Conversation: The conversation between human and AI assistant.
[|Human|] I,Kallol Purkait, age 54 years, suffering from pain at right heal,knee and right elbow and this pain moves at left toe,anklet and knee.I work in air condition room.Blood test (crp, anti ccp, uric acid and hb) is (2.59, negetive, 4.4 and 9.6) respectvely. My doctor prescribe me tablet ( SAZO 500) during 1 month but still I feel pain .
[|AI|]  Hello, I have studied your case with diligence. When such patients come to our hospital I advise them blood test like ESR, HLA B27. Rheumatoid arthritis may involve small joints and early morning stiffness in joints, do you have sucChatDoctorplain? Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine? It may be seronegative spindle arthropathy. NSAIDs, Awards (disease-modifying anti-rheumatic Chat Doctor.  These include methotrexate and sulfasalazine. Corticosteroid injections for severe pain and inflammation in a specific joint.TNF-a inhibitors, a newer class of biologic medication. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.