I am a 48 yr old male, i have joint pain and swelling that last for 48 hours then moves to a new joint, it started a few weeks it seems to move to a joint and start with minor discomfort in the first 24 hours and then swells and is very painfull for 24 h

Migratory : Migratory arthritis, meaning that is in one joint and get better and moves to another joint is a typical presentation of rheumatic fever. Rheumatic fever is rare in the adult. Reactive artritis may present that way , but it would be not a frecuent presentation . The fact that it lasts only 48 hours makes it difficult and the fact that has been present foe a few weeks also .Ussually viral diseases might present in a non tipical way and could last up to six weeks but ussually patiens have a flu like syndrome. Another transient arthritis that may present in this matter would be that asociated with n gonorrhea, but again is associated with , fever malaise, a discharge skin lesion. Since it has been there for several weeks yoy should consult your primary and see wheter he would like to determine what is going on or he would like to have the rheumatologist evaluate you.