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Do Severe Pain And Swelling In Left Foot Suggest Deep Vein Thrombosis?

Posted on Mon, 1 Aug 2016

Question: hi, I have been expiring pain in my foot lately its on my left foot and its that bone on top of my big toe and the bottom and its swollen and its swollen under my knee as well but no pain on my le just foot I'm having cosmetic surgery soon and I'm really nervous just want to make sure its not DVT

Answered by Dr. Aashish Raghu (27 minutes later)

Brief Answer:
Could be Gout. Need to follow certain precautions

Detailed Answer:
Hi there.

Thanks for the query.

This isn't DVT. Not to worry.

Though, you could be having arthritis of the great toe joint. This could be Gout.

Apply ice to the painful regions. Use a hard soled shoe to walk around in. Avoid non vegetarian food as much as possible including their gravies. Avoid alcohol consumption especially beer. Avoid Avocado consumption.

Drink 2 to 3 litres of water daily.

Do get your Serum Uric acid level checked.

You can take Tablet Ibuprofen 400 mg twice a day for 5 days after meals and Tablet Ranitidine 150 mg twice a day for 5 days before meals.

You will also need to be started on Anti Gout medication once we confirm the diagnosis by a synovial fluid analysis, with the fluid aspirated from the joint.

Please get done an X-ray of the foot then upload it for my review, this week also help in making the diagnosis.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Dr. Aashish Raghu

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Aashish Raghu (1 hour later)

Thank you for responding back to me! I cant take ibuprofen I am having cosmetic surgery on Friday but also the pain is not consistent it comes and goes every now and then but my concern is the fluid on top of my foot and under my leg I know you said its not DVT but I'm just scared about my surgery and something happening to me on the table I hear all these stories about people not knowing they have embolus but I am going to get my blood work done tomorrow at the cosmetic
place so do you think they will check my serum uric acid level? how do you get gout anyway I'm a stay at home mom and I don't drink alahol

Answered by Dr. Aashish Raghu (1 hour later)

Brief Answer:
Answers

Detailed Answer:
DVT would cause a swollen, cold, calf. It's not there in your case, so not to worry.

Gout can occur due to metabolic disorder. Do get the blood test for Uric acid if possible.

Apply ice and avoid weight bearing to that foot. Keep the limb elevated as well. Ibuprofen will not cause any problems to your surgery.

Above answer was peer-reviewed by : Dr. Raju A.T