instruction: hi doctor I am 27 years old I have knee pain in both the legs and it is paining alternatively for the past 5 years pain starts with swelling around the knee and stay for three to four hours and the pain will be at least once in one to two months I feel like pinching with needle in the feet I also get backbone pain in the early morning I have consulted a specialist and he told to do the attached laboratory tests I have aso titer 800 iu my and I do not have any tiredness headache fever history of jaundice joint pain etc please help
output: hello I have noted your complaints and also gone through the reports carefully anti dnase and echocardiogram rheumatic fever nsaids nonsteroidal anti inflammatory drugs like celecoxib 200 my piroxicam 20 my twice a day it can help to reduce the symptoms of pain and swelling for further information consult a general practitioner online