Medical Questions? Ask a Doctor Online!
are you able to speak with your doctor today?
Did he mention gout as a possibility?
I'm glad they ruled out infection as a joint infection can be very dangerous indeed.
place your cursor in the box below, type, and click 'reply' and i will see your response.
No, my Dr. is not available today. I inquired about gout previously, but Dr. said my regular bloodwork (every 3 months, comprehensive blood panel) would have indicated that. Not sure that uric acid level would be a part of that panel?
probably would be, but to definitively diagnose gout fluid from the joint needs to be studied.
let's assume this is either a flare of RA or even that it is gout.
in either case Tylenol (vicodin has Tylenol in it)
is not the best choice
something like motrin or even aspirin would be better
can you get in to see someone today to make sure this is not an infected joint?
your primary care or even an urgent care?
as you can see from THIS REFERENCE this could easily be a flare of your RA
How about celebrex for the inflammation? It is my last ditch standby. If I take the celebrex, will it mask infection or not? So perhaps I should take the celebrex, and if no improvement, then seek an appt. to have the thumb evaluated? Yes, I checked the link...thanks.
That would be a fine choice as it is also an NSAID, anti-inflammatory medicine.
You could also take the vicodin as prescribed as the two do not interact
if you need to for pain
i think your plan is very reasonable
if the redness starts spreading to the hand or wrist or arm it's time to be seen right away
does this make sense?
Yes, thank you. So you do not think that the celebrex would mask an infection if one were actually present?
no, it will not mask it.
do you have any final questions about this for me?
No, thank you for your input!
you are most welcome
Thank you so much for your question. It was a pleasure talking with you. Should you need my assistance in the future simply start your question with ‘for 911doc only’.
Positive feedback is always appreciated.