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How can persistent wrist pain be managed?
Question
I am a 20 years old male suffering from high ASO levels for the past 10 years. The titre value remains always around 400. For the last 10 years, I am suffering from continuous pain in both the wrists, which sometimes surges to a great pain. In my childhood, I once suffered from sore throat which may have led to this complication. I had taken Penicillin G potassium for two years, but after taking it I suffered from severe gastritis and vomiting. So I had to discontinue the medicine. After homeopathic treatment for two years, my ASO level got down to below 200. But recently I had severe wrist pain, severe headache and chest pain. Now, I am having headache everyday, which goes away with paracetamol but recurs after 10 hours. There is also constant wrist pain. How can my persistent wrist pain be managed?
Expert Answer
M
Dr Monica MahajanDec 07, 2010
Associate Director,
Internal Medicine,
Max Hospital, New Delhi
Internal Medicine,
Max Hospital, New Delhi
You need to be evaluated for your joint pains whether high ASO is responsible for your joint symptoms or not. Investigations like haemogram including ESR, CRP, ANA-IF, Rheumatoid factor quantitative, X-ray of the wrist and hands, echocardiography should be done and a physician consult is required. If there is any inflammation then CRP should be high. For persistent headache a CT scan / MRI brain maybe done after the physical examination if required. ASO titres can fluctuate due to episodic sore throats and will not cause heart/brain damage.
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