Get followed up by rheumatologist
I have gone through your medical history and suggest to get further evaluated by rheumatologist.
The treatment will include:
- antibiotic (d-penicillinamine)
- vasodilatators to prevent Raynauld phenomenon
- anti-inflammatory drugs and analgesics to reduce inflammation/pain
- PPIs to control high acidity of the stomach
Hope it was of help! Do not hesitate to contact me again if you need further clarifications!