Rheumatology

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Advice on medicine

My rhumatologist prescribed me symbal 30 mg morning and pregab D in night , can I take nexprol L as I am feeling epigastric pain so physician prescribed this tablet
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High Uric Acid Levels

My uric acid levels are not coming down even after a strict diet and exercise. I checked it twice over the last month and the reading is 12.8 and 12.4 respectively. (Test date 1 - Jan 6th and Test date 2 - Feb 8th) I want to ask if I should start taking medication, though I'm trying to avoid it. I don't have any type of joint pain or anything. I'm a 34 year old male.
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Positive ana

Iga is 259.5 . ANA anti DSDNA is positive. In allergy panel no drugs found to be allergic but has severe reaction (allergic) to metformin, tramadol and chymoral forte. Suffering from gluten and lactose intolerance and allergy to sun(uv rays)and seasonal allergies. Also has PCOS and Hashimoto's. Recently suffering from Severe hairfall, hair thining and hairline receding. Can DSDNA be positive due to PCOS or is something else going on?? Past year, had severe migraine and face swelling, palpitations which are not due to thyroid issue. Prolactin is raised and was 51 . Rest hormonal panel is normal. Need solution as daily tiredness, brain fog , unwell feeling hampering quality of life and affecting output at work and office. Following diet and exercise as recommended by doctor
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Positive ANA test

I have severe case of hairfall with severe hair thinning. Doctor advised for antibodies test as I suffer from Hashimoto's. In blood test ANTI DSDNA has returned positive and rest parameters are negative. Even Ige is normal. What does it mean? P.s. I am also suffering from various allergies/intolerance - lactose, gluten, sun, metformin.
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Lower back and hip pain..

Lower back pain last 1 year starting in February 2023. Now Lower back pain and pain in bilateral buttock ( right more than left).. Pain and stiffness in lower back all day Pain in scapula and unilateral neck.. Mri done Lower back on 20 March and 21 October.. Mri si joint on 20 March and 21 October 2023 ( comes out normal times) Hla b27 negative by rtpcr Esr between 20 to 25 done 4 times Crp normal done 4 times Ana .. ra ..anticcp ..all normal Normal cbc ..liver ..kidney..lipid test.. Do I Have ANKLOSING SPONDYLITIS FEATURE) CAN MRI DETECTS INFLAMATORY CHANGES IN 4 MONTHS..PLEASE TELL Do in need another si joint mri now .  ..
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Joint pain

Sir i have multiple joint pain particulary in upper part of the foot,both hand and shoulder. Sir i did ra factor test and the value is 17.13. sir is this is a case of rheumatoid arthritis?
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Low THT (Platelets ) level Normal.

I took a blood test ,THT(under the platelet section)  levels are very abnormal, What should I do.How do I improve the same
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Multiple joint pain and weakness

I have multiple join pain. It first started with injury in my ankle posterior tendon inflammation then I strained other ankle due to which I got tenosynovitis.. later I had sedentary life style for 8 months taking bed rest.. now all my joint feel weak and tender... so I undergone test.. please check whether I have arthritis or it is due to weakness.. please check report Esr - 38 Alt- 16 Ast- 17 RH factor-10 CRP- 18.2 Anti CCP- 1.2
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Rheumatoid Arthritis

Hi Doctor, My mother in law is suffer from severe wrist pain and discoloration of her hand, and she is got high diabetes,  today we took scan Attaching her report, Kindly let me know the remedies, treatment and precautionary action to take.
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Grating and cracking noise from all join

Hi all my joints are making cracking grating snapping sounds recently which are more aggressive since i got viral fever 10 days ago . Now all joints are creating noise even if i lift my arm up there is some kind of sound like which feels like locking sound of joints . Pain is not there but my knees joint have pain and also my muscles are weak . Got Ra test and it was negative Cbc and lft during fever was done which is attached please check the reports I have hypothyroidism condition so taking 50 mcg medicine with calcimax forte Was taking calcimax from last one month but now the joint problem is increased . Also my digestion is very bad i am having indigestion and loose stools from last one year for which all the tests have been done including sigmadoiscopy which has no findings . Liver enzymes are raised sgpt 150 Sgot 100 Please tell me why my joints are getting weak Vit d test also done it was 25 last month
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