PERSONAL SAID HER AUTOIMMUNE SYSTEM IS AT A ACTIVE STATE
Doctor :   that means a connective tissue disorder
Doctor :   there are several varieties
User :   CAN YOU EXPLAIN,PLS
Doctor :   theer are many ct disorders other than SLE
Doctor :   as she has only skin and joint involvement
Doctor :   and her titres are -ve
Doctor :   she may have a seronegative variety
Doctor :   a milder variant
User :   YES WE HAD WHOLE SLE PROFIL DONE SHOWING NEGATIVE THE OTHER DAY THE DOC SAID SHE MAY GET OSTIOPOROSIS
Doctor :   thats rare in a young girl
Doctor :   i suggest that she avoids sun exposure
User :   YES,HOW CAN I INCREASE HER CALCIUM LEVEL
Doctor :   and takes a high protein diet
Doctor :   she should take a lot of milk
Doctor :   and a calcium supplement
User :   SHE IS TAKING A TAB FOCAL, SHELLCAL
Doctor :   that would cover her
Doctor :   calcium requirement
Doctor :   ask her to take milk
Doctor :   twice a day
Doctor :   Please fill the feedback form say done when done
User :   DONE,MAY I KNOW YOUR NAME ,
User :   FROM WHERE ARE YOU CHATING
User :   WHAT IS YOUR SPECIALIZATION,SIR
Doctor :   Is there any thing else that I could help you with?
Doctor :   i am a general practitioner
Doctor :   anything else?
User :   OK SIR, HOW CAN I FURTHER PROCEED
User :   WITH TREATMENT
Doctor :   you can consult a rheumatologist
Doctor :   we can fix an appointment if you wish
Doctor :   YYYY@YYYY
Mobile : 0000
Doctor :   please confirm your details
Doctor :   Please confirm your details and One of our doctors will get back to you soon with all the relevant details.
Doctor :   also please tell me your location
User :   PLS, DONT CALL THE NUMBER SIR ITS MY SISTER MOB AND WE HAVE NOT TOLD HER ANY THING ABOUT THIS WE FEAR OF HER MENTAL HEALTH YOU CAN MAIL ME,I WILL SEE THE DOC LATER
Doctor :   you can give me your mobile no.
Doctor :   or your landline
Doctor :   and your present location
User :   I STILL DONT HAVE MOB ,I STAY AT 6TH BLOCK
Doctor :   ok
Doctor :   are you sure there is no contact no.?
User :   NICE TALKING TO YOU SIR
Doctor :   Could we have the mobile number please
Doctor :   Ok could you give an alternate number that we can contact you at
Doctor :   since we would like to know when you would like to have the appointment
Doctor :   and at what time of the day and
Doctor :   those details..
Doctor :   Are you there XXXXXXXX ?\
User :   YES
Doctor :   So when would you like to have the appointment in thatreagrd
User :   I WILL THE APPOINTMENT TO MY PARENTS I ONLY WANTED KNOW THAT MY SIS HAS NO PROBLMES
Doctor :   Ok, you can always have that conversation and get back to us on this number..
Doctor :   080-0000 or +91-0000.
User :   THANK YOU SIR
Doctor :   Sure you are welcome Have a Nice Evening
Doctor :   Bye for now..
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service
Doctor :   ssionally -ve
Doctor :   Hi
Doctor :   are you there AAAAAAA .
Doctor :   I have to close this chat window as you have moved out of the chat. Please log in again if you need further medical advice.
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