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Thanks for your question.
Did she have any fever or common cold recently?
No cold however, at times feel unwell similar to flu
these symptoms are likely related to recent viral illness.
this is also known as reactive arthritis.
It may take several months for complete resolution.
there is no specific blood test for this, but sed rate and c reactive protein ( CRP) level may be elevated in this condition.
a course of steroids ( prednisone 20-40 mg daily) may also be helpful to relieve the symptoms.
Patient expressed that she is unable to take steriods .. what would be a possible alternative
NSAIDs like ibuprofen also also will be helpful.
Patient says that over the last 18 months stiffnes has increased considerably ie: getting up in the morning and as she works with infants and spends time on the floor with them, increased difficulty getting up an moving around.Could this reaction be the onset of rheumatoid arthritis ?
yes, this can be either from rheumatoid arthritis or from another condition known as polymyositis.
polymyositis is also a rheumatological condition which causes proximal muscle weakness as well.
these conditions can be detected by specialized blood tests and an evaluation by a rheumatologist.
If this turns out to be the case what could the patient do to improve her condition ?
if she cannot tolerate steroids, then immunosuppressive agents like methotrexate can be used to control the symptoms.
Are there any natural remedies ?
since these are all autoimmune conditions, no natural remedy proven o work long term
Thank you for your advice and information .. will continue being kind and patient with her .. !!
my best wishes
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