Rheumatology

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Uric acid level

20 days before I have checked my uric acid was 4.2 Today i checked my uric acid is 5.88 Currently I'm having sharp pain in my knee joint and shoulder joint and feeling very tired due to pain. Should I need to take medicine for uric acid ? Earlier (1.5 year back) i have a history of high uric acid of 8.2 due to which my ankle still hurt when I press them?
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Joint pain

I have hla b 27 positive, suffering with spondyloarthritis. I was using toficitinib5 mg..pain was almost in control.but liver sgpt level is getting High. My doctor consult me to use golbi 450 sr. And to stop using toficitinib tablet.. i have stop using that toficitinib tab.for 15 days.now i found slightly pain on my knee and hip joint...can i take, toficitinib with golbi sr450???
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Pain in hand

Sir my mother suffering from pain in hand main pain in shoulder and pain in hand alos When my mother put hand feel pain in hand and some time suddenly feel sharp pain and then relax ... increase pain in night mostly Only one hand Dr said suffering from sjogren , fibromyalgia And suggest physiotherapy but not relieve Fluxetine 20 mg Can change fluxetine any other medicine Or what I do ...she can not do any hard work or pick up weight more then 1/2 kg feel pain.. My concern is that she is suffering from fibromyalgia or neuropethic pain
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Saaz during nursing

I have ANKYLOSING SPONDYLITIS. I am a breastfeeding mother to a 3 months baby. Is SAAZ DS safe during nursing? I hope it won't harm my baby.
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HLA B27 positive, suffering for AS

I'm suffering from last 3 to 4 yrs for back pain. One month ago i visited a orthopedic doctor and i tested positive hla b27. My uric acid level was 8.9 but now it's become in normal range. And i regularly take daily basis tab myotop p, Etova 400 twice in a day and sazo 100 twice in a day
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COVID vaccination in SLE

My sister is in treatment of SLE, now she is 18 and school is under vaccination drive. Is it safe to take vaccination under current scenario ?
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Axial spA and Sacroillitis

Dear sir /ma'am My wife 29/F an Axial SPA patient was undergoing NSAIDs and Biological treatments from past 3-4 yrs for her radiating pain in her sacroiliac joint. Now from past 2 months she has started developing pain in her T3 & T4 vertebrae and sternum region specially during night and early morning. Is this also a sign of her same rheumatology problem or something else? She is breastfeeding also from past 6 months.
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Severity gout pain and swelling at foots

My father had uric acid issue (gout) lot of pain and swelling not able to walk and moving leg Given febustat 40mg but no help Please suggest
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Joint pain

From 8 - 10 years suffering from RA +ve. I am under medication. Previous Dr. Somashekar from Hosmat hospital treating doctor.
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I believe i have Raynaud's disease.

I feel pain in thumb and index finger in my right hand when contact to cold..irritation and redness only in the tip..a neurologist prescribed me pain killer it's not helping me completely. It's just temp relief. Please suggest what treatment options..
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