Rheumatic Fever


What should be paid attention to in the diet for rheumatic fever?
For patients with rheumatism, the general dietary rule is to follow a light diet, reduce spicy and greasy foods, and avoid foods that are too warm and dry. Specifically, vegetables like celery, coriander, leeks, seaweed, and shiitake mushrooms should be reduced in consumption because they may cause photosensitivity and worsen rheumatism. At the same time, meats such as lamb, dog meat, and beef are considered too warming and nourishing, and may also trigger the worsening of rheumatism, so their consumption should also be minimized. Similarly, seafood like shrimp, crab, and sea cucumber, which are high in protein, might cause allergic reactions in patients with rheumatism, so their intake should be minimized as well.


Is a hot towel compress useful for rheumatism?
Rheumatic fever is not effectively treated by applying a towel. It is a systemic inflammatory disease caused by an infection of group A beta-hemolytic streptococcus. Clinically, common manifestations include fever, erythema marginatum, subcutaneous nodules, joint pain or arthritis, chorea, and carditis. The heart involvement primarily affects the valves, with the mitral and tricuspid valves being the most commonly affected, leaving many patients with valvular vegetations. The incidence of rheumatic fever has become relatively rare, mainly due to the widespread use of penicillin in recent years. During the acute phase of rheumatic fever, if joint pain occurs, non-steroidal anti-inflammatory drugs such as etoricoxib or meloxicam can be used for treatment.


Can people with rheumatic fever eat fish?
Patients with rheumatic fever can eat freshwater fish, but should try to eat less fish without scales and sea fish. For patients with rheumatic fever, the general dietary rule is to eat a light diet and reduce consumption of spicy, warming, oily, and rich foods. Foods such as celery, coriander, leeks, seaweed, mushrooms, beef, mutton, dog meat, and longan should be minimized. Seafood, such as shrimp and crab, which are high in protein, should also be consumed less. In addition to dietary considerations, patients with rheumatic fever should also avoid getting cold and pay attention to rest.


Rheumatic fever anti-O titer generally how much?
Rheumatic fever anti-streptolysin O is generally above the upper limit of the normal range. Since each hospital uses different testing methods, there are differences. You need to determine based on the reference range of your local hospital laboratory what is normal and what exceeds the normal range. Anti-streptolysin O, also known as anti-O, is typically abnormal in cases of rheumatic fever. Rheumatic fever is a systemic inflammatory disease caused by an infection with Group A beta-hemolytic streptococcus. Clinically, it is primarily characterized by fever, erythema marginatum, joint pain, subcutaneous nodules, and it can also include carditis. Some patients may exhibit symptoms of chorea.


Does rheumatic fever cause night sweats?
Rheumatic fever can cause night sweats, but this symptom is not specific, as many patients with tuberculosis also experience night sweats. Rheumatic fever is a systemic inflammatory disease caused by Group A beta-hemolytic streptococcal infection. Clinically, it commonly presents with symptoms like fever, joint pain, erythema marginatum, subcutaneous nodules, chorea, and carditis. During the acute phase of rheumatic fever, if there is joint pain, non-steroidal anti-inflammatory drugs can be used for treatment. If there is carditis, corticosteroids may be administered. For patients with rheumatic fever, long-term treatment with penicillin is also recommended, typically suggested for three to five years to control the disease.


Can you drink alcohol with rheumatic fever?
Rheumatic fever should not involve alcohol consumption. Because drinking could potentially trigger a flare-up of rheumatic fever and worsen the symptoms. Rheumatic fever is an inflammatory disease caused by Group A beta-hemolytic streptococcal infection. Common clinical manifestations include fever, subcutaneous nodules, erythema marginatum, joint pain or arthritis, chorea, carditis, and so forth. During the acute phase, the main symptoms are fever and joint pain, which can be treated with penicillin antibiotics to combat infection. Joint pain can be relieved with non-steroidal anti-inflammatory drugs, such as etoricoxib. In cases where carditis occurs during the acute phase, combined treatment with corticosteroids is also required. Regarding diet, it is advisable to eat lightly, and both smoking and drinking alcohol should be avoided.


How to quickly relieve rheumatic fever pain?
Rheumatic fever pain can be treated with non-steroidal anti-inflammatory drugs (NSAIDs) for rapid pain relief. NSAIDs are the first-line medications for treating rheumatic fever pain. Commonly used ones include diclofenac sodium sustained-release capsules, etoricoxib, meloxicam, or etodolac. These medications may cause gastrointestinal discomfort, so they cannot be used by patients with active peptic ulcers. If there are contraindications to using NSAIDs, pain relief can be achieved with medications such as tramadol or Aconitum alkaloid tablets. If rheumatic fever is accompanied by carditis, treatment with corticosteroids is also necessary. Since the onset of rheumatic fever is related to streptococcal infections, the use of penicillin antibiotics for anti-infection treatment is also recommended.


Can rheumatic fever be contagious?
Rheumatic fever generally is not contagious. Because the onset of rheumatism is somewhat related to infection by Group A beta-hemolytic streptococcus, and it is not a contagious disease, it does not spread. Common clinical manifestations of rheumatic fever include fever, erythema marginatum, subcutaneous nodules, joint pain, chorea, and carditis. During the acute phase of rheumatism, it is recommended to rest in bed and avoid overexertion. In terms of medical treatment, because it is related to streptococcal infection, penicillin antibiotics are generally recommended. If there is concurrent carditis, corticosteroids should be used in combination to improve the condition.


What foods should not be eaten with rheumatic fever?
Patients with rheumatoid fever should avoid the following three major categories of foods: The first category is vegetables, such as celery, coriander, leeks, seaweed, and mushrooms, which should be consumed in moderation. The second category includes meats like lamb, beef, and dog meat, which are very warming and nourishing and should be reduced in consumption. The third category includes seafood such as shrimp, crab, and sea cucumber, which are high in protein and should also be avoided. For patients with rheumatism, the general dietary principle is to follow a light diet, avoid spicy and dry-heat foods, and reduce greasy foods. For patients with rheumatic fever, it is particularly important during the acute phase to rest and avoid catching colds and infections.


Treatment of rheumatic fever with aspirin
Patients with rheumatic fever use aspirin primarily for its anti-inflammatory effects to reduce the inflammatory response. Aspirin also has analgesic properties that can be used to treat symptoms like joint pain associated with rheumatic fever. However, it is crucial to monitor patients taking aspirin for any gastrointestinal reactions, such as stomach pain or black stools. During the use of aspirin, it's important to be vigilant about these gastrointestinal symptoms. Additionally, medications that protect the stomach, such as pantoprazole which reduces stomach acid, can be used to prevent the side effects of aspirin. (Use medication under the guidance of a doctor.)