Rheumatology

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Pain in Chest

I am taking neprpxyn 550 mg but it is causing pain in my chest and stomach. Please suggest what ro do?
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RA symptoms

My maternal uncle has ankylosing spondylitis and my paternal grandmother had RA . My RA factor is 20.6(positive) and my ESR is 19 but my anti ccp , crp , ASO , ANA and CBC are all normal . Also HLA-B27 negative I was sitting in my chair one day and suddenly I felt a sharp pain in my upper back which after 2 days got ok but the pain shifted to my lower back and since then it is there . My low back pain is therefore for about 5 months now despite having muscle relaxants . Apart from the lower back pain i don't feel any other pain but feel a little stiffness in my fingers and neck but they don't hurt when i press them nor are they swollen . I wanted to know the exact symptoms of RA and do i have it ?? Does RA effect lower back ?? Also i drink a lot of cold drinks so can it increase my RA factor level ??
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Which Dr. treats Urtecarial Vasculitis?

I am suffering from UV since more than a month and taking the medicines from past 20 days. I have been consulting a Dermatologist, however, some of the doctor friends have suggested to take treatment from rheumatologist or immunologist or hematologist. Please advise which doctor is the best to consult with. Also what medicines, diet and lifestyle need to be followed for early recovery? The condition is slightly under control right now with rashes coming and going. However, if I miss medication even once, the rashes comes back (which had happened once). I have attached photos when the condition was severe.
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Lower back and buttock pain

One year has been passed away, my lower back and buttock pain pain very severe , i have done all test HLAB27 MRI of SI JOINTS  LAST YEAR BONE SCINTIGRAPHY LAST YEAR ESR  EVERY MONTH NORMAL CRP EVERY MONTH NORMAL CPK ANA ANTI CCP RA Above all reports are normal and repeated several time Should I repeat MRI to rule out AS
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Post Csection issue or Rheumatic related

Hello doctors,  my wife gave birth to 2 kids , one in 2019 Feb and other in 2022 Feb, both in C section. She stopped feeding our 2nd kid 1 month ago. She is feeling pain in both side ribs and some times she is complaining that she is having numbness one side full. Also she is not getting hungry nowdays and her bowel movement also very poor and irregular like once in 2 days. She is using soft tools regularly. Which specialist i need to consult? Is it because of two C sections? Kindly help us.
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Is ESR 40 need attention ?

My mother is suffering from severe joints pain in all joints and unable to move her hand and legs. When we visit a doctor, doctors said it's not Rhemutid arithirts and nothing at all. but she is still suffering from pain
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Sarcoidosis

I hv been diagnosed for sarcoidosis since 2 years and I am on azathioprine IP 50mg twice a day. My reports are normal. How many years should I continue this tablet. How frequent should I undergo blood test.
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High ESR- 40, feeling pain in palm joint

I have pain in palm joint. My sugar level is 208. I am taking sugar medicines. ESR is high - 40. What is the underlying cause for high ESR?
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Uric acid is high 7.50

My father under went liver transplant in 19 feb 2021 .his all report are normal but his uric acid is high 7.50 and potassium is 5.96 kindly suggest .
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Rheumatoid arthritis

My RA factor is 239 I have right knee pain constant. What should I do suggest me medicines. Which is good for me.
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