Recently Answered Questions
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How to deal with symptoms of gout?
Query: Hello doctor, I am experiencing a gout flareup. My ankle is swollen, warm to the touch, and my big toe is in a lot of pain. What could it be? Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for writing and I understand your concern. I would suggest you repeat your uric acid test once, so we can get to know the severity of gout. For now, I suggest you follow the instructions mentioned below. 1, Take a tablet of Etoricoxib (nonsteroidal anti-i... Read Full »
I am diagnosed with gout. Will running worsen it?
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 worse by running? I was ... Read Full »
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 avo... Read Full »
I have high uric acid levels. How to lower them?
Query: Hi doctor,I am suffering from gout - podagra for the past 16 years. I cannot maintain a constant diet because every local doctor prescribes differently. Have many wens around the body. My uric acid level is higher than normal (800). I am taking medicines named Colchicine and Diclofenac. For the last... Read Full »
Answer: Hi, Welcome to icliniq.com. First of all do not worry and send all the scanned pictures of investigations done so far and a fresh KFT (kidney function test) report, BP (blood pressure), complete sugar profile, x-ray picture of the joints, and the list of complete drugs used so far. Start tablet ... Read Full »
I have gout on my left foot. Is taking Prednisone safe?
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 struggling. Are there any other treatment options or drugs? H... Read Full »
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 proc... Read Full »
I suffer from gout. Is taking medications enough?
Query: Hello doctor,I have gout, and my uric acid remains in the range of 8.5 to 9. Is medicine the only solution? I have not started any, but the doctor suggested Febutaz 40 mg. If I start my medicine and continue with my daily workout, is it fine to add a protein shake in my diet? Read Full »
Answer: Hello, Welcome to icliniq.com. You can start dietary restrictions initially, and if not responding, then you will have to use medicine. The risk of developing gout is increased with dietary meat and fish intake. Consumption of dairy products, particularly low-fat dairy products, is associated with a... Read Full »
I am a gout patient and have been suffering from instep swelling for a week. Please help.
Query: Hi doctor, I am a 60-year-old male, and I am suffering from gout issues. Currently, I am taking tablet Allopurinol 300 mg daily. Year-old lab report of mine shows Uric Acid levels to be 5.6 mg. For a week, I have been suffering from swelling of the left foot instep. First, I took tablet Indomethacin... Read Full »
Answer: Hello, Welcome to icliniq.com. Since it is an acute gout flare, I would recommend a couple of changes (consult with a specialist doctor, talk with him or her and take medicines with their consent). 1. Temporarily stop taking tablet Allopurinol. Although recent guidelines say we can use it in acut... Read Full »
I am taking medication for a fever. Can I do kidney tests?
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 »
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 can... Read Full »
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 decreases gradually, then it can be due to RA. If... Read Full »
I have pain in my big toe joint. Why?
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 trigg... Read Full »
Answer: Hello, Welcome to icliniq.com. From your detailed description, it is goutunless 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. Even nor... Read Full »
My father has gout with stroke. Kindly analyze and advise regarding the echocardiogram reports.
Query: Hi doctor, My dad recently completed echocardiogram. The result is here with me in photo. I need a doctor to interpret the result and provide appropriate advise. Last year he had this report and one doctor has advised not to do surgery because of his age. He was taking medications since then and con... Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for the query. He has to continue taking medicines. Surgery will be risky in his case. If symptoms are very uncontrolled on maximum tolerable medicines can be taken. If it does not help, then surgery is an option but he will need Coronary Angiography first and then... Read Full »