Orris

A 43 yr old woman have swelling in both leg plus left hand joint have swelling she saying that the joint bone have pain

Reading File
Finding Sources
Finding Sources
Searching PubMed

arthritis AND edema

Searching the Web

NHS swollen legs ankle hand joint swelling emergency symptoms

Swelling in both legs plus a painful swollen hand joint needs an in-person medical assessment soon, preferably today or within 24 hours. It can be due to joint inflammation such as rheumatoid arthritis, but leg swelling can also come from kidney, heart, liver, vein, medication, thyroid, or other medical problems. A painful swollen joint can occasionally be an infection and should not be ignored.
Go to emergency care now if she has any of these:
  • Shortness of breath, chest pain, fainting, coughing blood, or rapid heartbeat
  • Fever, chills, or feeling very unwell
  • The hand joint is red, hot, extremely painful, or difficult to move
  • One leg becomes much more swollen, red, warm, or painful than the other
  • Swelling appeared suddenly or is worsening quickly
The NHS guidance on leg swelling lists heart, kidney, liver problems, blood clot, and infection among possible causes. A hot, swollen painful joint with fever or malaise requires urgent evaluation because it can indicate joint infection, as noted in NHS joint-pain guidance.
Until she is seen:
  • Rest and elevate the legs when sitting or lying down.
  • Avoid massage or tight compression bandages until a clinician excludes a blood clot or circulation problem.
  • Do not start steroids or strong pain medicines without medical advice.
  • If she can safely take it, paracetamol/acetaminophen may help pain. Avoid ibuprofen, diclofenac, or naproxen until a clinician reviews her, especially if she has kidney disease, stomach ulcers, is pregnant, takes blood thinners, or has heart failure.
A clinician may need to check blood pressure, urine, kidney/liver/thyroid blood tests, inflammation markers, rheumatoid arthritis tests, and possibly heart or vein tests. Joint swelling is a sign of active inflammation or excess fluid within/around the joint (Goldman-Cecil Medicine, physical examination section).

The give symptoms didn't seen but she saying in night she have fever and pain but after sleep all will gone same for morning after that it's relief

Reading File
Finding Sources
Finding Sources
Searching PubMed

rheumatoid arthritis AND fever

Searching the Web

NHS rheumatoid arthritis symptoms morning stiffness fever swollen joints

If she has fever at night with joint pain, even though it improves by morning, she should be examined by a doctor within 24 hours. Improvement after sleep does not rule out infection or inflammatory arthritis.
Possible causes include:
  • An inflammatory joint condition such as rheumatoid arthritis, which often causes hand-joint pain, swelling, stiffness, and symptoms worse after rest or in the morning. It may also cause fever during flares, but this cannot be diagnosed from symptoms alone. NHS RA symptoms
  • A viral illness, including dengue or chikungunya in areas where these occur, especially if there is rash, headache, severe body pain, nausea, or mosquito exposure.
  • Joint or other infection. This is more concerning if fever is measured, recurring, or accompanied by a hot, red, very painful joint.
Seek emergency care today if she has:
  • Temperature 38°C / 100.4°F or higher with chills
  • A red, hot, very tender hand/wrist joint, or cannot move it
  • Trouble breathing, chest pain, confusion, severe weakness
  • New rash, bleeding/bruising, severe headache, vomiting, or severe abdominal pain
  • One leg becoming much more swollen, warm, red, or painful than the other
Until seen:
  • Measure and record her temperature during the night, plus pain, swelling, rash, and medicines taken.
  • Use paracetamol/acetaminophen for fever or pain if she normally can take it, following the package dose.
  • Avoid ibuprofen, diclofenac, aspirin, and naproxen until a clinician assesses her, particularly if dengue is possible or she has kidney/stomach problems.
  • Take photographs if swelling appears and disappears before the appointment.
A clinician may examine the joints and legs and order blood tests such as CBC, ESR/CRP, kidney/liver tests, urine test, and tests guided by local infection risk.
This is a shared conversation. Sign in to Orris to start your own chat.