instruction: hello doctor it usually pains in joints and happened for some years now I have shown to various doctors and was told that it is due to a low level of it do and cured by taking regular it do medicines recently I have noticed pains in my joints in leg hand elbow and foot the affected area becomes a little red with swelling and pain I had tested for uric acid and the level is under range though after the uric acid test my doctor suggested avoiding rich protein diet and also drink a lot of water currently I drink liters of water per day since with all this the pain has not completely settled and therefore I have done some more tests cop result 6 normal under and other reports ra quantitative serum and aso are normal with the increase of cop my doctor has suggested consulting rheumatologist for further advice hence I am requesting your advice
output: hi I have gone through your query your symptoms typically match palindromic rheumatism it is an intermittent form of arthritis that can keep throwing joint pains and swelling intermittently initially cop done during an episode may have been high there is a 50 percent chance that it may become persistent and 50 percent it may remain this way only one test is missing which is an anti cop antibody kindly do that and let me know what it says as for the treatment I would suggest you maintain a diary of attacks if joint swelling is persisting for more than seven days then we need to start treatment or else if it goes off if you do not get another episode for a month then we shall wait hope the information was useful ear anti cop antibody and ana ifa