Rheumatology

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What treatment option is best

ESR    5  mm/hr                0 - 20 RBCs: Predominantly normocytic normochromic. WBCs: Normal in number and morphology. Platelets: Normal in number. Hemoparasites: Are not seen. IMPRESSION: WITHIN NORMAL LIMITS. RESULT OF HLA B27 NEGATIVE: HLAB27 Genotype not detected. POSITIVE: HLAB27 Genotype detected. C- Reactive Protein H 2.35 mg/dL <0.5 RHEUMATOID FACTOR IgM CLASS 9.25        IU/mL <15 Phosphorus Inorganic   3.60 mg/dL 2.5 - 4.5 Phosphomolybdate Anti CCP Level   0.90   U/mL      <17 This is my blood report i have lower back upper back and neck pain past 5 years what can do please tell me.
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Gout with uric acid 8.84

My husband is foody. Non alcoholic (not even occasionally), completely non- smoker. Recently he had a sprained ankle after a false stepping (he thought so) but doctor(ortho) suspected it as gout & his uric acid level tested & it came 8.84 and creatinine 0.77 He has prescribed meds for 2 months now & dietary restrictions. Is gout curable? Is it a risk disease? Can it be cured with food habit changes? Has he have to continue medicine from now on??
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Platelets high

Hello doctors, Platelets always approx. 550 whenever any blood test is done. But doctors have not given any attention to it So I had a recent check for ESR also. ESR is 21. Not feeling any issues. But any further tests to be done? Please suggest. Which doctor to consult? Thanks.
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Lower back pain

I jumped in an event around 2.5 months back. I heard a click sound in left side of lower left backbone and since then I am suffereing from pain in that area. When I press the area I can feel the pain and also while and bending and doing other physical activity. I have done MRI and X ray and nothing significant has come in it but the pain dosent subside and increases with physical activity. I am undergoing compulsory training at armed forces which gives me no rest time. I am somehow continuing my training with this pain. I also have a precondition of ankylosing spondylitis. I have taken many anti imflamatory medications and pain killers in these past 2.5 months but pain relief is temporary and again comes back .
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Dvt and apla diagnosis and treatment

Hi , My wife had a severe placental abruption in 36th week and we lost the baby. She had to undergo an emergency c section for the delivery due to internal bleeding. After few days she got dvt in her left leg and was put on apixaban twice a day . We are in India these days and would like to consult a specialist here to check if the dvt is cleared and also if it was due to positive apla. Can someone recommend which specialist to see here in India as she was being seen by maternity department there . We are based out of Delhi ncr and can see anyone in and nearabout delhi . Thanks
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Ana positive

Last year i got diagnosed with ana positive with high titer and mildly positive. My doctor suggested to took ANA profile. Only dsf70 was positive. Rest are negative. I took ana test again last week because of continous fatigue, rashes on the leg. ANA Test is now strongly positive with high titer . Pattern is same as last - dense fine speckled . Do i have a deadly autoimmune disease.?
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Hlab27 postive

"Mujhe HLA-B27 positive hai. Ye problem mujhe 2023 se hai, lagbhag 2 saal ho gaye hain. Meri kamar me dard rehta hai aur chalne me dikkat hoti hai. Kabhi-kabhi pair aur joints me bhi sujan ya stiffness ho jata hai. Main jana chahta hoon ki mujhe kya karna chahiye? Kaun se exercise, yoga ya treatment best rahenge? Aur kaun si cheezein avoid karni chahiye? Kripya simple language me samjhayen. Main chahta hoon ki dard thoda kam ho aur normal life jee saku
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Weight loss and fever is common in arthr

Recently got R.A factor with 59.92 iu /ml and ANA  both positive...titer 1:80 ,other symptoms fever , weight loss , facing problems last six months , mouth ulcer, morning stiffness multiple Joint pain.medicine start but want to know which type of arthritis
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ANA 2 positive with 1:160

Hello doctor I am suffering from body ache and low grade fever a doctor suggest me ANA test it's come positive with 2+ and 1:160 pattern homogeneous what is that and why come positive
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Suffering from fibromyalgia

Hi, It's been 15 years since my symptoms initially appeared, first cervical pain, then back pain and every year a new pain gets added. I have medication resistant pain, or they don't work now properly as they gave me more pain so i have to change pain medication every other day. Recently from one year have developed digestive issues, so the medicines are even more of a hit and miss now. I have taken ketamine and lidocaine treatment also. Needless to say nothing worked. With all these things i have also the usual suspects- anxiety, depression, bpd. I have changed doctors so many times and i think no one beleives me and now recently last doctor thinks i have drug seeking behaviour. Well offcourse i do, i want to be in less pain. I know i should do the usual things - exercise etc but i consider enough achievement to get to work every day. So what is something that i can do
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