I had my 2nd baby on Sept 29 - no complications, felt fine after. At the beginning of Nov I got strep throat. I began treatment with a 10 day round of penicillin, it seemed to clear up after 24 hours & I finished the antibiotic. 3 days after finishing that antibiotic strep came back, so I went back to the dr & she prescribed Keflex. After 1 or 2 days my sore throat was gone but I continued with the 10 day antibiotic. Half way through that round, ALL of my joints became severely inflamed & painful, I could barely move.

Over the next weeks I had of blood work done & saw my dr. several times. I got Rx nsaids which did nothing to help the pain. I got steroid shots, which helped relieve the pain for about 36 hours each time, but it always returned & was always unbearable. During one visit she swabbed me for strep again (I didn't notice a sore throat) and it was again positive. She gave me twice the dose of my first round of penicillin. As I began to finish that 10 day round, the joint pain finally started to subside without an injection.

At the same time I had an appointment to see the rheumatologist - he prescribed me daily prednisone, at a max of 20 mg a day. I waited a day or 2 to start taking it, because the end of that round of penicillin seemed to knock out the joint pain. A couple days after being done with it, pain was back so I began the pred.

My blood work in Dec when I was severely inflamed showed positive for basically everything. My sed rate was 49. My more recent blood work has shown negative for Lupus, & my sed rate is down to 23 but still showing a positive rheumatoid factor. My Doctor & rheumatologist believe I contracted rheumatic fever from under-treated strep. I have now seen a cardiologist, and had an echo that was clear.

I have maintained a bearable level of joint pain on 5-10 mg of pred daily, until a few days ago. I am sore again, especially my wrists. Since yesterday I have been coughing up thick dark blood. Where do I go from here?
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replied April 15th, 2018
Thank you for asking at Ehealth forum!

I read your question and I understand your concern.
I would suggest to have joint xray,anti CCP and
C reactive protein.Stop prednisone and start PPI like pantoprazole 40mg daily for one month.Consult rheumatologist with the reports of investigations and xray.
I hope it helps. Stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and cannot be an alternative to actual visit to a doctor.
Take care
Khan


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