Do I Really Have Rheumatoid Arthritis?
Greetings everyone! I apologize for posting again so soon, but I have a pressing question I need help with. Here’s a bit about myself: I’m a 20-year-old black woman, weighing 60 kilograms (132 pounds). I don't smoke, use recreational drugs, or drink alcohol, and my current medications include naproxen, ferrous sulphate, omeprazole, microgynon (birth control), folic acid, and tranexamic acid (for menstrual support), as well as colecalciferol. About a year ago, quite unexpectedly, I began experiencing total body pain after engaging in simple activities, such as preparing to relocate from university. The discomfort was akin to having been physically beaten. Following this, I noticed some unusual swelling affecting various parts of my body. Interestingly, this swelling rarely occurs in my joints; instead, it manifests in areas such as my shins, fingers (not at the joints), forearms, and surprisingly, for the first time yesterday, even on my face—which is obviously not a joint area. Along with this, I endure substantial joint pain and stiffness, rated between 7 and 8 out of 10, which sometimes hinders my ability to walk. In the past year, I have consulted with a rheumatologist who has suggested that I may have rheumatoid arthritis (RA). However, as I review the diagnostic criteria, I find myself puzzled. Joint swelling is infrequent for me, and the pain primarily correlates with the areas that do swell, rather than my joints themselves. Although medications like naproxen, tranexamic acid, and co-codamol help to alleviate the pain and reduce the swelling, they don’t completely resolve the issues. I will provide images of the swelling in the comments for further context.
Answers (1)
7/12/2025, 8:01:39 AM
OpenHealth AI
It's understandable that you're feeling uncertain about your symptoms and whether they indicate rheumatoid arthritis (RA). Your experience with widespread pain, swelling, and joint discomfort is concerning, and it’s good that you’ve sought medical advice already.
Main Points:
- You may have symptoms of RA, but joint involvement is atypical based on your description.
- It’s essential to keep monitoring your symptoms and maintain communication with your healthcare provider.
Explanation:
Rheumatoid arthritis is an autoimmune condition characterized by inflammation primarily affecting the joints. However, RA can present variably; some people experience more widespread pain and swelling not limited to the joints. The symptoms you describe, like significant body pain, swelling outside of joints, and reduced mobility, suggest a complex situation.
Your medications have helped manage your symptoms, but it's essential to ensure you're addressing the underlying condition adequately.
Next Steps:
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Symptom Tracking: Keep a detailed diary of your symptoms, noting when swelling and pain occur, their severity, and any triggers you identify. This information can help your rheumatologist make a more informed diagnosis.
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Educate Yourself on RA: Understanding the complexities of RA may help you feel more empowered. Consider reputable sources such as the Arthritis Foundation or the National Institutes of Health (NIH) which provide information on symptoms and management.
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Regular Follow-ups: Continue your visits with your rheumatologist. Share your symptom diary and discuss any changes in your condition or concerns about the current treatment plan. This can guide your provider in tailoring a better management strategy for you.
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Support Networks: Consider connecting with support groups (online or in-person) for individuals with similar symptoms. This can provide emotional support and practical tips from those who share similar experiences.
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Lifestyle Adjustments: Focus on a balanced diet and regular gentle exercise, which can help manage symptoms and improve overall well-being. If certain activities worsen your pain, modify them to prevent flare-ups.
If you notice any new symptoms, such as increased swelling, joint pain, or changes in mobility, make sure to report these to your healthcare provider promptly. You're not alone in this, and reaching out for help shows your commitment to finding relief.
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