Answers ( 2 )

  1. Pain and burning sensation in joints if the body could have a wide differential diagnosis like Fibromyalgia, Rheumatoid arthritis, Osteoporosis withOsteoarthritis etc

    If you are having fleeting joint pain then it could be Rheumatic joint disease but you don't fit in the age group commonly encountered with this disease. Your ALSO is high indicating possible Rheumatic disease due to bacterial infection. 

    This needs a multidisciplinary approach by Rheumatologist, Orthopaedic surgeon, Psychiatrist Neurologist. 

    I suggest you get treated for other arthritis like Anti CCP for Rheumatoid arthritis, ESR, CRP. Get a blood test after consulting with your Internist or Cardiologist to rule out Rheumatic heart disease which can be common. You can do Blood culture for Streptococcus species bacteria to confirm. 

    You can apply hot water bag to the painful joints and muscle pain. Eat a diet rich in calcium like eggs, cereals, pulses, chicken, lean meat, yoghurt. Drink plenty of water. Perform Yoga for stress relief. If you have difficulty in sleeping kindly consult with a Psychiatrist to help you achieve sound sleep. 

    Take combination Diclofenac with Acetaminophen tablet for relief of pain or Diclofenac with Thicolchicoside for relief of pain and muscle spasm. 

    Kindly provide more details as I have asked for the reports of the above mentioned investigations as well. 

    I hope I have answered your query. 

    I will be available to answer your follow up queries. 
  2. Hi. Thanks for posting your query to us at MediMetry.
    ASO tire is used to find out the extent of Grp A Streptococcal infection. After an attack and subsequent Rheumatic fever, the ASO tire rises for 1 month, peaks at 3 to 6 months and achieves normal values at 6 months to upto an year.
    Since you do have RHD I would like to advise regular monthly follow up with your consulting physician and take Penicillin prophylaxis for at least 4 or 5 years, and take general universal safety precautions towards getting throat and respiratory tract infections.

    Hope I have answered your query. Do write back for further clarifications.
    Live healthy!