Does rheumatoid arthritis have anything to do with drinking alcohol?

Written by Liu Li Ning
Rheumatology
Updated on March 28, 2025
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Rheumatoid arthritis is not causally related to alcohol consumption. There is a certain correlation between rheumatoid arthritis and Group A beta-hemolytic streptococcus infection. Clinically, it is mainly manifested as joint pain or arthritis, primarily affecting major joints. Symptoms can include redness, swelling, heat, and pain in the joints, which are migratory, and generally do not leave joint deformities. During the acute phase of rheumatoid arthritis, it is important to immobilize the joints. Non-steroidal anti-inflammatory drugs, such as etoricoxib or diclofenac sodium sustained-release capsules, can be used to relieve symptoms. If accompanied by myocarditis, glucocorticoids can also be applied in combination therapy.

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Written by Yang Ya Meng
Rheumatology
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How is rheumatoid arthritis treated?

Rheumatoid arthritis, also commonly referred to as internal rheumatoid arthritis, primarily has three major categories of treatment. The first category is anti-inflammatory and pain relief. The medications for anti-inflammatory pain relief include two types: the first type is non-steroidal pain relievers; for patients with very severe pain, a low dose of corticosteroids can be considered. The second category, which is also the most important treatment, involves the use of immunosuppressants. These immunosuppressants include drugs such as methotrexate and leflunomide. If the patient does not respond well to anti-inflammatory pain relief and immunosuppressants, treatment with biologics can also be considered.

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Written by Yang Ya Meng
Rheumatology
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How long does it take to cure rheumatoid arthritis?

The symptoms of rheumatic arthritis, such as joint swelling and pain, generally improve on their own within about two weeks, with the longest duration not exceeding one month. However, since rheumatic arthritis is triggered by a Streptococcus infection, if the Streptococcus infection is not actively controlled, it is easy for the arthritis to relapse after the joint pain has improved. Therefore, for patients with rheumatic arthritis, it is essential to treat the Streptococcus infection early. Treatment with second-generation cephalosporin antibiotics for 10-14 days is recommended, followed by regular long-acting benzathine penicillin treatment at outpatient clinics to achieve a complete cure of rheumatic arthritis. (Specific medications should be used under the guidance of a doctor.)

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Written by Liu Li Ning
Rheumatology
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Can rheumatoid arthritis be cured through exercise?

Rheumatoid arthritis can be somewhat alleviated by exercise in terms of disease recovery. Rheumatoid arthritis primarily manifests as migratory swelling and pain in the major joints throughout the body. The onset of the disease is somewhat associated with streptococcal infections. In recent years, due to the widespread use of penicillin, rheumatoid arthritis has become very rare in clinical settings. Since the onset of rheumatoid arthritis is related to infections, long-acting penicillin is generally used for treatment if there is no accompanying carditis. Joint pain can be treated with non-steroidal anti-inflammatory drugs such as etoricoxib or sustained-release capsules of diclofenac sodium; if carditis is present, corticosteroids can be used. Patients with rheumatoid arthritis can engage in gentle aerobic exercises like swimming, yoga, jogging, Tai Chi, etc.

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Written by Yang Ya Meng
Rheumatology
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Foods to Avoid with Rheumatoid Arthritis

Patients with rheumatoid arthritis should adhere to a light diet and avoid spicy foods, overly nourishing and greasy foods. Specifically, the following foods should be avoided: vegetables such as celery, coriander, shiitake mushrooms, leeks, and seaweed. In terms of meat, one should reduce consumption of warming foods like lamb, beef, and dog meat. Also, it is advisable to limit intake of high-protein seafood such as shrimp, crab, and sea cucumber. Regarding fish, preference should be given to freshwater fish, while the consumption of sea fish should be minimized. These are the foods that should be avoided by those suffering from rheumatoid arthritis.

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Written by Yang Ya Meng
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What should be avoided with rheumatoid arthritis?

Patients with rheumatoid arthritis should avoid the following three categories of food: The first category includes foods that can easily trigger photosensitivity, such as celery, coriander, shiitake mushrooms, seaweed, and leeks; these should be avoided. The second category includes overly warming and tonifying foods, such as dog meat, lamb, and longan; it is best to consume these sparingly. The third category includes high-protein seafood, such as shrimp and crab; these should be consumed in limited quantities because they may exacerbate rheumatoid arthritis symptoms and potentially trigger allergic reactions.