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What medicine should be used far treatment of swelling on face and hands ?

SIR, MY MOTHER IS SUFFERING FORM SWELLING OF FACE, HANDS AND FEET . AND SHE IS HAVING PAIN AT RING FINGER OF BOTH HANDS AND FEET. NOW SHE IS USING ETORICOXIB ONCE DAILY 90MG..PAIN IS REDUCED BUT SWELLING IS NOT REDUCED AND IS INCRESING DAY BY DAY. SHE WAS DETECTED WITH SERO NEGATIVE RA..CAN YOU PLZ PRESCRIBE POSSIBLE MEDICATION
Asked On : Fri, 27 Apr 2012
Answers:  2 Views:  50
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General & Family Physician 's  Response
Hi,
Welcome to healthcare Magic,

I have gone through your career.

based on the information you gave. There are 3 possibilities.

First one is anemia- Which could either due to iron deficiency or rarely due to Rheumatoid Arthritis ( RA)

Second one is protein deficiency. proteins especially albumin is necessary to bind water in blood in blood vessels. Decrease in proteins in body leads to leakage or water from blood vessels int to tissue spaces.

Third possibility is Renal failure.

You have not mentioned anything about your mother experiencing pain abdomen or burning micturition.

I would like to suggest few tests for your mother so that we can come to a conclusion

Complete Blood picture- to rule out anemia

Serum proteins ( Total, albumin, globulin)- to rule out hypo proteinemia

Complete urine examination, blood urea and Serum creatinine - To rule out renal problem



Bases on the results we can take a final call on the treatment required.


Dont worry . She is going to be fine very soon.

Take care
Answered: Fri, 27 Apr 2012
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General & Family Physician Dr. Vijay Immaneni's  Response
The primary treatments in seronegative arthritis is usage of NSAIDs & DMARDs.mtx can be used methotrexate 5mg twice daily evry week for initial 10weeks along with tab folicacid1mg along with tab nexprofast40 once daily before breakfast. tab zerodol-sp twice dailyafter food . please monitor GI PROBLEMS along with cbp,liver function and renal function after the mtx treatment. avoid fatty foods and alcohol.please cross check with ur physician regarding ur comorbities(liver disease,diabetis etc) before atrting the treatment ur complaints shall be encountered.
Answered: Fri, 27 Apr 2012
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