<s>[INST] Hello sir:I had Chikungunya 15 months ago and now I am experiencing Raynaud phenomenon type symptoms and joint pains especially in the wrists, fingers, digits and also frequency I get swollen up my arm and foot having severe itching......please let me know what to do, is this effect of Chikungunya and what measures to take to avoid completely Thanking you [/INST] Thanks for asking at Chat Doctor. I read your question and I understand your concern. Yes these symptoms can be chikungunya virus infection as it has three forms acute that resolve in7-21 days, subacute 3-5 days, chronic takes months to years and sometimes there is relapse of Hematological symptoms months or years later. However, you have also to do workup for other hematological diseases like SHE, RA etc. Through ANA, Anti CCP and ESR or CRP. As there is no treatment for chikungunya virus. Take NSAIDs like Advil, Topical steroids like beclomethasone propionate and anti-allergic like cetirizine. Keep your body warm but away from heat and cold. Take plenty of water. Hope it helps best. Don't forget to rate this answer and close the discussion at Chat Doctor. Regards Chat Doctor.  </s>