Joint Pain Moves, Swells And There Are Bruises On The Feet And Hands?
Hello doctor, I’m a married woman, I’m 32 years old. The last 3 years I experienced joint pain that moved, both in the legs or in the hands, sometimes accompanied by swelling and bruising as it hit, pain usually lasts 3-4 weeks in one place, then moved in another place. I have checked blood for uran and arithic acid and the results are negative. If the pain is disturbing, I usually take pain medication, what exactly am I sick of? What specialist do you want to check? Thank you in advance
Arthritis is inflammation that occurs in the joints. Arthritis can involve just one joint or many joints> 4 (polyarticular). Arthritis is characterized by signs of inflammation such as swelling, redness, pain, warm palpation, and joint movement disorders.
Joint pain can also occur mobile, which is migratory arthritis. In migratory arthritis, for example symptoms of inflammation appear in the joints of the wrist and fingers, then there is improvement and symptoms disappear altogether. But not long after symptoms of inflammation appear in other joints such as knee joints.
There are many causes of migratory arthritis including:
Infection: viruses (hepatitis B, hepatitis C, epstein barr, etc.) or bacteria (group A streptococcus, Chlamydia, Campylobacter, Lyme disease, etc.)
Specific infections such as Neiserria gonorrhae (gonococcal arthritis)
Reactive arthritis, occurs as the body's reaction to infections in other organs
Systemic lupus erythematosus
Paraneoplastic syndrome (related to malignancy / cancer)
Because there are so many causes for arthritis, many tests are needed to make the right diagnosis. The doctor needs to ask for a complete history of the disease and symptoms, because there are some diseases with certain characteristics such as one joint at the time of the attack, several joints but symmetrical right and left sides of the body, there are certain diseases that are more frequent regarding the location of certain joints, and so on. The doctor also needs to ask about the other symptoms that accompany it. Family history can also be a clue in some diseases. Physical examination and investigations such as complete blood tests, antinuclear antibodies (ANA), x-rays, joint fluid aspiration, C-reactive protein, and other examinations.
It is better to consult further with a specialist in internal medicine because of possible systemic diseases that cause migratory arthritis symptoms. Further tests can be done with a specialist in internal medicine.
Handling migratory arthritis aims to overcome the disease that causes it. Pain and swelling experienced by patients can be overcome by administering anti-inflammatory drugs (such as NSAIDs) and administering analgesics / pain-reducing drugs. Over-the-counter pain relievers (paracetamol, ibuprofen), but usually for pain relief that has moderate to severe pain intensity, is not appropriate. For higher analgesics, it is usually necessary to check with your doctor before you can determine the medication that suits your condition and to monitor the side effects of treatment. Thus the explanation from me, hopefully useful.