### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My husband started having his joints ache.It started with his shoulder,then to his hips etc.As time has gone on, he can feel that some sort of attack is coming on and depending what body part it is, it swells up, gets reddish and is hot.Its very painful.He s been to the ER 5 times with no answers.It now is in both feet.They are swollen,red and hot to touch and very painful for him to move around.2 wks ago, his arm and hand swelled up and was painful and went away in a day or two.They ruled out lyme s disease,gout etc.As time goes by , it happens more frequently and with more pain.He is 64 and there is no arthritis history in his family or anything else he can think of.Would you have any idea in what direction we can go? We have no health insurance and can t afford to run to specialists until we hit the right one.Do you have any suggestions? He s had blood work and exrays taken that have all come back normal...

### output:

Hi! It may be some allergy or autoimmune phenomena, cause may be some viral or some infection for this sort of arthropathy to occur in fleeting joint pains subsiding in one place and flitting to other joint...rheumatic arthritis is another known condition which has such symptoms...he should be shown to a rheumatologist and blood tests, CBC, ESR, AS title, Rh factor, c-reactive protein CRP should be done. Till appointment is gotten, OTC naproxen or and Tylenol tabs after meals or any available anti-inflammatory meds may be given under supervision of a GP or ER, some moist hot packs may be applied.an anti-allergic medicine like levocetrizine may also be added if he has any history of allergy for anything is known Best wishesThanking you Chat Doctor. 