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Treatment for arthritis - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Arthritis
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor :   Hi
Doctor :   How can I help you
User :   hi
User :   I want to know some information about Rhematoid Arthritis
User :   and about its traetment
Doctor :   Ok
Doctor :   For Administrative and health purposes, Please fill these details -Age: Gender: Occupation: Location: Marital Status: Dependents: Yes/ No
User :   26, Male, Software Engineer, , Single
Doctor :   Rheumatoid arthritis is an autoimmune disease which affects the joints
Doctor :   mostly small joints
Doctor :   pain and swelling in the morning
Doctor :   and deformity
Doctor :   are there
User :   I am suffering from all the joints, knee, elbow, ankle and shoulders and two fingers
Doctor :   Ok
Doctor :   How many months you have this
Doctor :   What are the symptoms you have now?
User :   for the past 6 months
User :   I have pain in all the joints above said.. there will be swelling in knee and two fingers..
Doctor :   which fingers
User :   fore finger in my right hand and ring finger in my left hand
Doctor :   ok
Doctor :   did yoiu take any medicines
Doctor :   or seen a doctor?
User :   yes.. I am undergoing medication with a rhematologist in bangalore
User :   and for the past 6 months I am taking medicines
User :   all my way I experiance much side effects from them
User :   Is there any permanent traetment for this desease?
Doctor :   There are some immuno modulators
Doctor :   but they are still more research to go on
Doctor :   the present therapy
Doctor :   is when there is acute pain only the pain killers help
Doctor :   and these methotrexate, immunomodulators help in reducing the frequency
Doctor :   of attacks
Doctor :   and the reducing the destructin process that happens in the joint
Doctor :   the side effects are more but the dose is minute
Doctor :   or minimal that can be given
User :   I am taking methotrexate(15 mg) once in a week as injetion.. and I will take one HCQs tablet during night..
User :   and painkillers I have stoped for the past 15 days..
User :   I want to know about immunomodulators that you said..
Doctor :   yes
Doctor :   I think it is better to take advice of the rheumatologist
Doctor :   whether you are indicated or not
Doctor :   Is it Methotrexate 15mg that you are taking
User :   yes
Doctor :   Did you enquire with your doc i mean follow up after it has started
User :   yes, 45 days once I have follow up
Doctor :   ok
Doctor :   so ru finding any improvement
Doctor :   methotrexate works by altering immunity, which may play a role in rheumatoid arthritis.
User :   till 5th month there was improvement, so he suggested to go for some costly madicine and I took last 15 days back... that is an injection that will be given in ICU
Doctor :   ok
User :   name of the injection is Remicade(Infleximab)
User :   after that I foung greater improvement
Doctor :   ok
Doctor :   thatis the immunomodulator
Doctor :   Infleximab
User :   now I am coming to office regularly.. but one thing I need take this injection in three dose.. once in a month
Doctor :   Thats gr8
Doctor :   but are you asked for physical therapy
User :   yes.. but now I only doing the excercises in the morning
User :   are there any significant side effects from infleximab?
Doctor :   Exercise is one of the most important behavioural interventions that can have a major beneficial impact on the likelihood to develop, suffer symptomatically
Doctor :   Compliance and adherence to the physical therapy is the one imp for better life style and prevention of co morbidities
Doctor :   the side effects of infliximab are upper respiratory tract infections, urinary tract infections, cough, rash, back pain, nausea
Doctor :   but
Doctor :   they are ot be more bothered when you already have some infection in your body
User :   but I did not find any such as of now except some cough
Doctor :   That is fine
Doctor :   May i know the cost of each inj
User :   Rs.0000 ($1000) per injection... I need to take 3 such injection.. so total would be Rs.0000($3000)
Doctor :   ok
Doctor :   That is whooping but it is worth it
Doctor :   I think next it is taken once in two months
Doctor :   as maintainence dose
Doctor :   ofcourse it depends on the response
Doctor :   and clinical parametres
Doctor :   Good that you have no side effects
Doctor :   and responded well
User :   yes.. but I am worrying about the side effects
Doctor :   They havent really set in you
Doctor :   and remember the side effects may not come in every on asmentioned for each drug
Doctor :   Drug acts very individually
Doctor :   Please fill the feedback form say done when done
User :   and the problem is I have taken one dosage as of now.. and I need to take other one in coming 15 days.. but I might have to travel US on work purpose...
Doctor :   ok
User :   how can I manage the situation?
Doctor :   You may take the prescription along with you
User :   or shall I cancell it?
Doctor :   and make the records online
Doctor :   so that you can retreive it
Doctor :   when you are inUS
User :   probably in onother 2-3 weeks...
User :   I will be in Plano, TX
Doctor :   you can contact the doctor
Doctor :   and show him the online records
Doctor :   for the third injectin
Doctor :   and then they shall give it
Doctor :   but the admn cost is more
Doctor :   so be prepared to take an extra insurance
User :   how much it may cost?
Doctor :   I am not sure of
Doctor :   really
User :   can I get Rheumatologist over there?
Doctor :   and confirm with the agent if it covers the administration of the injection
Doctor :   many
Doctor :   How many days are you staying
Doctor :   One thing you can do is that
Doctor :   you can search for a rheumatologist for TX state directly
Doctor :   near your area
User :   as per current position it may be 1-2 year
Doctor :   of office or stay
Doctor :   and mail him
Doctor :   about your condition
Doctor :   he / she shall definitely respond
Doctor :   TX rules are bit rigid i would sy
Doctor :   look for Rheumatologist in TX near plano
User :   yea thats fine...
Doctor :   WWW.WWWW.WW User :   and also they may help me to maintain the condition.. and there is a chance of re-appearing right?
Doctor :   is fine
Doctor :   in searching
Doctor :   yeah
Doctor :   Ok
User :   so if that is the case, are there faster treatment there..
Doctor :   anything else
Doctor :   The treatment is the same
User :   so that I can go to work soon
Doctor :   everywhere
Doctor :   but the approach by each rheumatologist is slightly different
Doctor :   The indian physicians if specilised follow the same protocols
Doctor :   in treatments
Doctor :   We have a long queue of patients waiting for our service. Do log in again after a few hours to clarify other medical doubts.
User :   ok.. fine thanks!!
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service
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