Gout

Gout is a form of arthritis that causes redness, swelling, pain, and inflammation of the affected joints. It occurs when there is an excess accumulation of uric acid in the body. It often affects the joints of the foot and big toes. Taking nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, and Colchicine helps to provide relief.

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Is it better to rest my big toe or go for gentle walking during a flare up of gout?

Query: Hello doctor, 18 months ago, I had a gout attack. My symptoms have again started since 48 hours. I have pain, redness, and swelling in my big toe. I do not have pain while resting; however, there is some pain on walking. I have used tablet Colchicine previously for the complaint. Do you advise rest...  Read Full »


Dr. Mohamad Ali Rida

Answer: Hello, Welcome to icliniq.com. I suggest you rest for a few days and then start walking slowly. Also, you can continue taking the tablet Colchicine. I hope this helps. Kindly revert in case of further questions. Thank you.   Read Full »

Is it safe to restart Prednisone?

Query: Hi doctor, I was diagnosed with gout in left foot. It has been bothering me for a couple of weeks. Last month, I had issue with my elbow and took Prednisone. Recently, doctor said I cannot take Prednisone again so soon and was essentially screwed. Are there any other treatment options or drugs? How ...  Read Full »


Dr. Atul Prakash

Answer: Hi, Welcome to icliniq.com. No, there is no such restriction about restarting Prednisone. As long as there is a clinical need and we have exhausted other options then there is no contraindication to restart steroids. Surely, NSAIDS (non-steroidal anti-inflammatory drugs) should be tried before pr...  Read Full »

Why are my uric acid levels always high?

Query: Hi doctor, I have a bad throat, cold and mild fever. I am taking antibiotic Amoxycillin and Ibugesic plus. Can I get liver function test and kidney function test at this time or should I wait?  Read Full »


Dr. Janrao Smit Uttam

Answer: Hi, Welcome to icliniq.com. It is advisable to get the liver and kidney function tests done after a week, as these drugs alter the test results. For further queries consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician  Read Full »

Can my grandmother discontinue one of her gout medicines?

Query: Hi doctor, My 83-year-old mother is taking two different medications for gout. She has consistent hand and shoulder pain with weakness. She is unable to catch her walker grip and even she is unable to catch her water bottle. One of the pharmacists told me that one of the medications taken by her ...  Read Full »


Dr. Rajiv Ranjan Kumar

Answer: Hi, Welcome to icliniq.com. Her symptoms are not related to gout or it can be due to chronic tophaceous gout. She can also have CTS (carpal tunnel syndrome) or a flare of RA (rheumatoid arthritis). If the symptoms are more in the early morning and then it decreases gradually, then it can be due to R...  Read Full »

Why do I have trigger problems in the middle finger of both hands?

Query: Hi doctor, I am having trigger problem in the middle finger of my left hand over a year. But, the same finger of my right hand has now developed the same problem. They are especially bad in the morning and it is difficult to straighten them. I can feel a very heavy click when I do it. I had blood te...  Read Full »


Dr. Sadaf Mustafa

Answer: Hi, Welcome to icliniq.com. The most important information to know would be x-ray of your hands. There are different types of arthritis like autoimmune, osteoarthritis and gout. It could also become worse with your new medications as they can cause bone loss and pain. It may also occur if you...  Read Full »

Uric acid is 7.5. Please suggest a medicine.

Query: Hello doctor,My uric acid is 7.5. Please suggest me a medicine.  Read Full »


Dr. Albana Greca

Answer: Hello, Welcome to icliniq.com. I have gone through your medical history carefully and understood your concerns. Your uric acid level falls within the normal range for female patients (the normal range is between 2.5-7.5 mg/dL). I think Fabulas 40 (Febuxostat) you are taking is taking good control ...  Read Full »

Can I take Mobizox for foot pain?

Query: Hello doctor, My brother, who is 36 years old, has a lot of pain in the ball of right foot. It is like a sharp pain both on the foot as well as in the toes. He is overweight with 98 kg and he is of height 5 feet 7 inches. He is taking NAC 75 painkiller. But, the pain comes back once he stops eat...  Read Full »


Dr. Sumit Chawla

Answer: Hello, Welcome to icliniq.com. Gout is a condition with elevated uric acid levels. It commonly affects great toe rather than ball of foot.Is your brother's great toe swollen along with the pain in the ball of the toe? How long he has been suffering from the pain?Since when he is aware of his uric ac...  Read Full »

How to know the reason for my big toe pain?

Query: Hi doctor, I have been suffering lately from pain in my big toe joint. It is very severe that I could not sleep two nights when I ran out of painkillers. I thought it might be a gout attack. Because I do have gout. Though my uric acid levels are mostly high, I do not really watch what I eat. My tr...  Read Full »


Dr. Atul Prakash

Answer: Hello, Welcome to icliniq.com. From your detailed description, it is gout unless proven otherwise. The reason I say this is your past medical history of gout. Swelling of the great toe and adjoining area with excruciating pain is called podagra. It is the most common presentation of gout. Ev...  Read Full »

Has running made my gout worse?

Query: Hello doctor, I have been diagnosed with gout. Pain in the big toe is gradual for over four to five days until acute on the sixth day with swelling. During the early stages of pain, I continued with my running. I had no prior knowledge of gout. Could I have made the condition wo...  Read Full »


Dr. Catherine Bevington

Answer: Hello, Welcome to icliniq.com. You would not have done any damage to your toe or made gout worse by running on it. The pain and tenderness are likely to last for a few more weeks but should gradually resolve completely. The attack was probably brought on by the beer and the dehydration. If you avoid...  Read Full »

Why am I having swelling and pain in the joints with disability to walk?

Query: Hello doctor, I am having severe joint pains for two days. Initially, I had a fever. but now it has subsided but unable to move or walk freely as all joints seemed swollen.  Read Full »


Dr. Ella Phuti Maponya

Answer: Hi, Welcome to icliniq.com. Acute generalized joint pain is an uncomfortable problem that needs attention as soon as possible especially because you are unable to move or walk freely. Diseases that can cause the kind of joint pain you are having include Gout where uric acid forms crystals that dep...  Read Full »

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