I know a 15 year old female that has a really bad sore throat that wont go away, her parents do not like her taking antibiotics, she has a headache, nausea, and vomiting. Since yesterday her elbows and wrists have become swollen, and now she has little hard painless bumps around her wrists, What can be causing this, could it be rheumatic fever?
Thanks for treatment in Chat Doctor, your girl has streptococcal infection, acute tonsillitis and complication for joints, for excluding of rheumatoid fever we should do antistreptococcal antibodies, rheumatoid factor and other rheumatoid test, which rheumatologist can prescribe to her. You should immediately start to give antibiotic to her at least augmenting 1000 1 tab 2 times after meal 10 days, diclofenac 1 tab 2 times after meal, loratadine 1 tab 1 time before night. Since gurgle with chlorhexidine 4-6 times, take stress, Stalin for resolution and Mary spray 1 dose 4 times in gurgle. Check urinalysis also, because we afraid urinary infection. Give to her plenty of water, ginger, lemon and turmeric powder tea. Stay warm in betake carryover soon I will review after 5 days Chat Doctor. 