Conversation: The conversation between human and AI assistant.
[|Human|] hi .................i m a 30+ working woman.......for last 3 to 4 months i have severe pain in my back with tingleing effect from neck with little siering in right and left side both hands and legs.....................could u help me plese.my blood reports has rf +. my physician has given me sazo 1000 and HCQS........... two tablets a day.......after taking them for 5 days i still had the pain
[|AI|]  Dear patient RA factor positive means you are suffering from rheumatoid arthritis which leads to multiple joint pains especially small joints of hands and feet. Seize contains sulfasalazine which is disease modifying agent, and it takes at least 3 to 4 weeks for its action to start. Till that time painkiller like indomethacin 25 mg thrice a day should be taken with it. Rheumatologist is the best person. Tingling and numbness in upper limbs will be due to nerve compression in the neck and is separate issue from rheumatoid arthritis. MRI of the cervical spine with screening of whole spine needs to be done to confirm diagnosis. Meanwhile, start tab regain x 75 mg one at bedtime for relief. Visit to spine surgeon with MRI report is needed.