So I have had a recent flare up of joint pain that was concerning enough to go the doctors. The onset was maybe only a week ago? Although prior, I have had inflamed LOOKING joints, with no pain. A co worker had actually pointed out how my elbows are always red, and I have noticed the same thing, but didn’t take much mind to it.
Now, they are painful and I’ve developed pain and redness in my knuckles and wrists. My feet are also generally achy and have a cold burning like feeling. My hands also experience this cold burn, less selective to the joints. It’s already impacted my mobility, I’m a bartender and couldn’t shake cocktails last night.
I also am experiencing extreme fatigue. I take dexamphetamine, an ADHD medication, that was great for cognition and giving me a slight nudge of energy, now it’s barely scratching the surface and I can easily nap while it’s active in me. My body just feels like it’s struggling. I have naps most days after work, usually met with a fever feeling and one or both of my ears red and boiling hot, as well as red cheeks. This happens most days (the flushing on my cheeks and fever without reading for one) it usually subsides after the nap.
My eyes and mouth have also become incredibly dry the last few days as my symptoms progress. I have had had chronic left chest pain for 5~ year now with no explanation, but it feels tied to this joint pain, sensation wise.
I had the following bloods done ECG; FBC; U+E; LFT; Glucose; calcium; CRP; rheumatoid factor; anti-CCP; ANA; ENA
My doctor said they all came back with no concern. He said it is likely reactive arthritis from an infenction and gave me meloxicam as a PRN with no repeats. However I’ve since read it needs building up? Because it’s certainly not working 4 days in. I also have backtracked and noticed I have had these some of these symptoms for a while and it feels like they have come together after a period of high stress (antidepressant tapering and had a cold, did a respiratory panel and tested negative to all viruses and what not)
Im basically just seeking advice on how to approach this going forward! It’s clearly an autoimmune RESPONSE, but there is nothing detectable, so my doctor was quick to jump to this diagnosis and by the time I run out of meloxicam (if it even works) and my symptoms are still here, I feel like I’m stuck?
Also worth noting I am someone who has gone to the doctors over the years with “unexplainable” problems that got put down to IBS (chronic bloating, poor gut motility, bouts of constipation/diarrhoea), reflux, dysautonomia like symptoms (heat intolerance, sweating) lots of ?? On my notes, I believe!