Your elevated alkaline phosphatase and GGT levels indicate that your liver or bile ducts may be under stress. Certain medications you are taking for ankylosing spondylitis, such as Saaz-DS or Nucoxia 120, may sometimes affect liver function. These results do not always mean serious liver disease, but they warrant careful follow-up. It is important to discuss these results with your doctor, who may adjust your medications or order additional tests to identify the cause.

Nucoxia 120 Tablet (etoricoxib) can help relieve pain during acute gout attacks, while Zyloric 100 Tablet (allopurinol) is used to lower uric acid levels long-term, not for immediate relief during flares. Allopurinol should be taken daily as prescribed to prevent future attacks. Consult your doctor to review your treatment plan and ensure safe and effective control of uric acid levels.

Persistent joint pain after chikungunya is common and may be due to post-viral arthritis (joint inflammation following a viral infection). You should consult your doctor or a rheumatologist for proper evaluation and a tailored treatment plan. Long-term use of Nucoxia 120 Tablet (Etoricoxib), an NSAID, is not recommended without medical supervision. Your doctor may suggest alternatives such as physiotherapy, short courses of anti-inflammatory medication, or other pain management strategies.

You should consult your doctor to have your symptoms properly assessed and to determine the cause of your pain. In the meantime, you may take over-the-counter paracetamol or ibuprofen for pain relief, provided you have no contraindications. You should also remain active with gentle, low-impact exercise, such as walking, as prolonged bed rest is generally not recommended.