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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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 »

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 »

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 the le...  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 »

Please suggest treatment for excruciating joint pain.

Query: Hi doctor,I am experiencing joint pain in my hands, elbows, ankles, and toes. It has progressed rapidly over the past few weeks. It causes excruciating pain at night and I sleep very little. I am waking up with swollen joints and I have to sit for an hour or two before getting up from the bed. Is th...  Read Full »


Dr. Sugreev Singh

Answer: Hi, Welcome to icliniq.com. There are two types of arthritis. The first one is osteoarthritis and the other one is rheumatoid arthritis. There is one more disease called gout's disease. Sometimes it looks hard to diagnose them. But we can differentiate them without doing testing. Usually, oste...  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 du...  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 »

Does intake of medicines cause elevation in uric acid level?

Query: I did several blood and urine tests as part of a check-up and the following results came back altered: - urine pH of 7.5 - red cells (urine): 26.000/mL - uric acid (serum): 8.0 mg/dL - chloresterol: 200 mg/dL - albumine (serum): 5.0 mg/dL All other blood tests are ok (blood count, creatinine, u...  Read Full »


Dr. Sugreev Singh

Answer: Hi Welcome to icliniq Sir such urine changes are seen due to urine tract infection or other reason could be due to high protein diet. Like red meat and alcohol consumption leads to increased in uric acid levels. And increased uric acid leads to a disease called gouts disease. So you have to contr...  Read Full »

My father has gout with stroke. Kindly analyze and advise regarding the echocardiogram reports.

Query: my dad recently completed ecocardiogram. The result is here with me in photo. i like doctor to interpret the result and provide appropriate advise. last year he had this report and one doctor has advise not to do surgery because of his age. he was taking medications since then and continue taking it...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Thanks for the query He has to continue medicines. Surgery will be risky in his case. If symptoms are very uncontrolled on maximum tolerated medicines then surgery is an option but he will need Coronary Angiography first and then if indicated 3 surgeries will be combined. 1. CABG (ByPass), 2. Mitra...  Read Full »

Even after quitting Allopurinol, I have swelling and pain in toe and finger joints. Why?

Query: Hello doctor, I am 40 years old with no history of hypertension, Gout family history, diabetics, kidney disease and no medical drug usage. My BMI: 28.2. Triglycerides: 292 (high). Fasting glucose level: 104. HDL: 31. LDL: 166. I have my first experience of Gout attack at my first joint ...  Read Full »


Dr. Peter Bryant Rapsing Grutas

Answer: Hello, Welcome to icliniq.com. The cause of gout is unclear but seems to be multifactorial which includes a combination of genetic, hormonal, metabolic, and dietary factors. Other factors such as family history, advancing age in male or, in women early menopause have also been associated with a...  Read Full »

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