[39F] With acute bilateral ankle swelling and pain

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Rheumatoid Arthritis Flare-Up: Given your history of rheumatoid arthritis, it's possible that you are experiencing a flare-up. This condition can cause joint pain, swelling, and redness. Flare-ups can be triggered by stress, infections, or changes in medication.

  • Treatment: Typically involves anti-inflammatory medications, disease-modifying antirheumatic drugs (DMARDs), and sometimes corticosteroids. Your doctor may also recommend physical therapy.

• Cellulitis: This is a bacterial skin infection that can cause redness, swelling, and warmth in the affected area. It often occurs when bacteria enter through a break in the skin, but it can also happen without an obvious entry point.

  • Treatment: Usually involves antibiotics. It's important to seek medical attention promptly to prevent the infection from spreading.

• Deep Vein Thrombosis (DVT): Although you don't have a history of blood clots or recent immobility, DVT can still occur and cause swelling, pain, and warmth in the affected area. This condition is serious and requires immediate medical attention.

  • Treatment: Typically involves anticoagulant medications to prevent the clot from growing and to reduce the risk of complications.

• Gout: This is a form of arthritis caused by the accumulation of uric acid crystals in the joints, leading to sudden and severe pain, redness, and swelling.

  • Treatment: Often includes medications to reduce pain and inflammation, as well as lifestyle changes to manage uric acid levels.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

1. Rest and Elevate: Keep your legs elevated to help reduce swelling. Avoid putting weight on your ankles as much as possible.
2. Cold Compress: Apply a cold compress to the swollen areas to help reduce pain and inflammation.
3. Stay Hydrated: Drink plenty of water to help flush out any toxins and keep your body hydrated.
4. Over-the-Counter Pain Relief: You can take over-the-counter pain relievers like ibuprofen or acetaminophen to help manage the pain, but be sure to consult your doctor first, especially given your medical history.
5. Monitor Symptoms: Keep track of your symptoms using the MDandMe journal. This can help you identify any patterns and provide useful information to your healthcare provider.

What you should look out for

Seek immediate medical attention if you experience any of the following:

• Increased Pain or Swelling: If the pain or swelling worsens despite home care.
• Fever: If you develop a fever, which could indicate an infection.
• Shortness of Breath or Chest Pain: These could be signs of a more serious condition like a blood clot.
• Red Streaks or Pus: These could indicate a spreading infection.

Remember, while these suggestions can help manage your symptoms, they are not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and treatment plan.