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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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...  Read Full »

Are joint and knee pain symptoms of gout?

Query: Hi doctor, Over the last few weeks, my wife is suffering from joint pain in foot and right knee. When I search for this problem online, I found it as a symptom of gout. Can you please explain me about gout?  Read Full »


Dr. Akshay Kumar Saxena

Answer: Hi, Welcome to icliniq.com.I have gone through your query and also looked at the pictures (attachment removed to protect patient identity). Initially, I would like to throw some information about gout. It is a condition of altered purine metabolism in the body in which crystals of monosodium urate...  Read Full »

How do we differentiate between psoriatic arthritis and gout?

Query: Hi doctor, I am a 27-year-old female, and I have various inflammatory and autoimmune issues, but we are looking to find a more significant issue. I have severe asthma, especially to scents (sometimes not controlled by the use of several different puffers), anaphylaxis, especially to certain pollen,...  Read Full »


Dr. Divya Agarwal

Answer: Hi, Welcome to icliniq.com. I think your rheumatologist is right because gout is extremely rare in a person of your age and gender. Psoriatic arthritis could be the likely diagnosis. If your rheumatologist sees you during acute pain episodes, he should not have much difficulty in diagnosing you. Y...  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 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 »

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. E...  Read Full »

Do X-rays help in differentiating rheumatoid arthritis from osteoarthritis?

Query: Hi doctor, I have been having joint pain in my left foot on the first joint of big toe for two weeks. It came on upon waking. The pain was inconvenient, but bearable for the first 36 hours. Then, it was extremely painful on the second day ( a worse pain I have ever had). Then, it has got slightly be...  Read Full »


Dr. Divya Agarwal

Answer: Hi, Welcome to icliniq.com. There is a strong possibility that this is gout. Considering that it occurred relatively acute, it is possible that it is gout. The diagnosis of gout is by crystal examination in joint fluid and on clinical examination of joints. Of course, osteoarthritis is one of t...  Read Full »

Is there a therapy for painful swollen joints?

Query: Hi doctor, My mother is 45 years old female. Her weight is usually between 35 kg to 42 kg. She has been suffering from severe pain and swollen joints for the past 15 years. Due to a lack of financial resources, we could not get treatment. Is there any therapy to heal her? She is unable to move her j...  Read Full »


Dr. Divakara. P

Answer: Hi, Welcome to icliniq.com. First of all, a proper diagnosis has to be made for the cause of her swollen joints. It could be osteoarthritis, rheumatoid arthritis (RA), or gout. Once a correct diagnosis is made, then the treatment can be initiated. So, I need to know whether any tests have be...  Read Full »

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 »

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 »

What medicines to take for foot swelling due to high uric acid?

Query: Hello doctor, My height is 5'6 feet, and my weight is 95 kg. My foot is swollen right now, and I am sure that my uric acid went up again. It happened two years ago, and I need some medication for the pain and the inflammation.  Read Full »


Dr. Geetha Priyadarsini Kamminana

Answer: Hello, Welcome to icliniq.com. Firstly, the photo uploaded is not informative (attachments removed to protect the patient's identity), as the extent of redness or inflammation is not well demarcated. Secondly, do you have any history of gout? If yes, how many acute flares did you have in the p...  Read Full »

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