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I am after some ideas to assist a relative and her GP where to look.
Patient is 72yo female in general good health who has mild / medium rheumatic arthritis (> 20 years) which is managed and not quality of life affecting. Approx 6 months ago she had a large flare up (first time) which impacted mobility. All calmed down after 3 - 4 months and normal heath and routine was restored.
Smoker, not over weight, active for age.
2 months ago started to develop headaches (possibly, or similar to cervicogenic). Double vision then followed Optician checked and has prescribed prism glasses which has resulted in symptoms changing (still double vision but now near not far).
Recently other symptom is back of tongue sensitivity to heat - Can no longer eat hot or warm food. No issues with cold food and drinks.
Other than than general fatigue (possibly due to ongoing symptoms).
GP has done bloods with no luck.
Any causes or next steps appreciated.
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