Conversation: The conversation between human and AI assistant.
[|Human|] I have been experiencing pain the backs of my thighs and in my knees and hips. When I sit and then stand up, as I do at work, getting up can be quite painful. I find that when I wear more supportive shoes the pain is less, but not gone. I have also been noticing pain on other joints where I have not ever had pain before, like my left wrist and finger joints. I have started taking higher doses of OTC pain meds just to be comfortable. I m 57 and almost 100 pounds overweight. I ve been tested for RA (family history) and I don t have it. I ve been under a lot of stress during the past 8 months. What could be causing my pain? It often wakes me up at night and I have trouble sleeping on one hip for too long.
[|AI|]  Dear patient Considering your case possibility of rheumatoid arthritis is highly likely. RA factor is positive in only 60 % of rheumatoid arthritis patients. That means rest 40 % of patients are having symptoms of rheumatoid arthritis but their RA factor is negative.  A better and more sensitive test for rheumatoid arthritis is anti citrullinated citrate peptide antibodies (anti CCP ab). So get this done from reputed lab. You need to consult rheumatologist with report. We can also start medication for rheumatoid arthritis if report is negative, and it has excellent results.  All the best.