Rheumatology

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Swelling on left knee and too much pain

Hello Doctor, My Ivf treatment is going on and last 3 days my knee was swelling with severe pain... Sir what to do? It's very hard to sleep in night due to severe pain ... Please guide... Thanks Ankita Abhang.
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Low cost cost Rituximab

Which private hospital, Or Rheumatologist of bangalore or kolkata uses (Rs 10000 per 500mg ) Rituximab for Quality treatment of RA ILD
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Black lain

I am manik rajabhau ambad haveSever Low Black pain .my age 33 yr ,I have had MP4tablet ,but still I am getting pain
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Globulin is 4.7 and protein is 8.8

These are the values when i was having sore throat and active cough, fever and body pain but my globulin has been under 4.1-4.3 from last couple of months and protein around 8. I want to know if these elevated rates are due to illness or other systemic disease? Do i need further investigation?
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Mystery illnesses

I'm unable to be fully awake after sleep. My face always looks tired and feverish. I feel heat inside my body but temp is normal. I'm unable to focus properly. My eyes burn like I'm with fever . My tongue feels different. It has white patches and small red dots on the tip. I have lymph pain below the ear and underarms. My knees hurts. I'm under this condition last 14 months.
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Last one week sudden pain

Sudden pain in knuckles alongwith stiffness Pain in foot nerves while walking.pain and stiffness relief after massage and warm bath Dr advised etova 400 twice a day. Is it safe I am on 88mcg thyroid medication Homochek for High homocysteine level Shelcal hd
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Rabies second booster dose

After taken second rabbies booster dose since one month there is burning sensation in chest stomach and back and some erection issue along this. does this is symptoms of any auto immune disease or severe allergy. Please guide me.
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Joint pain

In 2021 due to functional dyspepsia, I took some medicine acogut, pan d , muccain gel after taking these medicines I feel severe knee joints, heel pain , finger of birth legs , symmetrical , immediately consulted rhumetolgoist, Low back pain RA ANTI CCP ANA ENA , hlab27 , triple phase bone scan, mri si joint , hip , Cpk anti ttg , lots of tests have been done , even consulted 5-6 rhumetolgoists, I was continuously following rhumetolgoists till 2024 , all of them denied the possibility of AS , 3 -4 times x ray has done , no abnormalities found , suddenly my all pain disappear in April 2024 , completely recovered, rhumetolgoist earlier diagnose it as drug induced arthalagia, Now again this month , I again took some ppi , now again I am feeling low back pain In last 5 year I only feels pain no swelling redness , no pain if press , no elevated esr CRP I want to know what I do , should I repeat the above test , nsaid not so effective, I do not feel discomfort at night,
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(JIA ERA) Ankulosing spondylitis 18Y/old

I am an 18-year-old student diagnosed with Juvenile Idiopathic Arthritis (Enthesitis-related) and Ankylosing Spondylitis, (it's been 4 years) My HLA-B27 is positive and my ESR has been raised. I have constant pain in my shoulders, whole spine (including scapular region), neck, back, and inner/lateral thighs, which makes it very hard to study or sit for long. I have already tried physiotherapy, exercises, Ayurvedic therapy, homeopathy, and allopathy. I have taken many painkillers, including Nucoxia 60mg and 90mg, but they don’t give lasting relief. The pain is severe and affects my daily life and mobility. What should be my next step for safe and effective long-term pain management, considering my age and student life?”
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Sacroilitis

Sacroilitis can cause ibs like symptoms ...I hv ibs like symptoms bloating  , early morning mild diarrhoea mucus in stool..my cect abdomen shows bilateral sacroilitis
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