Kindly book a proper consultation for better evaluation and treatment.

Sir From your medication details you have probably rheumatoid arthritis which is an autoimmune disease - the root of which lies in gut issues + you have fatty liver - a metabolic condition. Both these can be addressed better with holistic view which will give sustainable results.

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Must follow up with a rheumatologist for DMARD replacement.

Hi, For acute episode you can take corticosteroid injections for immediate pain relief, like Triamcinolone,Methylprednisolone,betamethasone etc administered directly into the affected joint can reduce inflammation

You can take short term treatment with diclofenac sodium which will not have significant difference in fatty liver

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If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.

Need few more details Kindly consult

According to your query and sign and symptom you want to know about the disease and cause and it's best Treatment as you have mentioned as above . Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history. Please follow any medicine or advise after consultation only from a good doctor. Please follow good life style as • take plenty of fluid and • take less spicy and fatty foods and • take home made food only and do exercise regularly with yoga and meditation  and please keep positive  attitude to fight any disease and any problem of your life.

Can help you, kindly consult and provide detailed history for proper diagnosis and further management