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Pain in the hand, Rheumatic factor positive - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2582 Questions
Doctor :   Hi
User :   hi
Doctor :   ok
User :   My mother is having severe pain on her right hand.. she is not able to lift her hand cos of pain
Doctor :   ok
User :   she went through the physiotherapy
Doctor :   Ok
User :   still its not getting better
Doctor :   OK
User :   doctor suggested to take X -ray and blood test
User :   result came normal except the blood test
Doctor :   OK
User :   Blood Test also normal and her RAF is positive 1.0 til
Doctor :   I would like to know few more things which would help me in suggesting you better: Doctor :   May I know your mother's age?
User :   i think it should be negative,isit doc? what is the problem to her?
Doctor :   May I know the exact locations of the pain in the right hand?
User :   56
Doctor :   OK
Doctor :   OK
User :   right shoulder on the whole hand burning and every joint
Doctor :   May I know the medications she is taking at present?
User :   also she gets a lot of burning in stomach
Doctor :   Ok
User :   Dolo 650
Doctor :   Ok
User :   calor 550
User :   calor 650 mg
User :   expro40
Doctor :   OK
User :   already she is taking medicine for sugar.. gemer2
Doctor :   Ok
User :   for heart pain = angispan capsule
Doctor :   OK
User :   divizone 15 milligram
Doctor :   Ok
User :   rantac150
Doctor :   Ok
User :   clophilet for stomach pain or alcer
Doctor :   Ok
User :   losar50 for increase bloodflow and searater5 - dono for what this
Doctor :   Ok
User :   thyroxne sodium 50 - may for thyroid
Doctor :   Ok
Doctor :   Does she have any joint pains other right hand?
User :   these are tabs.. she s taking
Doctor :   Ok
User :   yes doc
Doctor :   When is the joint pain usually present? in the morning or during the day or night?
User :   she tell every joint getting pain it seems
Doctor :   Ok
Doctor :   What did the doctor advise her on your recent visit?
User :   throughout the day mainly shoulder joint
Doctor :   OK
Doctor :   Did you see a Rheumatologist for this condition?
User :   physiotherapy for 7 days.. iconac gel 30g to apply on the joint... daily injection for a week
Doctor :   I meant was the doctor treating you a Orthopedician or a rheumatologist?
User :   it means?
Doctor :   Ok
User :   Orthopedician
Doctor :   After going through the description provided by you, I feel that she might be suffering with Rheumatoid arthritis or Systemic lupus erythematosus.
Doctor :   These are autoimmune conditions in which due to antibody produced against the joints produces inflammation and degeneration of the bone producing pain and immobility.
Doctor :   And as the RF is positive there is higher chances of her suffering with any one of the cause.
User :   may i know complete details of this? What is remedy or treatment required?
Doctor :   These conditions can't be cured completely but can be controlled with medications.
User :   is it curable
Doctor :   It would be better to see a Rheumatologist to diagnose and start her on right medications.
Doctor :   The right shoulder pain too could be due to degeneration of the bone producing pain which causes difficulty in lifting the hand.
Doctor :   Meanwhile you can continue with the current medications and can also give hot fomentation as this would relieve her pain.
Doctor :   Did you follow my suggestions?
User :   can she able to back to her normal..
Doctor :   Depending on the improvement with the medications she can be able to do her normal daily activities.
User :   u mean hot water applying in wet clothes to her hand
User :   hot fomentation?
Doctor :   Rather than doing this there is hot bag available in the pharmacy in which you can add hot water and then can apply the bag over the joints, and electric hot bag are also available which doesn't require to add any water.
Doctor :   But make sure the temperature is bearable.
User :   whatever the medication so far can she she continue..
Doctor :   Yes, she can continue all the medications and when you visit the rheumatologist, give him the list of medications she is taking and he would prescribe medicines accordingly.
Doctor :   Please do carry all the investigation reports along with you too.
Doctor :   The pharamcist would be the best person to guide you regarding this.
User :   do you recommend any particular brand for electric hot bag
Doctor :   Did you follow my suggestions?
Doctor :   Are there any more queries for me to help you with?
User :   ok doc. i follow u
User :   she has sugar also. isit because of diabetic ?
Doctor :   It would be difficult of diabetes, as this involves all the joints in the body.
User :   is there any way to control taking healthy food
Doctor :   It would be difficult to control due to healthy food as already all the joints are affected and requires medications to control further damage to the joints.
Doctor :   Are there any more queries for me?
User :   RF positive 1.0 isit series
Doctor :   As I explained you before that RF positive could be due to many reasons like Rheumatoid factor and SLE and needs complete evaluation for treatment.
User :   Raf 1.0 dil
User :   report says Raf 1.0 dil
Doctor :   Can you expand Raf written on the prescription or the report?
Doctor :   I feel it has to Rheumatoid factor test usually done in joint pains.
User :   its in lab test report
Doctor :   So please see a rheumatologist and start her on medications.
User :   ok
User :   is it beginning stage or critical
Doctor :   This only can be categorised on physical examination.
User :   is rheumatologist available in Health care? can you suggest anybody
Doctor :   Yes, there are doctors available.
Doctor :   I will ask my customer care team to call you after this live chat regarding rheumatologist.
Doctor :   Are there any more queries for me to help you with?
Doctor :   Thanks for consulting me
Doctor :   Take care
Doctor :   Pleasure is mine.
Doctor :   Bye for now.
User :   ok thanks
User :   thats all
User :   thanks for the clarification
Question is related to
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