Q. Can you please suggest me ways to heal instep swelling and pain?
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 200 mg and had no relief. Then I switched to tablet Methylprednisolone 4 mg. I had an immediate reduction in swelling and pain. Then I added tablet Colchicine (Colloidal Silicon Dioxide, Lactose Anhydrous, Magnesium Stearate, Microcrystalline Cellulose, and Sodium Starch Glycolate) 0.6 mg twice daily. I completed the medication course yesterday, and I still have symptoms. I continue to experience pain and swelling. Today I took a dose of tablet Allopurinol 300 mg and tablet Colchicine (Colloidal Silicon Dioxide, Lactose Anhydrous, Magnesium Stearate, Microcrystalline Cellulose, and Sodium Starch Glycolate) 0.6 mg.
Can you please help me to ease the condition? Should I start taking tablet Indomethacin?
Please help me, doctor.
Thank you.
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 acute attack, in my experience, I have seen it prolongs the attack.
2. Continue taking tablet Colchicine (Colloidal Silicon Dioxide, Lactose Anhydrous, Magnesium Stearate, Microcrystalline Cellulose, and Sodium Starch Glycolate) 0.6 mg. If you are tolerating it, then take it thrice a day.
3. Tablet Methylprednisolone dose is a bit less for controlling inflammation. I recommend taking 8 mg daily for five days.
Thanks and regards.
The Probable causes:
It could be acute gouty arthritis.
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Related Questions:
Can x-ray differentiate rheumatoid arthritis and osteoarthritis?
.. 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. Read full
What to do for swollen feet?.. leg is swelling like when you press your finger on your leg and see pushing marks of your finger (use thumb) then there is a real need for emergency care and treatment. If your leg swelling is also associated with swelling of the body and face then it needs urgent care. Read full
I have high uric acid since 20 years. Please advise.Most people having an acute attack of gouty arthritis probably will not want to move the joint much anyway ... Read full
Also Read Answers From:
Comprehensive Medical Second Opinion.Submit your Case
iCliniq's FREE Newsletters
Expert-backed health and wellness information, delivered to your email.
Thank you for subscribing to our Newsletters!
Also Read
PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions. Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this. Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades. Read more»
Ask your health query to a doctor online?
Ask a Rheumatologist Now* guaranteed answer within 4 hours.