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الدكتور عبد الرحمن الشيخ
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الأسئلة المجابة 4293 | نسبة الرضا 98%
Doctor
I want to ask my feet 2weeks now a bit sweeling I...
I want to ask my feet 2weeks now a bit sweeling I have medicine I take Sulfasalazine 500mg twice a day.... What I need to do? I take only pain killer if too pain....
Doctor's Assistant: Have you seen a doctor about this yet? What medications are you taking?
Yes they give me in Hamad in specialist rheumatology
Doctor's Assistant: Anything else in your medical history you think the doctor should know?
My dad have atritis and me I feel pain my hand and feet in a joints it's very hard for me
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الدكتور عبد الرحمن الشيخ
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الأسئلة المجابة 4293 | نسبة الرضا 98%
Symtomes and management of Rheumatoid Arthritis
Rheumatoid Arthritis is considered as a state if ongoing auto immune inflammtory condition of the joint space and surrounding tissues, its a multi-systemic disease that can affect not only joints but also skin, lungs, liver, bowel and brain. its manifisted as joint pain, redness , tender joints , limitation of joint movement and swelling. the inflammatory process leads to destruction of joint space and inability to bear weight. its treated in many different lines of treatment, but the most adapted regimen is combination therapy between non- biologic ( Sulfasalazine) and a biologic agent ( Infliximab) brings more symptome releif and down regulation of the inflammatory process, doses and duration should be guided by your treating physcian
Required tests
after doing a proper clinical exam you should do cbc to detect any hgb drop that cause anemia, in addition you should do kidney and liver funtion tests ( Urea , Cr, Uric acid , AST , ALT , ALP , Total protein , Albumin), rheumatology panel ( RF, ESR, CRP, Anti CCP, ANA), you may also do MRI of the joint to detec the effect of RA on joint space, if you had some symptomes of chest discomfort you are adviced to do a chest CT scan to detect any Rheumatoid nodules.
Possible causes
Our Advice
You are adviced to eat a well balanced healthy diet rich in minerals, vitamins and iron from vegetables and fresh fruits, you should abandon smoking, have regulat exercise and consult your rheumatologist if symptomes progressed
Rheumatoid Arthritis is considered as a state if ongoing auto immune inflammtory condition of the joint space and surrounding tissues, its a multi-systemic disease that can affect not only joints but also skin, lungs, liver, bowel and brain. its manifisted as joint pain, redness , tender joints , limitation of joint movement and swelling. the inflammatory process leads to destruction of joint space and inability to bear weight. its treated in many different lines of treatment, but the most adapted regimen is combination therapy between non- biologic ( Sulfasalazine) and a biologic agent ( Infliximab) brings more symptome releif and down regulation of the inflammatory process, doses and duration should be guided by your treating physcian
Required tests
after doing a proper clinical exam you should do cbc to detect any hgb drop that cause anemia, in addition you should do kidney and liver funtion tests ( Urea , Cr, Uric acid , AST , ALT , ALP , Total protein , Albumin), rheumatology panel ( RF, ESR, CRP, Anti CCP, ANA), you may also do MRI of the joint to detec the effect of RA on joint space, if you had some symptomes of chest discomfort you are adviced to do a chest CT scan to detect any Rheumatoid nodules.
Possible causes
- Rheumatoid arthritis
- Osteoarthritis
- Gout Arthritis
Our Advice
You are adviced to eat a well balanced healthy diet rich in minerals, vitamins and iron from vegetables and fresh fruits, you should abandon smoking, have regulat exercise and consult your rheumatologist if symptomes progressed
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الدكتور عبد الرحمن الشيخ
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الأسئلة المجابة 4293 | نسبة الرضا 98%
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