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Rheumatological disorder - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Arthritis
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   hi my mother feels pain in the morning in the joint of her fingers can you please help us?
Doctor :   Hi
User :   hello
Doctor :   May I know her age?
Doctor :   Since when is she having this pain?
User :   50
Doctor :   Since when is she having this pain?
User :   1month
User :   but she says that she has this pain before 1 mon th but at that time it didn't hurt alot but in the last month, the pain got stronger
Doctor :   Ok
Doctor :   Is the pain present only in the morning?
User :   in the morning its very strong
User :   but then it hurts but not that much
Doctor :   Is the pain located to all the finger joints?
User :   all of the finger joints
Doctor :   Do you find associated symptoms such as swelling redness associated with the joints?
User :   no
User :   just inner joint pain
Doctor :   Ok
Doctor :   Does she have any other medical illness such as diabetes, hypertension in the past?
User :   no
Doctor :   Have you seen a doctor?
User :   no
Doctor :   Ok
User :   actually she went and they gave her vitamin d
Doctor :   Does she have pain involving other joints such as wrist pain, back pain, knee pain?
Doctor :   Is she having her periods now?
User :   nope but she has joint pain,neck pain and back pain
Doctor :   Is she having her periods now?
User :   she already had her period
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   Sitting from here without physically examining her, it is difficult to predict what the cause of pain could be.
Doctor :   However based on her symptoms
Doctor :   the cause of pain could be
Doctor :   1. Rheumatological disorder
Doctor :   2. Arthritis
Doctor :   3. Perimenopausal symptoms.
Doctor :   It is hard to predict which among these 3 is the cause
Doctor :   without a physical examination and evaluation.
Doctor :   You will need physical examination from a Rheumatologist along with blood tests such as complete blood count, ESR and CRP
Doctor :   along with other investigations.
Doctor :   Have you followed what I have suggested?
User :   yes doctor
Doctor :   Do you have any other query?
User :   no but thanks a lot doctor i really appreciate it
User :   thank you!
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
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